Difference between Original Medicare and Medicare Advantage Plans

Individuals who have Medicare have the opportunity of getting their health coverage through two options. The options available to such an individual include Original Medicare and Medicare Advantage Plan. Medicare Advantage is a health insurance program in the United States.

Original Medicare

It is the traditional program. The federal government was the direct administer of this program. The regular program entails Part A, which consists of hospital and Part B that involves medical coverage to people who register in both. People pay monthly premiums for Part B. if you have more than ten yearsÕ work experience in the United States then you get an exemption from paying for Part A.

If you are under this plan, you are allowed to visit any doctor or health care centers that accept Medicare. Patients do not require prior authorization for specialists or services. People who want Medicare drug coverage should buy Prescription Drug plan from a private insurance provider.

Medicare Advantage Plans

Private insurance firms providing Medicare benefits sell this program. The plan should cover Part A and Part B benefits just like Original Medicare. Some plans have other extra benefits. People have to pay a copay for services. You will have to pay your Medicare premiums as well as additional premiums charged by the insurance provider.

The plan limits users on their out-of-pocket health care costs on a yearly basis. After exceeding the limit, an individual does not pay anything for the other part of the year. Note that one still has Medicare but he or she is no longer in the Original Medicare. A person becomes a member of the private plan, which has different restrictions and costs.

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It is wise to sign up for a Medicare Advantage Prescription Drug Plan if you want a schedule that incorporates both drug and health coverage. However, you cannot have a separate Part D plan if you do not have a Medicare Medical Savings Account.

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1 thought on “Difference between Original Medicare and Medicare Advantage Plans”

  1. Part A entails Medicare hospital insurance for inpatient care services. Part D involves Medicare drug coverage while Part B Medicare insurance for outpatient services. I like to use essay service to write more about my hospital insurance service.

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