Updated: Aug 5, 2021
Seniors may find it challenging to choose the proper Medicare insurance. We've compiled a summary of the benefits and drawbacks of choosing an MA plan to assist you in deciding if this product is appropriate for you.
Recognize the Benefits and Drawbacks of Medicare Advantage Plans
You've probably heard of some of Medicare's benefits and drawbacks. Like so many other things, Medicare has both advantages and disadvantages, which we shall discuss below.
The Advantages of Medicare: Is Medicare a Good Thing?
The federal government administers Original Medicare (Medicare Parts A and B) through the Center for Medicare & Medicaid Services (CMS), part of the Department of Health and Human Services. Medicare spending will account for a little over 15% of total government spending for the year The following are some of the advantages of Medicare:
Health-Care Coverage for Those Who Require It
A wide-ranging Coverage
Medicare covers a wide range of services, including inpatient and outpatient hospital stays and outpatient operations, and medical equipment like wheelchairs and walkers. Medicare also covers essential preventative care, health tests, and much more.
There are no referrals required.
Original Medicare policyholders do not need a recommendation from their primary care physician to see a specialist in most situations.
Monthly Premiums are Low
Most people do not pay a premium for Medicare Part A, while the regular monthly payment for Medicare Part B in 2021 is $148.50.
Medicare's Drawbacks: What Are Medicare's Issues?
However, there are certain disadvantages to the Medicare program, such as:
Some essential needs are underserved.
Prescription medications, basic dental, vision, and hearing care, all vital to the health of many older individuals, are generally not covered by original Medicare. As a result, beneficiaries who are solely enrolled in the public component of Medicare must either obtain other coverage or pay out of pocket for these treatments.
Hospital Costs Could Be Expensive
When a Medicare member receives inpatient hospital treatment, their out-of-pocket Medicare expenditures might be pretty expensive. For example, in 2021, beneficiaries must pay a $1,484 deductible before receiving Medicare Part A benefits.
Some providers don't accept Medicare.
While Medicare is generally recognized throughout the United States, not all health care providers accept it. Furthermore, private Medicare plans frequently contain networks of participating providers, which, depending on the plan's regulations, may limit the number of doctors available to a beneficiary.
There is no out-of-pocket limit.
There is no yearly out-of-pocket spending restriction under Original Medicare. Unfortunately, that means a beneficiary's potential spending on Medicare deductibles, copayments, and coinsurance for a single year is uncapped. As a result, a catastrophic injury or sickness may have a significant financial impact.
In the end, Medicare Advantage plans may give you more inexpensive coverage than you would otherwise obtain. The trade-off is that you must follow the Medicare Advantage plan's requirements to get reimbursement for covered treatments.