Medicare Advantage plans, which are provided by private companies approved by Medicare. Because traditional Medicare has fairly high deductibles, co-payments and co-insurance, many people also purchase Medigap supplemental coverage. You do not need Medigap coverage with Medicare Advantage plans.
2. Does the plan cover pre-existing conditions?
Generally, Medigap does not cover pre-existing conditions. As a result, for many people with disabilities, traditional Medicare with Medigap supplemental coverage is not the best option. Medicare Advantage plans, conversely, are required to cover pre-existing conditions.
3. Do my doctors accept the plan?
Physicians and hospitals are required to accept traditional Medicare, but they choose whether or not to participate in Medicare Advantage plans. Within Medicare Advantage plans, people selecting Preferred Provider Organization (PPO) plans will have more flexibility in selecting doctors or hospitals than those choosing Health Maintenance Organization (HMO) plans. However, HMOs may be more cost effective if a beneficiary's chosen physician is a part of an available HMO plan.
4. Does the plan cover my prescription drugs?
Individuals with traditional Medicare do not have prescription drug coverage unless they also enroll in and pay an additional fee for a Medicare prescription drug plan (PDP). Most Medicare Advantage plans incorporate prescription drug coverage. Beyond the prescription drug premium cost, individuals need to look carefully at plan co-pays, deductibles and co-
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