Michigan Medicare Advantage Plans are health plans approved by the federal government and run by private companies. This is referred to as Medicare Part C. You must follow all the rules set by Medicare and this is not supplement insurance.
Medicare Advantage Plans provide benefits equal to those in Medicare Part A and Medicare Part B. Medicare Advantage Plans can charge different co-payments, coinsurance and deductibles for the services. All Medicare Advantage plans must cover all medically necessary services that the original Medicare does.
Vision, hearing, dental and health and wellness programs are additional benefits that may be offered in the Michigan Medicare Advantage Plans. Prescription drug coverage is covered in most plans for an additional cost.
Premiums or the cost of services (co-pays and deductibles) can be lower than they are in the original Medicare or the original Medicare with a Medigap policy. Different premiums are charged by Medicate Health Plans and have different cost of services which is something you need to look into before you join.
Health Maintenance Organization (HMO) offers for doctor visits and no deductibles low to no co-payment. You must receive a referral from your Primary Care Doctor before you can see a specialist. Also, to receive full benefits you have to use doctors and hospitals within your network.
Preferred Provider Organization (PPO) plans offer low co-pay usually slightly higher than a HMO, however, they allow freedom of choice when choosing a doctor or hospital, but they must be within your network.
The Private Fee for Service (PFFS) has more flexibility. They allow you to pick any doctor or hospital because there is no network. Doctors and hospitals must accept the plan’s conditions before they treat you, except in an emergency.
Medical Savings Account ” This is a very popular option. This plan combines a high deductible health plan with a medical savings account. The government will put money in this account, which you can use to pay your deductible or other out-of-pocket medical expenses such as dental, eyeglasses.
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