Post on 11-Jan-2016
description
Medicare Supplement
vs Medicare Advantage
Medicare Supplement
vs Medicare Advantage
For authorized agent use only. Not for public use.
What you and your clients
need to know
What you and your clients
need to know
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
In 2008, Medicare beneficiaries have two basic options for healthcare coverage. Traditional Medicare and supplemental insurance (also known as Medigap) policies and Medicare Advantage policies.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
It is important to note that there is a significant difference between Medicare Advantage plans and Medicare Supplement insurance.
For authorized agent use only. Not for public use.
Medicare Supplement vs
Medicare Advantage
Learning about the differences between Medicare Advantage plans and traditional Medicare Supplement insurance is essential when deciding which coverage is right for your clients.
For authorized agent use only. Not for public use.
Medicare Supplement vs
Medicare Advantage
Knowing the basics of these plans can mean the difference between closing a sale – and losing one.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Supplement plans:
provide coverage for the “gaps” of original Medicare Parts A and B,
were standardized in 1992, are carefully regulated to control
the quality of coverage, and work in conjunction with original
Medicare to provide healthcare coverage.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Advantage plans: is a new name for Medicare+Choice
(M+C), are private healthcare plans
subsidized by Medicare, may take the form of an:
o HMO (Health Maintenance Organization),
o PFFS (Private Fee-For-Service) plan, or
o PPO (Preferred Provider Organization).
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Supplement plans:
are available through private insurance companies,
12 standardized policies – Plans A through L,
each plan offers varying levels of coverage,
benefits of each plan are the same from any insurance company across the industry.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Advantage plans: are available through private
insurance companies, unique to the company offering
them, usually take the form of “Basic” or
“Premium” plans, varying levels of coverage for
each plan, no two plans are alike, companies are encouraged to
compete for pricing and plans.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Supplement plans:
enrollees may use the doctor or hospital of their choice,
almost all doctors and hospitals across the United States accept Medicare Supplement plans,
beneficiaries may also travel the United States with little worry of coverage being available.
For authorized agent use only. Not for public use.
Medicare Advantage plans:
enrollees may be restricted to the use of certain doctors and hospital selections in a network of providers,
only those approved providers are covered in the event of treatment.
Medicare Supplement vs Medicare Advantage
For authorized agent use only. Not for public use.
Medicare Supplement plans:
are guaranteed renewable, as long as premium payments
are made in a timely manner, beneficiaries cannot be denied coverage,
laws are in place to provide beneficiaries the ability to seamlessly enroll with another company, should the company providing the supplemental policy go out of business.
Medicare Supplement vs Medicare Advantage
For authorized agent use only. Not for public use.
Medicare Advantage plans:
must sign contracts with Medicare to provide covered benefits,
contracts are reviewed annually and are subject to termination,
if the contract is not renewed, the plan may simply disenroll its Medicare beneficiaries.
Medicare Supplement vs Medicare Advantage
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Supplement plans: the 12 plans available vary in
level of coverage and cost, because the plans are
standardized across the industry, the level of coverage is the same from any insurance company across the industry.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Advantage plans:
may charge little or no initial premiums to their members,
enrollees may frequently be charged co-pays and co-insurance for any number of healthcare treatments.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Supplement plans:
do not come with built-in prescription drug coverage,
seniors may shop private companies for affordable Medicare Part D Prescription Drug Plans,
different types of Part D plans are available with varying levels of cost and coverage.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare Advantage
Medicare Advantage plans:
many come with prescription drug coverage built-in,
“Basic” plans usually have lower levels of drug coverage,
“Premium” plans usually have higher levels of drug coverage.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare AdvantageMedicare Supplement vs Medicare Advantage
The contrast between Medicare Supplement plans and Medicare Advantage plans can be extensive.
With so many choices available, it is essential that potential enrollees be fully informed of the differences between plans.
For authorized agent use only. Not for public use.
Medicare Supplement vs Medicare AdvantageMedicare Supplement vs Medicare Advantage
The ability to choose between different products is a privilege. Be prepared to help your clients find the coverage best suited for them.
For authorized agent use only. Not for public use.
Medicare Supplementvs
Medicare Advantage
Medicare Supplementvs
Medicare Advantage
For authorized agent use only. Not for public use.