medicare supplement vs medicare advantage

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Medicare Supplement vs Medicare Advantage For authorized agent use only. Not for public use.

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Medicare Supplement vs Medicare Advantage. For authorized agent use only. Not for public use. What you and your clients need to know. For authorized agent use only. Not for public use. Medicare Supplement vs Medicare Advantage. - PowerPoint PPT Presentation

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Page 1: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement

vs Medicare Advantage

Medicare Supplement

vs Medicare Advantage

For authorized agent use only. Not for public use.

Page 2: Medicare Supplement  vs  Medicare Advantage

What you and your clients

need to know

What you and your clients

need to know

For authorized agent use only. Not for public use.

Page 3: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

In 2008, Medicare beneficiaries have two basic options for healthcare coverage. Traditional Medicare and supplemental insurance (also known as Medigap) policies and Medicare Advantage policies.

For authorized agent use only. Not for public use.

Page 4: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

It is important to note that there is a significant difference between Medicare Advantage plans and Medicare Supplement insurance.

For authorized agent use only. Not for public use.

Page 5: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs

Medicare Advantage

Learning about the differences between Medicare Advantage plans and traditional Medicare Supplement insurance is essential when deciding which coverage is right for your clients.

For authorized agent use only. Not for public use.

Page 6: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs

Medicare Advantage

Knowing the basics of these plans can mean the difference between closing a sale – and losing one.

For authorized agent use only. Not for public use.

Page 7: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Supplement plans:

provide coverage for the “gaps” of original Medicare Parts A and B,

were standardized in 1992, are carefully regulated to control

the quality of coverage, and work in conjunction with original

Medicare to provide healthcare coverage.

For authorized agent use only. Not for public use.

Page 8: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Advantage plans: is a new name for Medicare+Choice

(M+C), are private healthcare plans

subsidized by Medicare, may take the form of an:

o HMO (Health Maintenance Organization),

o PFFS (Private Fee-For-Service) plan, or

o PPO (Preferred Provider Organization).

For authorized agent use only. Not for public use.

Page 9: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Supplement plans:

are available through private insurance companies,

12 standardized policies – Plans A through L,

each plan offers varying levels of coverage,

benefits of each plan are the same from any insurance company across the industry.

For authorized agent use only. Not for public use.

Page 10: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Advantage plans: are available through private

insurance companies, unique to the company offering

them, usually take the form of “Basic” or

“Premium” plans, varying levels of coverage for

each plan, no two plans are alike, companies are encouraged to

compete for pricing and plans.

For authorized agent use only. Not for public use.

Page 11: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Supplement plans:

enrollees may use the doctor or hospital of their choice,

almost all doctors and hospitals across the United States accept Medicare Supplement plans,

beneficiaries may also travel the United States with little worry of coverage being available.

For authorized agent use only. Not for public use.

Page 12: Medicare Supplement  vs  Medicare Advantage

Medicare Advantage plans:

enrollees may be restricted to the use of certain doctors and hospital selections in a network of providers,

only those approved providers are covered in the event of treatment.

Medicare Supplement vs Medicare Advantage

For authorized agent use only. Not for public use.

Page 13: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement plans:

are guaranteed renewable, as long as premium payments

are made in a timely manner, beneficiaries cannot be denied coverage,

laws are in place to provide beneficiaries the ability to seamlessly enroll with another company, should the company providing the supplemental policy go out of business.

Medicare Supplement vs Medicare Advantage

For authorized agent use only. Not for public use.

Page 14: Medicare Supplement  vs  Medicare Advantage

Medicare Advantage plans:

must sign contracts with Medicare to provide covered benefits,

contracts are reviewed annually and are subject to termination,

if the contract is not renewed, the plan may simply disenroll its Medicare beneficiaries.

Medicare Supplement vs Medicare Advantage

For authorized agent use only. Not for public use.

Page 15: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Supplement plans: the 12 plans available vary in

level of coverage and cost, because the plans are

standardized across the industry, the level of coverage is the same from any insurance company across the industry.

For authorized agent use only. Not for public use.

Page 16: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Advantage plans:

may charge little or no initial premiums to their members,

enrollees may frequently be charged co-pays and co-insurance for any number of healthcare treatments.

For authorized agent use only. Not for public use.

Page 17: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Supplement plans:

do not come with built-in prescription drug coverage,

seniors may shop private companies for affordable Medicare Part D Prescription Drug Plans,

different types of Part D plans are available with varying levels of cost and coverage.

For authorized agent use only. Not for public use.

Page 18: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare Advantage

Medicare Advantage plans:

many come with prescription drug coverage built-in,

“Basic” plans usually have lower levels of drug coverage,

“Premium” plans usually have higher levels of drug coverage.

For authorized agent use only. Not for public use.

Page 19: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare AdvantageMedicare Supplement vs Medicare Advantage

The contrast between Medicare Supplement plans and Medicare Advantage plans can be extensive.

With so many choices available, it is essential that potential enrollees be fully informed of the differences between plans.

For authorized agent use only. Not for public use.

Page 20: Medicare Supplement  vs  Medicare Advantage

Medicare Supplement vs Medicare AdvantageMedicare Supplement vs Medicare Advantage

The ability to choose between different products is a privilege. Be prepared to help your clients find the coverage best suited for them.

For authorized agent use only. Not for public use.

Page 21: Medicare Supplement  vs  Medicare Advantage

Medicare Supplementvs

Medicare Advantage

Medicare Supplementvs

Medicare Advantage

For authorized agent use only. Not for public use.