Medicare Advantage Plans Texas 2020
There is an alternative to Original Medicare that gives you not just all of the same benefits but also covers you for some additional healthcare expenses. That is Medicare Part C, or Medicare Advantage. The Medicare Advantage plans for Texas in 2020 are really comprehensive coverage plans, and they may be able to help you drastically reduce your healthcare costs.
Think about all of those out-of-pocket expenses you pay, such as copayments, deductibles, emergency room costs, ambulance transport and other expenses that can be difficult to afford sometimes. Are there some of those that you pay on for months and others that you are still paying on? It may be time to look at some alternatives, and we suggest every senior at least consider Medicare Advantage and what it has to offer them.
What You Need to Know about Medicare Advantage Plans
When you sign up for a Medicare Advantage policy, your Original Medicare will no longer come from the Medicare organization. Instead, it comes from whoever your Texas insurance carrier is. That could be Cigna, AARP, Mutual of Omaha, Aetna, Kaiser Permanente or any number of other insurance carriers. These all offer Advantage plans, and they sell them at their own, set prices. Medicare does not set a standard price for these plans, so be careful that you do not overpay for your Advantage plan. Enrolling in a Medicare Advantage plan is a big deal and not something to take lightly. Be sure you choose carefully and choose a plan that will work well for you for the coming year.
All Advantage plans have to offer you full Original Medicare benefits for both Part A and Part B. They don’t have to cover the hospice care, though, as that is still going to be covered through Medicare Part A. There are lots of other benefits that you can get from Texas Advantage plans that are not offered by Original Medicare. These include coverage for your emergency medical care, such as ambulance transport, ER services and related expenses. You can also be covered for anything your doctor considered to be urgently needed care. That could include anything from medical tests to surgery to medications. Your routine drug, dental and vision coverage can all be provided by Advantage plans too, but those are less common and are not guaranteed like the other coverage we have already mentioned. Original Medicare cans give you some limited drug coverage, but that is only in certain situations, whereas any Advantage plan with “Part D” in the name will have a full prescription drug coverage plan included.
The Advantage Network Affects You
You can find a range of Advantage plans for Texas in your area, and you will find a number of different insurers as well. Each of these has their own network on which they operate. The network determines where you get full coverage.
You can choose from one of two major network options when you sign up for a plan. You will see that most of the plans have a PPO or HMO in the name. These are your two primary options, and they tell you how you will be covered in relation to the network.
PPO plans are the more expensive option for Medicare Advantage plans in Texas for 2020. They cover you for in-network care, and they also offer partial coverage to you outside the network.
If you live near a network facility or in a network coverage area, then an HMO plan might make more sense for you. This costs less and only covers you inside the network. With an HMO plan, you will not be covered at all outside the network, except in some emergency situations.
You may need some help deciding which of these to choose, or you may not know where your network extends for the insurance company you are interested in. You can always talk to our medical insurance expert and get advice that helps you to make an informed decision.
Prescription Drug Plans with Medicare Advantage
A large number of Texas Advantage plans will include Medicare Part D, or prescription drug coverage. This is actually a plan that you can sign up for on its own, but you can also get it included in your Part C plan. Just look for an Advantage plan that has “Part D” in its name.
Every insurance company that sells Part D plans will have their own version of Part D. This prescription drug plan is set up to offer tiered coverage. That means that it will cover some drugs completely. Other drugs it covers only partially, and others still it will not cover at all. Each insurer offers the coverage in different versions, so what is fully covered by one insurer’s Part D plan may be only partially covered by another’s. You will want to look closely at the plan before you sign up to ensure that it applies to you and to your drug coverage needs.
How to Qualify for Medicare Advantage in Texas
Not everyone who wants a Medicare Advantage plan will be able to qualify for one. Here is what you need to know about signing up and meeting the requirements for these plans.
First of all, you need to be enrolled in Medicare Part A and Part B. Your Advantage plans will replace those, for the most part, but you still need to be enrolled in them.
You also need to know that you can only sign up at certain times of the year. These are known as enrollment periods, and the one for 2020 signups happen in 2019 from October 15 until December 7.
If you are ready to start looking into Medicare Advantage plans for Texas in 2020, then please feel free to use our site. We enable you to source quotes on these plans and see how the different companies price their plans. This will give you the ability to pick the best deal and to potentially save a bunch of money on your healthcare and health insurance.