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What to Look for in a Medicare Plan?

medicare advantage plans include / offer medicare supplement pocket costs

Shopping for the ideal Medicare plan takes time and patience. As you consider your options, you should think about what each plan offers. Then, compare the offerings to your health care needs. 

If you find that one plan fits your needs better than the others, that’s probably the right plan for you! If you are wondering what you should look for in a Medicare plan, here’s what you should know. 

What Is Medicare?

Medicare is a government-sponsored health care program that provides coverage to millions of Americans. Through Medicare, participants receive hospital insurance and medical insurance. They can also opt into optional forms of coverage, such as prescription drug coverage. 

Medicare is divided into a few different parts. The main portion of the program, Original Medicare, consists of two of these parts; Part A and Part B. Part A is the hospital insurance portion, while Part B delivers medical insurance to Medicare’s members. There are also two other parts. Part C, which provides Medicare members with the option to enroll in private health insurance plans, and Part D, which offers prescription drug coverage to Medicare enrollees. 

How To Choose A Medicare Plan

medicare advantage plan / medicare coverage of medical services

When choosing your Medicare plan, there are several important factors to consider. They include the following:


Cost is a critical factor when it comes to choosing health insurance. When comparing plans, you should consider the overall cost of the plan by adding up your premiums, deductibles, and other costs. Think about how much you will pay for hospital pays and doctor visits, then choose the plan that limits these costs most efficiently. 


You also need to think about how well each plan will cover the services you are likely to need. While Original Medicare and Medicare Advantage both offer the same base level of coverage, you should also think about the supplemental benefits you can receive through an Advantage plan. If extra benefits are something that would make your healthcare experience easier, the additional cost of an Advantage plan may prove worthwhile. 

Prescription Drugs

If you want your prescription drug coverage to be included within your Medicare plan, Medicare Advantage may be best for you. This is because, under Original Medicare, you must get your prescription drug coverage through a 3rd-party insurer that has contracted with Medicare. The costs may be similar, but managing an additional insurance plan can be a hassle. 

Provider Accessibility 

The type of coverage you choose will dictate which providers you are able to see. With Medicare Advantage plans, you can choose between a variety of plan options, such as HMO, PPO, and PFFS. Each one allows you to see a different network of providers. Original Medicare plans, on the other hand, only allow you to pick from their network of approved health care providers. 

Get Help Choosing Your Policy

If you aren’t sure which Medicare plan to choose, the help you need is only a call away. Teton Medicare can provide you with the information you need to make an informed coverage decision. To get a free quote on coverage in your area, contact us today. 

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