Is It Worth Investing In Medicare Advantage Plans – Let’s Find Out

A few days ago somebody just asked me, if Medicare advantages plans were all that important. When all is rosy, it might seem like a waste of ones’ hard earned money. However, when a medical emergency comes in, that is when you realise the need of it. Medical costs in the U.S. are tremendously high and any sudden mishap can fleece you of all your life’s savings.

Everyone is aware that general mediclaim pays only up to 80% of hospitalisation and other related costs.  There are various parts of a mediclaim policy, like co-payments, coinsurance and deductibles. About 20% of the outpatient and medical equipment costs are borne by the insured.

Coverage of Part A and Part B gaps

Your original mediclaim has two parts, A and B. Medicare Part A covers up to 60 days hospitalisation. Once, you cross the limit, you need to shell out the remaining co-pay from your own pocket.  And, coming to Medicare Part B, there are many limitations. This part only pays up to 80% of the expenses. Certain services like blood tests, X-Rays, medical accessories and chemotherapy are out of bounds and have to be borne by you.

How Medicare Advantage Plans can help you?

These plans are also known as Medigap plans. These have been designed to fill in the gaps left by your original mediclaim policy. These pay for your coinsurance, co-payments and deductibles. There are ten different kinds of such plans, which offer standardised features across all states in the U.S. They have been designed to suit every pocket and customised for your specific needs and budget.

After reading about all these pros, you must be pretty satisfied with the answers here. It is indeed good for you. Yes, it is worth investing in. The best plan from the stable of Medicare advantages plans is Plan F. It is a bit expensive, but worth it.

Plan F – Its Features

This plan pays 100% of all your out-of-pocket expenses. It pays for Medicare Part A after exhaustion of the minimum number of days stay in hospitalisation, Medicare Part B co-payments, blood, skilled nursing services, foreign travel emergency medical care, Part B excess charges and many more.

You can go for other comprehensive plans, like G and N as well. It offers more or less the same benefits. So, all said and done Medicare advantages plans are indeed life savers and money savers as well. You should go for one of the plans and keep yourself and your family safe.

Your Medicare Supplement Plans Questions Are Answered Here


Various people have various queries, regarding such plans all over the world. And retirees amongst them are a worried lot. So, let us answer all today.

What benefits do Your Medicare Supplement Plans have for the retired?

Firstly, it is available for people above the age of 65 years and above. Medicare part A covers hospital cost, hospice, skilled nurse’s fees and other inpatient care. Part B covers doctor’s fees, medical equipment costs, ambulance services and a few more. This is most basic.

A Medicare Supplement Plan pays for your out of pocket expenses. In order to take part in Medicare Supplement Plans, you must have normal general medical insurance. Please note, that you cannot enrol in this plan and another Medicare Medical Savings Account, simultaneously. Health evaluation might be required to enrol in these plans.

For patients having last stage renal diseases

You may not get the facility, if you are suffering from some kind of renal disease. However, you get assistance from Social security.

Then, many of the states are having companies who are selling these plans to people under 65 years of age and suffering from renal diseases. They are Colorado, New Jersey, Texas and a few more. Legislation differs from place to place.

What if you cannot enroll in the Medicare Supplement Plans

If, die to certain reasons you are not able to enrol in any of these plans, you can get aid from Medicaid. It mostly depends on your annual income. Then there are Medicare Special Needs Plans, which cater to certain diseases.

Few days back, some of them were sending in queries regarding Medicare Supplement Plan F. They were asking if it was being abolished. It covers more than 50% of the 5 lac beneficiaries above 65 years of age in the U.S. It is the most comprehensive plan,

It covers Part A deductibles, Medicare Part B charges, Part A hospital coinsurance, hospice care, Blood, skilled nurse’s facility and more.  The list is long.

Well, the law is only for new enrolments. Those who have already purchased Plan F get to avail its benefits. Still in case, if you miss Plan F, you can avail of Plan G. Its coverage is similar except Part B coverage.

So, there is nothing much to worry about. You can still get the same benefits from these plans. It is a matter of time that you may be offered better health plans. So, let us enjoy the benefits of what we have currently.

Average Cost of the Different Medicare Supplementary Plans


By now, a lot of people are aware of the pros and cons of having Medicare Supplement Plans. Nowadays, medical emergencies and illnesses come without a warning. You need to be prepared for these unforeseen situations. Your General Mediclaim will pay up to 80% of your hospitalization expenses.

Role of Medicare Supplement Plans

These plans have been designed to cover the gaps left by your general mediclaim insurance policy. There are different plans to suit your needs and budget. There are ten different plans to choose from. They will cover co-payments, coinsurance and deductibles. Please remember, these supplementary plans do not cover dental or cosmetic consultations and treatments.

Categorisation of Medicare Supplement Plans

The insurance companies have set amounts of premium based on certain factors. The pricing is based on the following:

  • Community
  • Age at purchase
  • Floating Age

The average premiums for the various plans are listed below:

Plan A is priced at $360 on an average. It is one of the most basic plans. It is the base level plan which meets the minimum needs. Then comes Plan B, which costs around $449. Plan C comes around $347 approximately. Then there are two types of F plans, one having high deductible and one normal. The high deductible variety costs $68 and the normal plan costs $326. The remaining plans G, K, L, M and N cost in the range of $100 to $360.

The best plan amongst these Medicare Supplement Plans found here It covers more or less everything, that you could ask for. It covers Part A hospital costs, Part B coinsurance, Blood transfusion, Part A hospice care, Skilled nursing facility, Part A and Part B deductible, Part B excess charges and foreign travel emergency, as well.

You can always take the help of an agent, for comparing cost of these plans from different insurance companies.  You can get a fair idea of the various plans and their features. Plans F and G cost more than the other plans. If you plan to go for a plan with lower premium and partial cost-sharing with the insurance company, you can opt for Plan K and N.

Medicare Supplement plans 2019

I will give you an example based on demographics, here. If you are a non-smoking female aged 65 years, you will pay lower premium than a male of the same age. If the female is married, she might have to pay an even lower premium. Your zip code also plays an important part in determining your premium.

So, choose your plan wisely and enjoy the benefits.

What are the key factors that determine the costing of the Medicare Advantage Plans?

The Medicare Advantage plans are wonderful ways to downsize the out-of-pocket expenses, borne for availing medical facilities, even if you are covered under the Medicare Coverage. Wondering, what are the factors that influences the determine the expenses on these plans? Here are the key points that hold relevance in that context.


The Premium payable for availing the plan


Obviously, the first and foremost factor to determine the pricing is the extent of the premium that you require paying. Does the provider charge the premium on a monthly basis? Does the plan pay a part of your original medical insurance scheme? Depending on these factors, the amount of the premium is likely to vary and it will bring difference in the cost of the Medicare Advantage in 2019. To get a clear estimation in this regard, it will be wise to have a detailed discussion with the provider, before buying the plan.


In this regard, it makes sense to consider, if the plan has got provision for yearly deductibles as well as additional deductibles. If so, you need to get an estimation for the deductibles applicable in these regards.


The types of the Medicare care that you are likely to need and the frequency of availing such care


It is obvious that different individuals will have different medical needs, and based on it, they will have to opt for different sets of medical services. Likewise, there are ought to be differences in the extent of the frequencies for availing such care. These are other major determinants that decide the costing of these plans. You need to find out if you would need the extra benefits and if the plan is charging for availing such benefits.


Likewise, it is important to figure the annual ceiling for the out-of-pocket expenses as it is likely to influence the costing of the plans.


The costing for these plans vary from one provider to another. Often it happens that the provider you initially subscribed to, leaves the network midway, and you have to join a new provider. In such instances, the cost of availing such coverages is likely to vary by a significant extent.


Before buying the policy from a provider, you must have a detailed discussion with the party to figure out various aspects related to these schemes and get a precise estimation on the costing. Such discussions will enable you to explore the personalized schemes that specifically suit your requirements and complies with your budget.