Question

Discuss the differences between Medicare and Medicare Advantage Plans. Which is most effective and why? Provide an example of a Medicare Advantage plan and how it is different from Medicare.

Answer 1

The difference between Medicare and Medicare advantage plan are;

Medicare:

• Patient can select their doctors and hospitals as long as they accept Medicare patients.
• Patient can see specialists without referrals.
• No network restrictions. Coverage goes with you across the United States.
• Patient can apply to buy a Medicare supplement insurance plan any time after turn 65 and join Medicare part B
• Patient can pay a monthly plan premium in addition to part B premium. When use services the patient out of pocket costs are limited.
• Prescription drug coverage is not included.

Medicare advantage plans:

• Patient may be required to use doctors and hospitals in the plan network.
• Patient may need referrals and may be required to use network specialists.
• Patient may have network restrictions. Emergency care is covered for travel within the United States and sometimes abroad.
• Generally there are specific periods during the year when patient can enroll or switch to another Medicare advantage plan.
• Prescription drug coverage is included with most plans.

The most effective plan is medicare advantage plan since it cost less and cover more services which can be the better option for budget.

An example of Medicare advantage plan service which better than Medicare is prescription drug coverage is included in this plan whereas this option is not there in Medicare.