Plans :

Medicare Advantage plans, also known as Medicare Part C, are offered by private companies approved by Medicare. These plans provide all the benefits of Original Medicare (Parts A and B) and often include additional benefits like prescription drug coverage (Part D), and dental, vision, and hearing services. They may come
in different forms:

Health Maintenance Organization (HMO) Plans:

These plans typically require you to use healthcare providers within a specific network and may require referrals to see specialists.

Preferred Provider Organization (PPO) Plans:

PPO plans offer more flexibility in choosing healthcare providers, but you’ll usually pay less if you use providers within the plan’s network.

Private Fee-for-Service (PFFS) Plans:

With PFFS plans, you can generally receive care from any Medicare-approved provider who accepts the plan’s payment terms and agrees to treat you.

Special Needs Plans (SNPs):

SNPs are tailored to individuals with specific health conditions or circumstances, providing targeted care and services.

Medicare Medical Savings Account (MSA) Plans:

MSA plans combine a high-deductible health plan with a medical savings account that you can use to pay for healthcare expenses.

Medicare Supplements

Medicare supplements, also known as Medigap plans, are designed to fill the gaps in Original Medicare coverage, such as deductibles, copayments, and coinsurance. These plans are offered by private insurance companies and are standardized into different lettered plans (e.g., Plan A, Plan B, etc.). Companies like
United, Aetna, and Mutual of Omaha offer a variety of supplement plans to choose from.

Plan Categorization:
Medicare Advantage Plans:

Medicare Advantage plans offered by companies like United,  Humana, and Freedom Health provide comprehensive coverage that combines hospital insurance (Part A) and medical insurance (Part B), often with additional benefits like prescription drug coverage, dental, vision, and hearing services. These plans may have different networks and coverage options depending on the insurer.

Medicare Supplements:

Supplements, offered by companies like United, Aetna, and Mutual of Omaha, work alongside Original Medicare to help cover out-of-pocket costs such as copayments, coinsurance, and deductibles. These plans are standardized by the government and offer various coverage levels to meet individual needs.
At Sehat LLC, we’re committed to helping you navigate the complexities of Medicare coverage and find a plan that fits your lifestyle and healthcare needs. Contact us today to learn more about our Medicare Advantage plans and supplements, and let us help you secure peace of mind for your healthcare journey.