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  • Writer's pictureNatalie M

Four primary considerations when choosing a Medicare Advantage Plan.


As you approach the milestone of Medicare eligibility, you will find that Original Medicare alone does not provide adequate coverage, and you might decide to enroll in a Medicare Advantage Plan as a way to obtain the benefits you need. But with dozens of Medicare Advantage plans available in most counties in Minnesota, choosing the right one can seem overwhelming. Making the right choice involves careful consideration of several factors that directly impact your healthcare and financial well-being. For most people, these are the four considerations that are of primary importance when choosing a Medicare Advantage plan:


  • The ability to see your trusted medical providers while enjoying "in-network" benefits. One of the first considerations when selecting a Medicare Advantage plan is ensuring that your preferred medical providers are in-network. Your relationship with your healthcare professionals is crucial, and you want to continue receiving care from those you trust. Before finalizing your decision, you will want to confirm that your current doctors, specialists, and hospitals are covered. Staying in-network not only ensures continuity of care but also helps manage your out-of-pocket costs.


  • Keeping prescription drug costs as low as possible. Managing the costs of prescription drugs is a crucial aspect of any healthcare plan. When evaluating Medicare Advantage options, you'll want to find a plan that not only covers the medications you currently take but also does so at the lowest possible cost. This involves ensuring your prescription drugs are on the plan's formulary, understanding co-pays and deductibles, and exploring options for in-network and/or mail order pharmacies.


  • Maximizing extra benefits based on your unique needs. The coverage available for vision, dental, hearing aids, fitness memberships, and more will vary widely from Medicare Advantage plan to plan. You will want to evaluate your current health status and prioritize plans that provide additional coverage in areas that matter most to you. For example, if you wear hearing aids or require comprehensive dental work, opting for a plan that includes these services with fewer restrictions and broader coverage can significantly reduce your costs and enhance your overall healthcare experience. By tailoring your plan to your specific needs, you ensure a more comprehensive and personalized approach to your well-being.


  • Securing monthly premiums at a cost that works for you. While evaluating the features and benefits of Medicare Advantage plans, it's essential to consider the financial aspect. Assess your budget and choose a plan with a premium that aligns with your financial capabilities. Keep in mind that a higher premium doesn't always equate to better coverage or even higher costs, depending on your cost-sharing structure. Likewise, a lower premium doesn't necessarily mean sacrificing quality. Striking a balance between premium costs and coverage ensures that you can access the care you need without putting undue strain on your finances.


Choosing the right Medicare Advantage plan requires careful consideration. As you embark on this journey, remember that your health and financial well-being are the top priorities, and the right Medicare Advantage plan can play a significant role in safeguarding both.


We encourage you to work with a licensed Medicare insurance agent who is familiar with the plans available in your local area, who understands how to efficiently and effectively research your providers and medications against those plans, and who has access to the tools necessary to narrow the array of Medicare Advantage plan choices down to a few that might work best for you. Contact Milestone Medicare today!

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