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Home » Health Insurance » Getting Health Coverage Through Original Medicare or Medicare Advantage?

Getting Health Coverage Through Original Medicare or Medicare Advantage?

August 18, 2021

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Two options when deciding how you want to receive your Medicare benefits.

When you first enroll in Medicare and during certain times of the year, you can choose how you get your Medicare coverage. There are 2 main ways to get Medicare: Original Medicare or Medicare Advantage.

Original Medicare:

The traditional program offered directly through the federal government

  • Includes Part A (inpatient/hospital coverage) and Part B (outpatient/medical coverage)
  • Most doctors in the country take this insurance
  • Medicare limits how much an individual can be charged when they visit participating or non-participating providers
  • Beneficiary receives a red, white, and blue card to show to providers when receiving care

Medicare Advantage:

Private plans that contract with the federal government to provide Medicare benefits

  • Must provide the same benefits offered by Original Medicare, but may apply different rules, costs, and restrictions
  • May also offer certain benefits that Original Medicare does not cover
  • Some of the most common types of plans are Health Maintenance Organizations (HMOs), Preferred
  • Provider Organizations (PPOs), and Private Fee-For-Service (PFFS) plans
  • Beneficiary shows the membership card from their plan when receiving care

Please keep in mind that different areas have different Medicare Advantage Plans. A particular plan may not be available where you live. Call Insurance Pro at 407.847.7000.

Any Questions About Medicare Advantage?

Contact us if you have questions about Medicare Advantage. Call us also to find out if a Medicare-Medicaid Plan is available in your area.

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