Texas Medicare Advantage Plans
Texas Medicare Advantage Plans are private health plan options approved by Medicare. These plans are also referred to Medicare Part C plans. Private insurance companies develop and administer them, but they are still regulated by Medicare.
These Part C plans pay instead of Medicare, and you will pay co-pays for medical services. Medicare Advantage plans are an option for Medicare beneficiaries who have Medicare Parts A & B and live in the plan’s service area.
Medicare Advantage plans work differently than Medigap plans.
Here are some facts to consider about Medicare Advantage:
- Texas Medicare Advantage plans often have lower premiums than Medigap
- Though Medicare Advantage premiums may be low, you will have cost-sharing (copays or coinsurance) for most medical services, such as doctor visits, hospital stays, labwork, MRI scan, and even chemotherapy and radiation. Limitations, copays and restrictions may apply.
- Most plans have networks, so it is important to make sure your doctor participates before enrolling.
- Medicare Advantage plans sometimes offer extra benefits such as routine vision care.
- You must answer only one health question to apply. This means you can easily enroll in coverage despite health conditions. (The only health condition that will disqualify you is End-Stage Renal Disease.
Common Medicare Advantage Plan Types
Medicare Advantage plans come in several types. Among these are:
Not sure which type of Medicare plan is most suitable for you? Contact our Texas agency to discuss your Medicare Part C options with an experienced agent. We will walk you through some of the more important questions about Medicare Advantage plans in our state. We’ll explain how to find if doctor is in the plan’s network, and what kinds of copays you might be expected.
A WORD OF CAUTION
Medicare Advantage plans work very differently from Medicare Supplements. Many of these private Medicare health insurance plans require you to use certain networks of doctors. Your policy may not cover providers outside of the network. Working with an insurance agent to carefully review the coverage will help you ensure it matches your individual needs.
Your Medicare Advantage plan’s benefits, formulary, pharmacy network, provider network, premium and/or co-payments and co-insurance may change on January 1 of each year.
This means you need to do your annual homework. You’ll need to review your coverage every September to make sure that your plan is still right for you the next year. Choosing a Medicare Advantage plan means you will need to do a bit of review each year.
Medicare Advantage plans also have certain enrollment periods, so check with an agent to find out when you can apply.
Get a quote for Texas Medicare Advantage plans in your county today – call us! You may also complete our online request form: