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How to Choose Between Medicare Advantage and Medicare Supplement Plans?

For most people, the choice between Medicare Advantage and Medicare Supplement depends on three key factors: flexibility, predictability, and extra benefits.

Flexibility:

If you like to travel or spend part of the year in another state, you need the flexibility to get health care no matter where you are. Most Medicare Advantage plans require you to use an approved provider network. On the other hand, a Medicare Supplement plan allows you to be treated by any provider that accepts Medicare.

Predictability:

With the most popular Medicare Supplement plans, you only pay your monthly premium and your Part B deductible. Your plan covers 100% of your other out-of-pocket costs with Original Medicare. That means you know exactly how much your health care will cost every month.

With Medicare Advantage, you pay a flat copayment at the time of service. These copayments are usually between $5 and $75 for most outpatient services. Some months you may pay nothing at all if you choose a $0 premium plan and don’t need health care. You’ll never pay more than your plan’s out-of-pocket maximum.

Extra benefits:

Most Medicare Supplement plans do not include extra benefits, although a few offer SilverSneakers or similar fitness membership. You may be able to buy vision and dental coverage for a different monthly premium. Very few plans include vision and dental benefits in the monthly premium.

No Medicare Supplement plans include Part D, although most companies that sell Medigap plans also sell Part D.

Most Medicare Advantage plans include Part D coverage for prescription drugs. A majority also include SilverSneakers and benefits for routine vision, dental, and hearing care.

Some plans include new expanded benefits. The most common are allowances for over-the-counter medications and devices, home meal and grocery delivery, and non-medical transportation. There is no extra cost for these benefits.

Cosmo Insurance Agency is a full-service independent insurance agency based in Hackensack (Bergen County) and Lakewood (Ocean County), New Jersey that offers an all-encompassing range of insurance options for both individuals and businesses. Cosmo keeps its promise to assure an efficient and creative approach to the services we offer. Each of our clients experience a personalized and long-term relationship with us. Our New Jersey based team of health brokers guides our clients in helping them choose the most cost-effective options. By incorporating our knowledge of the insurance guidelines for healthcare, employee benefits, life insurance, self-insurance, dental, disability, and long term care insurance, we keep our clients up-to-date with affordable plans that cover all their specific insurance needs.

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2024