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Prescription Insurance Coverage for Kansas City Residents

Medicare Advantage Plans have a special plan called Medicare Part C. Certain insurance companies offer these plans if they obtain approval by Medicare. All Part A and B expenditures are covered by Medicare Advantage Plans. This includes Medical and Hospital Insurance. Surprisingly, most of these plans cover prescription drugs, which is known as Part D.

Companies are paid a certain amount by Medicare if they offer the Advantage Plan. These companies must keep certain guidelines set by Medicare if they are to continue to receive money. Out-of-pocket costs can be altered because they have a right to do so. They also have the right to have a difference in rules in reference to how an individual receives services. For instance, they can decide whether a referral is needed to be seen by a specialist. The rules can change annually.

General types of Medicare Advantage Plans consists of the following:

1. Health Maintenance Organization – HMO

2. Preferred Provider Organization – PPO

3. Private Fee For Service- PFFS

4. Special Needs Plan – SNP

5. Medical Savings Account – MSA

In this first part of Medicare Advantage Plans we took a brief look at what it is. In the next part we will discuss the costs and what is involved in the different plans.

Eliminate the burden of handling employee benefits and compliance.