Medicare Advantage are also known as Medicare Part C. They are a combination of Medicare A and Medicare B and can also include the prescription drug benefit coverage through Medicare D. Therefore, Medicare Advantage Plans can offer hospital, medical and prescription medication benefits all in one convenient plan.
Private insurance companies approved by Medicare offer Medicare Advantage plans in Florida and provide a more comprehensive approach to healthcare than just Original Medicare Part A or Original Medicare Part B alone. Depending on the specific plan you choose, you can even receive additional coverage such as dental and vision benefits.
Who Can Apply for Florida Medicare Advantage Plan Coverage?
According to Medicare, there are three basic groups of individuals who may receive Medicare benefits. Available mostly to U.S. citizens receiving Social Security or Railroad Retirement Board benefits, Medicare offers benefits to the following population:
Individuals over the age of 65
Individuals with disabilities who are under age 65
Individuals who have end-stage Renal Disease, also known as kidney failure
What are the different types of Medicare Advantage Plans
Florida Medicare Advantage plans are generally set up as networks according to Medicare guidelines. Networks typically provide a list of physicians and hospitals from which you can choose to use. The types include:
Preferred Provider Organization Plans (PPO) in which you can use in-network and out-of-network providers at your discretion. Prescription drug services can be included in certain PPO plans. Most PPO plans do not require a referral to see your doctor.
Health Maintenance Organization Plans (HMO) in which you are required to use only in-network providers. Certain plans could include prescription drug services. Tailored HMO plans called HMO Point of Service (HMOPOS) could allow you to see out-of-network providers.
Special Needs Plans (SNP) set up much like a PPO or HMO for individuals who need specific healthcare accommodations. Examples include individuals who have conditions such as congestive heart failure or a mental disorder or who might already reside in a nursing home.
Medical Savings Account Plans (MSA) in which Medicare provides a stipulated amount of money each year and deposits it into a bank account. This, in combination with a high deductible, can create some out-of-pocket expenses but gives you the freedom to see providers of your choice. Prescription drug services are not generally available with this type of plan.
Private Fee-for-Service Plans (PFFS) in which you choose any provider that has been approved by Medicare and make payments based on predetermined fees. In these plans, you might also receive prescription drug services. With this type of plan, you must check with the physician’s before each scheduled visit.
Medicare Advantage Premiums
As a recipient of a Medicare Advantage plan, you would have the responsibility of paying a monthly premium. This amount covers the Medicare Part B portion and in some cases covers an additional premium depending on your plan. Examples of a monthly premium could be as low as zero dollars in addition to your Medicare Part B monthly premium.
For More Information
For more information on Medicare Advantage Plans in Florida and how it could benefit you, please contact NISONA at 888-564-2326. We have been providing Medicare Part C and Part D Plans, as well as other health insurance products and services for over 30 years.
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