![]() What gets many people into financial trouble is not following the rules of their plan, such as using an out-of-network provider or facility or getting products or services from a supplier not approved by Medicare. Medicare Part B’s coinsurance and the deductible is $226, according to, and once they are met, your copay under Medicare Advantage is typically 20% of the Medicare-approved amount for most services and products, such as durable medical equipment (DME) like glucometers, walkers, hospital beds and more. ![]() Baethke explains it like this: “If you enroll in a plan that does charge a premium, you must pay this fee every month in addition to your Medicare Part B premium, which is around $165. Many Medicare Advantage plans have a $0 premium, so be sure to explore your options. “There is also a sizable cost-saving opportunity.” “Overall, Medicare Advantage plans offer convenient coverage options that are largely covered by a single insurer,” said Baethke. Innovative Approaches to Addressing Social Determinants of Health for Medicare Advantage Beneficiaries. Some of the top new non-medical benefits offered include NORC at the University of Chicago. According to a new report commissioned by the Better Medicare Alliance, the number of Medicare Advantage plans offering Special Supplemental Benefits for the Chronically Ill (known as SSBCI) rose from 245 plans in 2020 to 845 in 2021. Over 500,000 customers (plus their caregivers) in 23 states are eligible for four one-way trips, up to 60 miles each way, to get a vaccine.Īnother bonus to consider is that coverage is expanding. “Plans can also tailor their benefit packages to offer benefits to those who are chronically ill.”Ĭigna, for example, launched free COVID-19 vaccination transportation for its Medicare Advantage customers. “Some plans even provide transportation to doctor visits and adult day care services,” says Amanda Baethke, director of corporate development at Aeroflow Healthcare in North Carolina, referring to newly expanded supplemental benefits. Medicare Advantage plans provide all the same benefits provided by Original Medicare, plus coverage for items and services not covered by Original Medicare, including some vision, some dental, hearing and wellness programs like gym memberships. You’ll likely have a lot of choices to sort through, but not all types of plans are available in all areas. The average person on Medicare has over 30 Medicare Advantage plans to choose from-including health maintenance organizations (HMOs), preferred provider organizations (PPOs), private fee-for-service (PFFS) plans and special needs plans (SNPs). “Private insurers have the ability to manage your use of care in different ways, and this is the big tradeoff,” compared to Original Medicare. “Your choice of doctors and hospitals is more restricted under Medicare Advantage, and you may be required to get different authorizations for care,” says Jacobson. Most of them also include Part D, which covers prescription drugs. They cover all Medicare-covered benefits and may also provide additional benefits like some dental, hearing, vision and fitness coverage. ![]() Medicare Advantage (also known as Part C) plans are provided by private insurers and essentially replace Original Medicare as your primary insurance. Medicare Supplement (Medigap): What’s The Difference? While we work hard to provide accurate and up-to-date information that we think you will find relevant, Forbes Health does not and cannot guarantee that any information provided is complete and makes no representations or warranties in connection thereto, nor to the accuracy or applicability thereof. The compensation we receive from advertisers does not influence the recommendations or advice our editorial team provides in our articles or otherwise impact any of the editorial content on Forbes Health. Second, we also include links to advertisers’ offers in some of our articles these “affiliate links” may generate income for our site when you click on them. This site does not include all companies or products available within the market. The compensation we receive for those placements affects how and where advertisers’ offers appear on the site. First, we provide paid placements to advertisers to present their offers. This compensation comes from two main sources. To help support our reporting work, and to continue our ability to provide this content for free to our readers, we receive compensation from the companies that advertise on the Forbes Health site. The Forbes Health editorial team is independent and objective.
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