Types of Medicare Plans You Can Find for Complete Medical Treatment

There are different types of Medicare plans from which seniors and other people can choose based on their needs. The basics of all Medicare plans include coverage for hospitalization and major medical(doctor's visits, and medical laboratory tests); however, some advanced features are available only in certain plans.

Here is everything you need to know about the Medicare Advantage plans in New York.

How Do Medicare Advantage Plans Work?

Private insurance companies offer regulated Medicare Advantage plans (Part C) to replace Original Medicare (Parts A and B) as your primary coverage. By law, Medicare Advantage plans must provide at least the same basic coverage as Original Medicare.

Most Common Medicare Advantage Plans

The two most popular Part C Medicare Advantage plans are HMO’s (Health Maintenance Organization) and PPO’s (Preferred Provider Organization) plan.

HMO’s require you to find healthcare services within their regional network, typically require you to select one doctor as your primary care physician, and many HMO’s require a referral from your primary care physician before you receive covered specialist services and hospital care. On the other hand, a PPO will allow you to decide when to see a specialist without requiring a referral, and typically will cover out of network healthcare services at an increased cost or copay.  As an individual, you can compare the Medicare Advantage plans in New York or Texas with your expectations and make an informed decision based on what you want and need.  

Medicare Supplement Plan

The Medicare Supplement Plan G in Texas offers senior citizens complete cost coverage of hospital, medical and laboratory services without copays or coinsurance after an annual deductible of $203 in 2021 is satisfied. With this plan, seniors can obtain hospital and major medical services without the worry of copays or coinsurance costs from any healthcare provider, clinic or hospital facility, anywhere in the USA, that accepts Medicare assignment. While Medicare does not provide coverage outside of the USA, Plan G does.  Emergency services outside of the USA are also covered 80% up to a lifetime limit of $50,000 after an annual $250 deductible.

Benefits of Medicare Supplement Plan G

A Medicare Supplement Plan G in Texas covers all Medicare deductibles (after the annual $203 Part B deductible), copays and coinsurance for all Medicare covered hospital and major medical services anywhere in the USA from any healthcare provider who accepts Medicare assignment. Accordingly, Plan G will most likely be the highest premium plan offered by each carrier.  While regulation requires all Plan G’s offered by different carriers to be identical in coverage features, they differ in premium cost based on each carrier’s loss experience.

Summing Up

Medicare Supplement Plans offer coverage of most/some of Original Medicare deductibles, copays and coinsurance for a larger/smaller premium per month. They limit your maximum out of pocket costs and give you the freedom to select your healthcare providers as well as their geographical location. Medicare supplements cover additional benefits that vary according to the plan you choose and pay out-of-pocket costs in case of hospitalization costs or emergency room visits. Enrolling in a plan is easy.

There are no medical examination or eligibility criteria required to be eligible for enrollment in New York at any time; but most other states allow carriers to screen applications with medical underwriting requirements that may deny coverage due to pre-existing conditions except for an individual’s Initial Enrollment Period when aging into Medicare.  During IEP, anyone can select a  Medicare Supplement Plan G in Texas and cannot be declined this coverage.  All Medicare Supplement Plans are guaranteed renewable on their annual anniversaries as long as the payment of premiums is current.  Choosing your plan is an important decision.