Top Questions asked about Medicare Advantage Plans and Medicare Supplements
- Can I use my own doctors and hospitals?
There is a network of doctors with Medicare Advantage Plans and the co-pays are lower if you use in-network doctors. By paying a slightly higher co-pay, you can use any doctor that accepts Medicare, even if this doctor is not in network.
- Will I be covered in other states when traveling in the United States?
Yes. Many insurers cover you with in-network co-pays and allow you to travel in all 50 states with coverage, if you have a Medicare Supplement plan. Medicare Advantage plans probably NOT.
- What is the monthly cost?
Your cost will be based on age with a Medicare Supplement. The cost of a Medicare Advantage Plan will vary on the insurance company you choose. The monthly cost can range from $0 per month and up.
- Do I lose Medicare if I enroll in a Medicare Advantage Plan?
No. You do not lose Medicare. Your Medicare is replaced by the Medicare Advantage Plan while you are enrolled. You have to have Medicare Part A and Part B to qualify for these plans. You will continue to pay your Medicare Part B premiums while on the Medicare Advantage Plan even if the Medicare Advantage Plan has a $0 premium per month.
- Is preventive care covered?
Yes they are covered on the Medicare Advantage Plans. Many of these services have no co-pay.
- Does the premium go up every year?
Medicare Supplement Plans can go up each year. You will be notified in sufficient time of the increase. Medicare Advantage Plans can vary in premium each year. You would be notified during the Open Enrollment Period each year as to any changes for the 1st of the next year. Ask your representative to explain Open Enrollment.
- What is Part D and how much does it cost and how much does it cover for my prescription drugs?
Medicare Part D prescription coverage covers your medications with co-pays. Medicare Supplement Plans require you to purchase the Medicare Part D coverage separately or not at all. The costs and co-pays will vary with each insurance company. Medicare Advantage Plans are designed with the Medicare Part D cost and coverage included. You can purchase a Medicare Advantage Plan without Part D coverage as well. In either case, you should discuss the Medicare Part D options with a qualified representative so the proper fit for your drug coverage needs are met in scope and in cost.
- Can I change plans anytime I want?
Maybe. If you are considering a change in current coverage you should definitely contact your agent to know your options. Not all plans can be dropped at any time. Be sure to ask this question prior to purchasing your plan.
- When does my coverage start?
If you are turning 65, your plan will start on the 1st day of the month of your 65th birthday regardless of what day in the month your birthday actually falls (unless your birthday is actually the first day of the month. In that case your Medicare eligibility is the month prior to your birthday month). Other start dates are the first day of the month you have chosen to start your coverage.
- Can my spouse and I get on a plan together?
No. All Medicare Plans are for individuals. It is different for those who are 65 and married and being covered by a group plan. These people can be on a plan together because the coverage is through their employer. When people come off group plans and are Medicare eligible, they will be required to purchase individual plans.