advantage

So Which Plan is for Me?

Within the world of Medicare, there are two major choices: traditional/original Medicare and Medicare Advantage.

Original Medicare

  • With traditional Medicare, Parts A and B are included into your plan, however Part D is not.

  • If you would like a prescription drug plan (PDP), you must apply for this separately.

    • A Medicare supplement insurance (aka Medigap) is strongly advised for those who would like aid with out-of-pocket costs and do not have employer or union coverage.

  • Original Medicare will not cover the extra benefits Advantage offers, which often includes dental, vision, and hearing (DVH).

  • Paying for original Medicare, and supplement, and a Part D plan will generally cost more on a monthly basis, but this comes with the benefit of being covered by any hospital or provider across the United States that accepts Medicare.

Medicare Advantage

  • The Advantage plan (aka Part C) is an inclusive alternative to original Medicare, and typically bundles parts A, B, and D into one plan.

  • Beneficiaries will be offered the additional benefits not covered by traditional Medicare.

    • This includes dental, vision, hearing, etc.

  • Generally less expensive on a monthly basis, however the in-network providers are limited.

    • In the state of Tennessee, Advantage plans have networks such as PPOs, HMOs, EPOs, POSs, etc.

    • On the other hand, original Medicare doesn’t abide by networks and can be used by any Medicare accepting facility or provider across the United States.

When considering, ask yourself:

  • Do I want a prescription drug plan (Part D)?

  • How often would I utilize the additional benefits (DVH) offered with Advantage?

  • If I choose the Advantage plan, will my current providers be in-network? If I choose original, do all my providers accept Medicare coverage?

  • Would I prefer a lower premium and DVH benefits at the sacrifice of restricting my access to hospitals and providers?

Have further questions? I can help you! Click here at carol@ballengerbrokerage.com or call (615) 415-4424.