Understanding Healthcare Insurance with Medicare

When am I eligible for Medicare Advantage Plans Switch?

You may need to change allegiance from your current Medicare Advantage Plan to a plan of your choice. This is possible and can be done without signing out of the original Medicare Advantage Plan you had Initially taken. The period you can do this is During the Fall Open Enrollment.
The Fall open Enrollment period runs from October 15th to December 7th the same year. However, you can also sign up for the first time during this period. After successfully signing up during this period, the coverage you take commences on the first of January the following year. However, not all the Plans have this period open for registration. For instance, the Medical Savings Account Plan does not have this enrollment period.

How do Medical Advantage Plans work?

It is vital to understand that in a huge proportion, Medical Advantage Plans work the same way as any other Medicare since they are approved by it. Yet again, it is important to understand that with the Medical Advantage Plan, you to get both parts A and B but not the initial Medicare.
What Services are covered under Medicare Advantage Plans?

Medical Advantage Plans can cover most services under the Original Medicare cover. The only isolated cover here is hospice care, which is covered in the initial Medical Covers. Despite the fact that there are different Medicare Advantage Plans, all those operating do cover for emergency and any urgently needed medical services.

In some instances, Medical Advantage Plans might offer subsidiary coverage like vision and dental services. It is, however, important that you get in touch with your provider and confirm which expenses are catered for and which are not covered.

Why are Advantage Medicare Plans Special?

From a short historical perspective, private health insurance plans were introduced in 1997. They were however not efficient since they did not include the important issuance of prescribed drugs. After a later enhancement, the plan was improved to include the prescription of drugs under the Umbrella of Medicare Advantage Plans that now stand from the rest.

Medicare Advantage plans are also special in a way because they have enhanced preventive and wellness care. On the other hand, these plans have been able to significantly reduce money paid by patients when compared to the traditional Medicare.

What if I have End-Stage Renal Disease (ERSD)?


If you are suffering the End-Stage Renal Disease (ESRD), you can only join Medicare Advantage Plans in specific plans that have provision for Special Needs Plan. The Special Needs plan, however, must be that which specifically welcomes people with ESRD. This may not be a surety since most of the Plans do not admit people with ESRD.

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