Medicare Advantage Plans for 2015 October 21st at 10:00AM

Medicare Advantage Plans - Available  in this Area

Types of Insurance Available for Seniors:

•         Medicare Only

–        You pay Medicare Part B fee

–        You pay 20% of doctors charges

–        You pay hospital deductible

–        You pay for prescription drugs

•         Medicare Supplement Plans + Separate Prescription Drug Plans (Part D)

–        Jerry covered this last week

•         Medicare Advantage Plans (Part C)

–        The insurance company operates as a contractor for Medicare

–        The plans usually cover both medical and drug costs

–        You use a single private insurance card

–        You pay a “copay” when you visit the doctor and receive no bill

–        The plans pay doctors and hospitals at Medicare rates

–        You still have to pay the Medicare Part B fee

Medicare Advantage Plans:

•         Health Maintenance Organization (HMO) Plans

•         Preferred Provider Organization (PPO) Plans

•         Private Fee-for-Service (PFFS) Plans

•         Special Needs Plans (SNP)

•         Only HMO and PPO Plans are covered in this presentation because they are the only ones that are available in this area.

HMO vs PPO

•         An HMO provides full coverage for only a fixed network of doctors and hospitals

–        Network covers part or all of a single state only

•         A PPO provides coverage for

–        A fixed network of doctors and hospitals, plus

–        Doctors and hospitals outside the network

•         PPO costs may be significantly higher for doctors and hospitals outside the network

–        Copays

–        Maximum out-of-pocket costs

–        Deductibles

HMO Plans:

•         Aetna

–        Medicare Value Plan

–        Medicare Standard Plan

•         ConnectiCare

–        VIP Prime 1

–        VIP Prime 3

•         United Health Care

–        MedicareComplete Plan 3

–        MedicareComplete Plan 2

–        MedicareComplete Plan 1

•         Anthem

–        MediBlue Value Plan

PPO Plans:

•         Aetna

–        Standard Plan

–        Select Plan

•         ConnectiCare

–        Option 3

–        Option 1

•         United Health Care

–        AARP MedicareComplete Choice

Aetna Plan Estimated Cost Comparisons

Column 1:           Medical - one chronic condition or multiple health issues

Drugs – 3 generic prescription drugs

Column 2:           Medical - more than one chronic condition and an occasional major procedure

Drugs – 2 generic prescription drugs and 2 branded prescription drugs

Plan Name & Type	Column 1	Column 2
	Cost, $/Year	Cost, $/Year
HMO:
Aetna Medicare Value Plan
Premium	0	0
Medical	1068	2647
Drug	459	5834
Total	1527	8481
Aetna Medicare Standard Plan
Premium	1416	1416
Medical	893	2601
Drug	459	5834
Total	2768	9851
PPO:
Aetna Medicare Standard Plan
Premium	1200	1200
Medical	832	2371
Drug	459	5834
Total	2491	9405
Aetna Medicare Select Plan
Premium	1668	1668
Medical	427	1064
Drug	108	5712
Total	2203	8444