MISCELLANEOUS

Question 1

What are the 5 coverage gaps that Original Medicare has?

Answer 1

1. Limited Rx coverage
2. No cap on out-of-pocket expenses
3. No hearing discounts
4. No routine dental coverage
5. No routine vision coverage

Question 2

How can Medicare Advantage (MA) help fill the 5 gaps of Original Medicare?

Answer 2

Medicare Advantage (MA) replaces Medicare Parts A and B (“Original Medicare”) and may include Part D (prescription drug coverage) and routine dental and vision coverage.

MA plans with rich coverage help fill coverage gaps and avoid surprise healthcare costs through plans with low premiums and predictable copays and deductibles.

Question 3

What other Benefits can Medicare Advantage (MA) provide?

Answer 3

Medicare Advantage (MA) can also include extra benefits such as gym memberships, rewards programs, telehealth and other benefits that are not part of Original Medicare. Care coordination can be especially helpful to those with the complex healthcare needs.

MA plans can also offer expanded provider options for enrollees. Brining everything together under one plan makes it easier for enrollees to navigate their healthcare.