What are Medicare Advantage Plans?
These are health plans approved by healthcare and provided by private agencies like United HeathCare,Aetna, Cigna, Humana, Health Net, and many more. The rules governing the advantage plans as well as the private companies are regulated by Medicare. Such plans are also known as Medicare Part C plans, Medicare Health Plans or MAs/MA-PDs. The Medicare Advantage plans inDelawarecombine Medicare part A that covers hospitalization and Doctor’s visit coverage or Medical insurance, covered under part B of Medicare into a single plan. Some advantage plans also provide prescription drug coverage without any additional costs and are known as MA-PDs.
Who is eligible for a Medicare Advantage Plan?
Types of Medicare advantage plans in Delaware:
Here, it must be mentioned that the plans are available from county-to-county, unlike state-by-state. One has to ensure that the chosen plan is available within their county or not. Each plan is different in terms of healthcare coverage offered, additional services, co-payment and deductible value. The types of plans are listed below:
Health Maintenance Organization (HMO): the HMO contracted with Medicare provides the member access to numerous hospitals and doctors to administer preventive health care services. It provides greater benefits than the original Medicare plan but is quite restrictive when consulting outside HMO network without approval.
HMO with Point of Service option: HMO POS provides greater flexibility, allowing one to choose out-of-network hospital or doctor in certain situations, by paying an additional amount.
Preferred Provider Organization: it provides access to a network like HMO, but allows one to use an outside agency as per choice for higher co-pay.
Other plans include Private Fee-For-Service (PFFS), Medicare Special Needs Plans (SNPs) and Medicare Medical Savings Account (MSAs).