How the Medicare Advantage Plans works and what are the advantages of availing this coverage?

Understanding the manifold benefits that the Medicare Advantage Plans in 2018 offer, more and more people are opting for this coverage plan, in addition to their Original Medicare coverage. Research suggests that this plan is a candid way to restrict the  upfront expenses out-of-pocket, borne on medical purposes. Hence, if you are yet to subscribe for this benefit, you should do that right now. However, before doing that it is necessary that you are well aware of the steps it follows as well as the benefits in opting for this scheme. Here are the key points that hold relevance in that context.


The process by which the Medicare Advantages Schemes work


These plans come from the private insurers, approved by Medicare. Each month, Medicare pays these companies a specific amount of money and subsequently, the insurer covers the costs, in adherence to the rules and regulations, set by Medicare from time to time.


Medicare Advantage Plans are of various types and the benefits available under one plan, is likely to vary from the benefits, available from other plans. In the majority of the instances, these plans will cover the prescription drugs through an allied scheme, specially designed for such purpose. In general, these plans involve the participation of the following cases:


  • Organizations offering Health Maintenance services.
  • Preferred Provider Organizations.
  • Plans dealing with Special needs.
  • Private Fee for Services
  • Medical Savings Accounts.

What are the key benefits in opting for these plans?



If you are opting for the Medicare Advantage Plans, it is likely that your insurer will offer this coverage at Zero premium. The availability of the plan majorly depends on the area you are residing.  In addition to the benefits that you are entitled to get as per the provision of the original Medicare plan, this additional plan will fetch some added coverage, if not included within the Part A or B of the original Medicare scheme. For instance, you will get coverage for dental and vision care, that are usually not included in the Original Medicare plan.


Most importantly, this plan will restrict the extent of your out-of-pocket expenses for availing health services. Once you reach that extent, you will not require paying a penny further to avail the services covered. Each plan comes with different limits and it is likely that the  amount applicable in this regard, changes each year.