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Medicare Advantage vs Medicare

Posted by Bobby Brown on March 08, 2023 - 1:03pm Edited 3/8 at 1:04pm


Under original Medicare, the federal government sets the premiums, deductibles and coinsurance amounts for Part A (hospitalizations) and Part B (physician and outpatient services). For example, under Part B, beneficiaries are responsible for 20 percent of a doctor visit or lab test bill. The government also sets maximum deductible rates for the Part D prescription drug program, although premiums and copays vary by plan. Many beneficiaries who elect original Medicare also purchase a supplemental – or Medigap – policy to help defray many out-of-pocket costs, which Medicare officials estimate could run in the thousands of dollars each year. There is no annual cap on out-of-pocket costs.

Under Medicare Advantage, enrollees must still pay the government-set annual Part B premium and sometimes an additional premium for the MA plan. But instead of paying the 20 percent coinsurance amount for doctor visits and other Part B services, most MA plans have set copay amounts for a physician visit, and typically that means lower out-of-pocket costs than original Medicare. MA plans also have an annual cap on out-of-pocket expenses.

You should also check if you are eligible for Medicaid or any of the other assistance programs Medicare offers to low-income enrollees.

Here is the deal, my wife and I have the Medicare Advantage Plan and Millions of Americans do. The coverage is affordable, however there are limits, like the 20% out of pocket cost yearly if you have medical issues and that is per person!  Thus most have a max 8k out of pocket yearly expense, but that adds up to 16k when both spouses get sick, now that is a chunk of change,and a quick way to get into medical debt FAST......

We found an affordable answer with Impact Health Sharing Senior Plan, for less that a $100 for morst a month, Impact Health Sharing will COVER that 20% with a max out of pocket expense of 1K yearly, that is a savings of over 15K a year if both spouses get sick. Plus sense most of us are on a fixed income, that is a HUGE SAVINGS. 

Another issue when it comes to the Advantage Plans is that once you are on the plan, and you get sicker and time goes on, you CANNOT SWITCH back to Medicare unless you QUALIFY for the switch, and if you are sick, Guess What! You will not qualify for that switch back.  So now is the time to protect yourself and spouse with an affordable supplement type plan for Seniors... Impact Health Sharing. Get Your Free Quote Today or give me a call for more information