How Medicare Supplement Insurance (Medigap) Policies Work with Medicare Advantage Plans

Each Medicare Advantage Plan can charge differently. Most Medicare Advantage Plans include prescription drug coverage. Some people buy Medigap insurance as an add-on policy when they sign up for Medicare Part B.

Others purchase supplemental private insurance after joining a Medicare Advantage Plan. If you don't know which type of supplement is right for you, ask your agent or call 1-800-MEDICARE, TTY/TDD 711.

Medicaid

The Medicaid program provides federal funding to states so they can provide healthcare services to low-income individuals who are eligible for both Social Security Disability and Supplemental Security Income. In addition, some states have their own programs called State Children’s Health Insurance Program, which covers children up to age 19 whose families earn too much money to qualify for Medicaid but cannot afford private insurance.

Medicare Advantage

Covered services in Medicare Advantage Plans

The following is an overview of the benefits that most Medicare Advantage plans cover:

• Hospitalization
• Skilled nursing facility care
• Home health visits
• Hospice care
• Medical equipment such as wheelchairs, walkers, canes, oxygen tanks, etc.
• Prescription drugs
• Dental care
• Vision care
• Long-term care insurance

Rules for Medicare Advantage Plans

If you prefer a health maintenance organization plan with no deductible, we have several options available that offer comprehensive coverage including:

• Preventive services without deductibles
• Hospitalization up to 100% coinsurance after your deductible is met
• Dental care without co-payments
• Vision care without copayments
• Pharmacy benefit with no cost-sharing
• Health coaching programs
• Wellness visits
• Mental health counseling
• Chronic disease management

Humana PPO Plans

Our preferred provider organizations plan provides access to doctors who accept assignments from us. We also cover many other services like eyeglasses, contact lenses, eye exams, glasses frames, and hearing aids.

Do I have to pay my deductible first before insurance kicks in?

No. Your medical bills will be paid directly after we've met your deductible amount.

Costs for Medicare Advantage Plans

Each Medicare Advantage Plan can charge differently. The cost of Medicare Advantage Plans varies depending on where you live and which company is providing them. The average monthly premium for an individual who lives outside of a metropolitan area ranges from $0-$1,000 per person. In urban areas, premiums range between $2,500 -$5,200 per person. You'll pay higher costs when you move into rural areas.

**You should check out all the options available to find one that works best for you.

Drug coverage in Medicare Advantage Plans

Each Medicare Advantage Plan can charge differently. Some Medicare Advantage Plans include prescription drug coverage as part of their package. You usually don't have to worry about paying out-of-pocket for prescriptions because they're covered under Part D. However, you do have to be careful when filling prescriptions at retail pharmacies since not all stores accept insurance. If you fill them at an independent pharmacy instead, check whether the store is in the plan's network. Also, make sure you know which medications aren't included in the plan.