The Advantage And Disadvantage Of Medicare Advantage

​Medicare Part C or Medicare Advantage provides people with Part A (hospital insurance). As well as Part B (medical insurance) an opportunity to get their Medicare benefits. Private insurance providers partner with Medicare. They have had the same level of coverage as that Medicare Part A & B provides.

So then we ask the question: which is better, the Original Medicare (Parts A and B) or Medicare Advantage (Part C)? There isn't a one-size-fits-all answer for this. Medicare Advantage has its advantages and disadvantages. That may fit for one person and not for another. It would still depend on personal preference and lifestyle.

The Advantages of Medicare Advantage

• It Provides More Benefits than Original Medicare
  Medicare Part C shares the same coverage with Parts A and Part B.
  They also offer added benefits like routine vision and dental care. Plus hearing aids, prescription drug coverage, and even gym memberships.
  
  
• Medicare Advantage Costs Less
  Under Medicare Part C, you may pay a copayment of $10 only for instances. Like visiting a primary care physician. If you do the same under Original Medicare, you may have to pay a coinsurance of 20%, which could be above $10.
  
  Additionally, Medicare Advantage limits the out-of-pocket expense maximum. It means once you go over the limit, you pay nothing more for covered medical services for the rest of the year. This is not provided under the Original Medicare.
  
  
• It Serves as a "One-Stop" Center for All Your Health Concerns
  Most Medicare Part C plans are combined with Medical and Part D. Or Prescription Drug Insurance. Vision, dental, and hearing care could also be added as benefits if you prefer it.

The Disadvantages of Medicare Advantage

• It Limits Your Freedom to Choose Healthcare Providers
  Medicare Advantage policies are more restricted when it comes to their provider networks. It may not cover your medical expenses, or the costs may not apply to the out-of-pocket maximum.
  
  
• Doctor's Referral and Plan Authorization Requirements
  Misuse and overuse of healthcare coverage are avoided in Medicare Advantage plans. A precautionary measure like prior authorization for healthcare services is set. It may also require your physician's referral to see a specialist. That's before they cover the service costs.
  
  
• Medicare Advantage is Not Yet Available in Some Areas
  Most Medicare Part C plans have regional networks of providers. Residence of at least six months is required for one to enroll for Part C.

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