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Michigan Medicare Advantage Plans are health plans approved by the federal government and run by private companies. This is referred to as Medicare Part C. You must follow all the rules set by Medicare and this is not supplement insurance.
Medicare Part A and Medicare Part B have benefits equal to those provided for in Medicare Advantage Plans. Medicare Advantage Plans can charge different co-payments, coinsurance and deductibles for the services. Medically necessary services that the original Medicare covers must be covered in Medicare Advantage Plans.
Vision, hearing, dental and health and wellness programs are additional benefits that may be offered in the Michigan Medicare Advantage Plans. Prescription drug coverage is covered in most plans for an additional cost.
In the original Medicare or the original Medicare with a Medigap policy have higher premiums or the cost of services (co-pays and deductibles). Medicate Health Plans have different cost of services and charge different premiums. This is something you might want to check into before you join.
For Health Maintenance Organization (HMO) doctor visits and no deductibles low to no co-payment is offered. In order to see a specialist you must have a referral from your Primary Care Doctor. You must use doctors and hospitals within your network to receive full benefits.
Preferred Provider Organization (PPO) ” These plans also offer low co-payments usually slightly higher than those of an HMO but also allow freedom of choice when choosing a doctor or hospital as long as they are part of their network.
The Private Fee for Service (PFFS) has more flexibility. They allow you to pick any doctor or hospital because there is no network. Doctors and hospitals must accept the plan’s conditions before they treat you, except in an emergency.
Medical Savings Account ” This is a very popular option. This plan combines a high deductible health plan with a medical savings account. The government will put money in this account, which you can use to pay your deductible or other out-of-pocket medical expenses such as dental, eyeglasses.