What happens to the money paid by Medicare to the Medicare Advantage Plans?

2016-11-07T16:06:54+00:00

The Medicare Advantage healthcare company collects the money each month from Medicare, based on the numbers of its members. The health plan executives then decide how to distribute that money for payment of your healthcare. Usually some of the executives are also physicians. They decide, either directly or indirectly, how much your primary care physician [...]

What happens to the money paid by Medicare to the Medicare Advantage Plans?2016-11-07T16:06:54+00:00

How does a Medicare Advantage Plan control the cost of my health care?

2016-11-07T16:06:21+00:00

In some cases the health plan requires you to have a referral to see a specialist. Many times procedures have to be precertified by your physician before they can be scheduled. The healthcare plan administrators decide whether they precertify the test or treatment recommended by your physician(s). They deny diagnostic studies or medications if they [...]

How does a Medicare Advantage Plan control the cost of my health care?2016-11-07T16:06:21+00:00

What does it cost me to join a Medicare Advantage Plan?

2016-11-07T16:05:52+00:00

As with all insurance plans, you should ask the representative of that plan what your own expenses will be. In many cases, they will say that it costs you nothing to join. However, you should then ask about co-pay amounts for your primary care physician, your cardiologist, neurologist, or other physicians that you may need [...]

What does it cost me to join a Medicare Advantage Plan?2016-11-07T16:05:52+00:00

Do I get different care or see different doctors if I join a specific health plan or Medicare Advantage Plan?

2016-11-07T16:04:14+00:00

Most insurance companies and health plans have their own lists of physicians and other providers. They also have preferred hospitals. Although you might be allowed to go out of network and find your own doctor, the payments out of your own pocket can be substantially higher if you do so. If you have Medicare as [...]

Do I get different care or see different doctors if I join a specific health plan or Medicare Advantage Plan?2016-11-07T16:04:14+00:00

If I have traditional Medicare or I am on a Medicare Advantage Plan, can the doctors and hospitals charge me whatever they choose to charge?

2016-11-07T16:03:35+00:00

Most health care services are covered by Medicare. In that event, the physicians or hospitals or other providers can list as a charge whatever amount they choose. However, they can collect only the amount allowed by Medicare. Therefore if you receive a bill for $500 and the Medicare allowed charge is $250, then only $250 [...]

If I have traditional Medicare or I am on a Medicare Advantage Plan, can the doctors and hospitals charge me whatever they choose to charge?2016-11-07T16:03:35+00:00

Can I have insurance and also be a member of a healthcare company?

2016-11-07T16:02:37+00:00

Yes. Some plans provide their own insurance for its members. Others contract with various insurance plans such as Cigna, Aetna, and United, so that they collect payments from those companies. Then they distribute payments to their own administrators and to providers of your medical care and services. Some healthcare companies provide an insurance plan to [...]

Can I have insurance and also be a member of a healthcare company?2016-11-07T16:02:37+00:00

Once I join a Medicare Advantage Plan, will the co-pay amounts always remain the same?

2016-11-07T16:02:01+00:00

No. The administrators of the Plan can change co-pay amounts, pre-certification guidelines, and other policies from time to time, often on an annual basis. They may also change their network providers so that a physician might be on the plan one year and off the next, or vice versa, or off the plan one year [...]

Once I join a Medicare Advantage Plan, will the co-pay amounts always remain the same?2016-11-07T16:02:01+00:00

What are my payment obligations if I am not on a Medicare Advantage Plan?

2016-11-07T15:59:39+00:00

If you have Medicare as primary coverage and a secondary policy, then in most cases your expenses will be covered except for an annual Medicare deductible of about two hundred dollars or less. Many secondary policies will even cover that annual deductible. If you have just Medicare coverage and no secondary policy, then you will [...]

What are my payment obligations if I am not on a Medicare Advantage Plan?2016-11-07T15:59:39+00:00
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