8 Facts About Medicare Advantage Plan D

 

  1. What is it?

Medicare advantage plan D is a health insurance plan, that is offered to cover for expenses, which aren´t covered by Medicare original part A or B. Without a advantage plan, patients would need to pay for these expenses out of their own pocket.

 

  1. Where to get it?  Go to https://www.medicareadvantageplans2019.org

Medicare advantage plan D is offered by private health insurance companies. Not all companies have a license to sell these plans and before buying it from a certain company, you should check whether the license has been given to them.

  1. What does it cover?

The benefits, that this advantage plan offers, are:

  • Coverage of health insurance while travelling outside of the United States
  • Coverage of the Medicare part A deductible
  • Coverage for hospice care coinsurance and copayments (when enrolled to Medicare part A)
  • Coverage of the costs for the first three pints of blood
  • Coverage for the copayments and coinsurance of Medicare part B
  • Coverage of hospital costs and copayments of Medicate part A

 

  1. What isn´t covered?

The Medicare plan D won´t cover for the Medicare part B deductible. This is an annual amount that would need to be paid out of the members own pocket and is currently at 183$. This amount tends to slightly increase over the years.

Plan D will also not cover for any excess charges of Medicare part B. These excess charges cannot be predicted, as they depend on the individual and what kind of health services they require. However, excess charges can be controlled and avoided. If you visit a doctor who has Medicare assignment, you can be assured that there won´t be any excess charges and the health care provider will only charge you as much as is covered by your health insurance.

  1. Prescription Drugs Rule

As of 2006, Medicare advantage plans aren´t allowed to cover for prescription drugs. Therefore, Plan D will not cover for these expenses either. Only Medicare original Plans can offer coverage of prescription medication. One of these plans is the Medicare Advantage Plan

  1. What will it cost?

The price of the premium rate depends on the company you get it from. Health insurance companies are able to set their own prizes for premium rates. The best rate possible will be offered to those who enroll to a plan during their initial enrollment period. It is a seven-month period that starts three months before you turn 65 and ends three months after the month of your birthday.

  1. Will it cover for my spouse?

The answer is no. A Medicare advantage plan will cover only the expenses of the person who enrolled to it. Family members would need to enroll to their own plans.

  1. How can I pay for it?

There are premium rates that can be paid monthly, quarterly or annually. It all depends on the             health insurance company. In general, monthly payment is known to be cheaper, as it is what the health insurance companies prefer.