Medicare Advantage Plans NY
Residents of the Empire State has several health insurance options to choose from. Seniors can pick from one of the many Medicare Advantage Plans in NY. They are high-coverage health plans compatible with Original Medicare. However, you must be at least 65 years old to obtain this type of plan. If you need help in finding out what insurance plan to pick, then you may give us a call. We have a team of health insurance experts to assist you in getting adequate coverage.
How Medicare Advantage Plans in NY Work?
Seniors in NY can avail of Medicare Advantage plans to help them in lowering their out-of-pocket medical expenses. This type of plan covers many common medical expenses that most seniors struggle to pay for.
Apart from the common expenses, it can also cover some rare expenditures. To know how it can help you with your healthcare cost, you may look at the coverage options of each plan and find out which policy offers adequate coverage for your medical needs.
The basic plans of MA would cover you for emergency medical care, as well as urgently needed care. They also include Part A and Part B expenses. However, MA plans do not include expenses for hospice care. But the Original Medicare will take care of them. It is one of the reasons you need to have active traditional Medicare.
Most of the Medicare Advantage plans that you can find in New York will have Medicare Part D. It is a drug prescription plan that can pay for your generic and brand name drugs. This plan can partially cover those cheaper, more common medicines. But it offers less coverage for those rare, higher-priced drugs.
MA plan with Part D will have more coverage for generic drugs than the brand name medicines. If you have an MA with Part D, you will also get the basic coverage mentioned above. That is, it will have coverage for Part A and B expenses.
Apart from Part D, you can find a plan that includes routine checkups with a healthcare practitioner. It means that it can cover your visits to your optometrist, dentist, and others.
The visits will include basic checkups and other routine services, such as x-rays and dental cleanings. If your doctor will prescribe a new pair of glasses or hearing aids, then this plan will cover this apparatus.
Before you pick one of the MA plans, it is important that you know how much coverage you need. If you are not sure about it, consider talking to our health insurance experts. Or you may talk to your doctor to give you an idea of the kind of coverage that you might be needing throughout the year.
Your medical needs now will be different from your healthcare needs next year. Thus, it is vital that you change your coverage plan every year to meet your new medical needs. As you get older, you will need more coverage.
Medicare Advantage 2021
Network Coverage for Medicare Advantage Plans in NY
All MA plans are limited by the network facilities of the provider. These network facilities are hospitals, doctor’s offices, clinics, and other medical facilities that agree with the provider’s rates.
The facilities that are part of your insurer’s network will give you full coverage for any medical care service you receive. However, if you receive the medical care from a facility that is not part of your provider’s network, then you will either get partial coverage or none at all.
Most seniors would choose the HMO Medicare Advantage Plan. It is a straightforward coverage that will only pay for the medical care service that you receive within the network. If you go outside of your insurer’s network to get treated, then your HMO plan will not cover it, unless it is an emergency.
If you wish to be covered even when you go outside the network, then consider getting a PPO plan. It is more expensive than an HMO, though. However, it offers more flexibility, especially if you travel across the US more frequently. With this plan, you will get partial coverage if you receive medical care outside of your provider’s network.
Apart from those two network options, you can also pick a PFFS plan. It is an Advantage policy that gives you full coverage when you stay within the network. However, if you go outside of your provider’s network, you will be getting a predetermined rate for a particular service. Before you receive the service, you will know how much the cost will be.
On the other hand, you can opt for Special Needs Advantage plan. However, this type of plan is only accessible to some seniors who qualify for Medicaid and Medicare. You must have special needs before you can obtain this type of policy.
Medicare Advantage 2021
Top Insurance Providers in NY Selling MA Plans
There are plenty of providers that sell MA plans to seniors in NY. However, only a few of them stand out. These are the following:
United Healthcare
It is one of the biggest insurers in the US. By partnering with AARP, its network facilities have become wider. It specialists in medical discounts when you choose to go doctors hospitals and pharmacies that are connected with UH. With its wider network, it will not be difficult for you to find a network facility to obtain medical care.
Blue Cross Blue Shield
It is a non-profit insurance provider that offers the lowest rates in the country. However, its perks are not too immense compared to other top insurers. But the rates are lower than in others.
WellCare
Compared to the insurers mentioned above, this provider is not that well-known. However, in NY, some of its MA plans have a $0 monthly premium. It also offers low yearly deductibles. But your out-of-pocket expenses for this type of plan will be higher. Nevertheless, this type of plan will reduce your initial medical costs, making it a perfect choice if you fight financially.
These are some of the top choices of providers in NY. To find out more about what their rates are, please use our website. When you request quotes for Medicare Advantage plans in NY, we will give you a list of rates from various insurance providers operating in your area. If you need further help in choosing the right health plan, please give us a call.
