Are Medicare Advantage plans really “free,” or is that just clever marketing?
Answered by 22 licensed agents
Answered by Ray McCauley on March 27, 2025
Broker Licensed in CA, AZ, FL & ID, NV, SC & TN
Answered by Kelsey Hentzen on March 28, 2025
Broker Licensed in KS & MO
Answered by David Moscowitz on March 29, 2025
Agent Licensed in NY
Answered by Daniel Weeks on March 31, 2025
Broker Licensed in MN, ND, SD & WI
There are several reasons for this. Commissions for agents are much higher with Advantage plans than for Medicare Supplements. Marketing expenses are greater with Advantage Plans. On top of all that the Advantage Plans have lobbied congress and rule makers enough that they get extra subsidies the sicker an enrollee is. The kicker is that they get those extra funds regardless of whether the enrollee gets more healthcare or not.
In a word, "NO" it isn't free. It's just clever marketing.
Answered by Andrew Bennett on April 2, 2025
Broker Licensed in TN, GA & VA
These plans are frequently called Pay As You Go plans. You may not spend anything or you may spend the Max Out Of Pocket. No one knows what health issues will arise in the future!
Answered by Jim Schueth on March 25, 2025
Broker Licensed in NE, AZ, CO & 8 other states
Answered by Candace McWilliams on March 31, 2025
Agent Licensed in IN
Answered by Terrie Boteler on March 28, 2025
Broker Licensed in MD, DC, DE, FL, VA & WV
Answered by Leslie Helene Sussman on March 31, 2025
Broker Licensed in NJ, DE, FL & PA
Medicare advantages you pay a copay as you use it.
Many of them come with dental, vision, hearing, over the counter items, and some healthy foods!!
Answered by Tasha Riggs on March 27, 2025
Broker Licensed in CO, AZ, HI & 10 other states
Answered by Michael Pyers on March 26, 2025
Broker Licensed in OH & MI
Answered by Dana Dane on April 2, 2025
Agent Licensed in OR, AZ, CA & 6 other states
Answered by Aaron Solomon on March 27, 2025
Broker Licensed in OH, LA & TX
Answered by Brenda Trejos on March 26, 2025
Broker Licensed in CO, AR, AZ & 28 other states
Answered by Harold Randolph on March 28, 2025
Broker Licensed in MI, IN, KY & OH
Answered by Cody Brown on March 28, 2025
Agent Licensed in MO, AR, AZ & 5 other states
* $0 Premium Doesn't Mean $0 Cost:
A $0 premium means you don't pay a monthly fee to the private insurance company offering the Medicare Advantage plan. However, you'll still likely have other out-of-pocket costs, such as:
* Co-payments: Fixed amounts you pay for specific services (e.g., doctor's visits, prescriptions).
* Coinsurance: A percentage of the cost you pay for services.
* Deductibles: The amount you pay before your plan starts covering costs.
Contact at 859-309-5033 if you would help with your Medicare Planning
Answered by Pete Alberti on March 27, 2025
Broker Licensed in KY, FL, IN & 6 other states
Answered by Michelle Schaefer on March 25, 2025
Broker Licensed in OK & TX
Answered by Kirk Harper on March 26, 2025
Broker Licensed in OH
While it's true that there are Medicare Advantage plans that cost $0 in premium, they are not 'free' for a variety of reasons:
1. In order to qualify for a Medicare Advantage plan, you must have both Medicare Part A and Medicare Part B. There is a premium for Part B that must be paid every month.
2. You accept the terms and conditions of the Medicare Advantage plan that you choose, and that includes copayments and an out-of-pocket maximum for the services you receive. The fees you pay could add-up to thousands of dollars each year. While Medicare Advantage plans must be at least as good as Original Medicare, there will certainly be a cost to receiving medical care under Medicare Advantage.
3. Your Medicare Advantage plan is being paid by Medicare. Because they have taken-over responsibility for your medical needs, Medicare pays them a portion of what they expected to pay for your claims. The Medicare Advantage plan then decides how to spend that money in benefits. As the Medicare budget changes every year, so does the Medicare Advantage plan. It is important to review the changes in your Medicare Advantage plan every year.
4. You may end-up benefiting from Medicare Advantage by paying a little more for your medical claims, while receiving "extra" benefits like dental, vision, hearing, fitness, prescription drug and over-the-counter drug benefits at little to no cost. But in a year where you have a lot of expensive medical treatment, you could pay a lot more out of your pocket.
Answered by Barbara Barnes on April 1, 2025
Agent Licensed in PA
Answered by Tony Hardwick on March 31, 2025
Agent Licensed in GA, AZ, CA & 15 other states
What to Consider
Premiums: You'll still pay your Medicare Part B premium.
Out-of-Pocket Costs: Copays, coinsurance, and deductibles apply.
Network Restrictions: Seeing out-of-network providers may result in higher costs.
Maximum Out-of-Pocket (MOOP): You'll pay up to a certain limit annually.
Before Enrolling
Research: Compare plans and review the fine print.
Ask Questions: Clarify doubts with the plan provider or a licensed insurance agent.
Confused About Medicare Advantage Plans?
Don't worry, I'm here to help. With so many plans available, it can be overwhelming to choose the right one.
Call me directly at 407-244-6951 for a personalized consultation. I'll help you navigate the complex world of Medicare Advantage plans and find the best fit for your healthcare needs.
Answered by Carmen Zorrilla on March 28, 2025
Broker Licensed in FL, AZ, KS & 7 other states
Tags: Advice for Seniors Medicare Advantage The Medicare System
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