MODULE 2

Lesson 1 - Plans

Medicare Advantage VS Medicare Supplement

Medicare Advantage

  • Premiums
    • USUALLY 0$
    • No yearly increase
  • Coverage
    • All of 80% A & B Covered Services
    • SOME of 20% A & B remainder
  • Copay / Coinsurance
    • Varies by plan (NEVER more than Original A & B)
  • Prescriptions
    • Included – MAPD
    • Not Included – MA only
  • Dental, Vision, Hearing
    • USUALLY included on all plans
  • Must live in the plans service area
  • Typically for low income people or those in fairly good health

Medicare Supplement

  • Premiums
    • USUALLY 100$ to 600$ (based on age / riders)
    • 1-7% annual premium increase
  • Coverage
    • NONE of 80% A & B Covered Services
    • All or Most of 20% A & B remainder
  • Copay / Coinsurance
    • Usually 0$/0%
  • Prescriptions
    • Not included on any
    • MUST get separate drug plan
  • Dental, Vision, Hearing
    • NEVER included, must buy a policy rider
  • Can get anywhere in the country
  • Typically for higher income people or those with major medical issues (Heart, Lungs, Liver, Kidneys)