Medicare vs Medigap Plans
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Difference Between California Medicare and Medigap
ADVANTAGE PLAN INFORMATION:
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Differences:
1.
MA plans generally have lower premiums than MS plans.
2. MA plan premiums are not age rated (the insured pays the same premium whether age 65 or 95).
3. Some MA plans include a Medicare Prescription Drug Plan.
4. MA plans are medical plans offered by private insurance companies that operate in place of Original Medicare Parts A & B. The beneficiary does not lose Original Medicare Parts A & B, but so long as enrolled in an MA plan, claims will only be received, reviewed and paid, if approved by the MA plan insurance company.
5. Some MA plans have no maximum annual out-of-pocket limits. The beneficiary is liable for plan co-pays and deductibles without annual limits.
6. Some MA plans require that the beneficiary obtain all services from contracted providers except bona fide emergency care.
7. MS are not medical plans but plans that supplement Original Medicare Parts A & B. Medicare regulations specify plan design details and require that MS be labeled A through L.
8. In general, MS beneficiaries pay higher premiums that are age banded and must purchase a separate Medicare PDP plan but enjoy lower or no co-pays and deductibles for medical expenses and have PDP expenses that are similar if not the same as those with MA plans that include PDP within them.

Medicare Advantage plans vary greatly. Your choices will depend on where you live, but some of the variables include:

Most plans are managed-care plans (HMOs) though fee-for-service plans are available in some areas.
Some plans will provide supplemental prescription drug coverage.
Some plans will provide supplemental vision care.
Some plans will provide supplemental dental care.

More options can be found in a Medicare Advantage plan than in a Medigap plan. However, unlike Medigap insurance policies, Medicare Advantage policies are not standardized

Medigap insurance policies are standardized and you have 10 levels of coverage to choose among. Medigap Plan A provides the least amount of coverage while MediGap Plan J provides the most coverage -- with a range of options in between. (However, it is important to note that beginning in January 2006, Plans H, I, and J will no longer be available to new enrollees.)

Medigap insurance plans and their costs will vary depending on where you live.

Call our toll-free number or fill out the Quick web form to get the Medicare Advantage Information requested. Ask any questions you may have to help you clarify the plan differences and we will assist you through the enrollment process.
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Medicare vs Medigap
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California Medicare Supplement Plans (MS) Vs. California Medicare Advantage Plans (MA).