Understanding Medicare Advantage Plans

When you sign up for a Medicare Advantage plan in Texas, your Medicare-approved insurance company grants you access to the same benefits as your original Medicare plan, such as health insurance coverage, deductibles and copyrights, as well as a variety of other benefits and services. All of these Medicare benefit plans must all include the same benefits that you get from Medicare, but with lower cost of living and a higher number of benefits. In addition to receiving original Medicaid benefits, your insurance provider can offer you Medicare benefits such as Medicare Part C.

These extras are unique to Medicare Advantage plans because they are not covered by original Medicare. A plan offered in Texas may not all have the same benefits as your original Medicare plan, such as deductibles and copyrights. Generally, many Medicare plans include a range of benefits similar to the original Medicaid plan, but with lower cost of living and higher cost of living. They include health insurance coverage, copies, contributions, deductibles and other benefits.

Compare Medicare Advantage plans if you are enrolled in the original Medicare Parts A and B because you live in the service area of the plan. You don’t have to be enrolled, but you may be eligible for Medicare Part D or Part B of your original Medicare plan.

To learn more about how to purchase Medicare Part A and Part B, visit the Medicare 101 page. You must continue to pay Medicare Part B premiums through Medicare, but you pay your Medicare Advantage Plan premiums directly into the plan. To find out where you live and what Medicare plan options you have in Texas, enter your ZIP code and visit our eHealth Plan Finder.

If you have recently enrolled in Medicare Part A or Part B, or will be eligible in the near future, you may want to join them or look for a Medicare Advantage plan in Texas. Our office provides many services to Medicare recipients in Texas, such as finding financial assistance with health care costs.

Medicare Advantage plans differ a little from Medicare Supplement plans in that they can help you improve your original Medicare coverage. It is possible to simply stick with your original Medicare plan Part A or Part B, but opting for a Medicare Advantage plan can offer additional perks and help you significantly reduce your out-of-pocket expenses. Unlike Medicare supplemental insurance or Medigap, you simply use a new policy to fill the gaps in your Medicare.

Note: There are government programs that can help you reduce your health care and prescription drug costs if you meet eligibility requirements. If you want to have prescription drugs under your original Medicare package, you must actively opt for one of the Medicare benefit plans in your region, such as Medicare Part B or Part A.

Instead of original Medicare, you can choose to receive your Medicare benefits through a Medicare Advantage plan, also known as Medicare Part C or Medicare Replacement. If you are a “Medicare Advantage” plan, such as Medicare Plan B or Part A, it must cover at least some of the same benefits covered under your original Medicare package, such as health insurance coverage and prescription drugs.

Costs can vary, and you may have to act differently from your original Medicare plan, such as with health insurance.

If you have a Medicare Advantage plan, you do not need a Medigap policy, but if you participate in a plan, you must contact the administrator for more information. Although it is optional, there is no financial penalty unless you opt out of your original Medicare plan and later have to purchase a policy because you need an expensive drug, according to the Centers for Medicare and Medicaid Services.

Budgeting your health care costs in retirement can be difficult because you are usually too young to know whether your spending for the year will be minimal or enormous. Consider yourself Medicare coverage and consider the benefits of Medicare Advantage plans in Texas and other states before you choose your Medicare coverage.

Traditional Medicare provides good basic health care and covers the recognized costs of hospitals, physicians and medical procedures. Traditional Medicare typically does not cover all medical costs such as prescription drugs, dental care, vision or mental health. In order to ensure the best basic care, in addition to the cost of your health insurance, you must pay the recognized costs for the hospital, the doctor, the medical procedure, etc.

Medigap supplemental insurance plans are designed to bridge the gap between traditional Medicare and Medicare Advantage plans in Texas and other parts of the country. Medigap cover basic health costs such as prescription drugs, dental care, vision and mental health.

These plans are offered by Medicare – approved health insurers – and often include coverage for prescription drugs, dental care, eyesight and mental health. Many Medicare Advantage plans include Part D drug insurance, but you can also purchase a standalone policy to choose from a variety of Medicare Advantage plans that do not include Part D. You can choose a Medicare Advantage plan from one of the more than 1,000 health care providers in Texas, as well as from the Texas Health and Human Services Commission.