available in certain health care facilities, too. They differ from traditional Medicare in that they offer benefits that are more comprehensive and cost effective.
With Medicare Advantage Plans, you are covered by a managed care plan. This is done in order to cover the costs of medical claims that arise in a given facility. The plan covers medical services from a number of facilities. For example, a health care provider in a hospital might claim that he or she needs to treat a patient, but not all facilities would accept the claim.
It is up to the health care provider to request for reimbursement to the plan provider to make the claim. If the plan finds that the claim should be paid, it pays the entire amount. In other words, the plan only pays a portion of the overall bill that a provider bills Medicare Part A and Part B.
Because of this, Medicare Advantage Plans provides the best care for their patients. They are also popular because of the less administration of claims. It’s less expensive, especially if a patient doesn’t have to file a claim.
Part A and Part B are two of the four Parts of the federal government’s health care program. Medicare Advantage Plans covers Part A and Part B.
Part C is usually optional and is reimbursed to the beneficiary by the plan. It doesn’t cover any part of Medicare’s Benefits; however, is often included in a supplemental policy.
Part D is also optional and isn’t covered by the plan itself. The Part D coverage pays hospital expenses not covered by Part A and Part B.
Part E of Medicare allows the beneficiary to choose to remain in the Part A and Part B programs. Part F is optional and covers doctors, laboratories, or health clinics in the participating hospital facility. Part G reimburses qualified nursing facilities for services provided to a beneficiary.
The latest benefit is Part H. It is optional and covers care provided at a health care facility that accepts Medicare patients. Part H also reimburses the health care provider’s professional fees for services. Part I is optional and covers hospitals, skilled nursing facilities, home health agencies, hospices, home health providers, and pharmacies.
Medicare Advantage Plans is provided to those who cannot qualify for Part A or Part B. They also cover children, older people, and certain other health conditions that could not be covered by the traditional Medicare program.
Medicare Advantage Plans is very beneficial and is increasingly being used by senior citizens who wish to continue receiving the same quality of health care that they were receiving prior to their retirement. Some of the plans will also cover additional treatments that are not covered by Medicare Part A and Part B.
Part A and Part B are paid for by the Federal Government, and Part C and Part D are paid for by private insurance companies. Medicare Advantage Plans is another option to consider when you need to continue to receive quality care.