Medicare Advantage Plans In Illinois

Health insurance is a formal agreement between insurance companies and the insured where the company agrees to provide compensation for all the medical expenses when the individual falls sick or meets with an accident. The government also encourages these health insurance companies by reducing the amount of income tax. Medicare provides the best insurance plans for the residents of Illinois. The Medicare Advantage plans in Illinois are the most popular plan amongst all. The various aspects of these plans are listed below:

1.       Preferred provider organization (PPO): According to this plan, you get to pay less for the consultation fee and medical expenses to the doctors who fall under this plan’s network. Otherwise, if you wish to visit the doctors who aren’t a part of this plan you have to bear the complete charges.

2.       Health maintenance organization (HMO): In this plan, you can visit the doctors, hospitals and healthcare providers who are under the plan’s network system, unless it’s an emergency case. You have to get a referral from your initial doctor for tests to consult other specialist and doctors.

3.       HMO point of service (HMOPOS): For a higher coinsurance or copayment you may avail doctors or services out-of-network.

4.       Special needs plans: The SNP’s provide specialized and focussed health care to a specific bunch of people. The ones suffering from chronic medical conditions and who opted for Medicare as well as Medicaid gets this Advantage. There are four types of SNP’s-

·         Dual eligible special need plans

·         Institutional special need plans

·         Chronic special need plans

·         Institutional equivalent special need plans

5.       PFFS plans: These are just like the Medicare in which you can visit any regular doctor or health care provider only if they agree to the payment norms. This plan helps you understand the amount it pays and the amount that needs to be paid by an individual.

6.       MSA plan: In MSA, the health plan works with your bank account. The Medicare credits the money into your bank account which can be used to pay for health services throughout the year. The drug coverage doesn’t fall under this category. Although it can availed separately.

It is important to note that these services can only be availed if you are already under Medicare Part A and Medicare Part B plan that provide hospital insurance and medical insurance respectively. Medicare Advantage plan’s cover almost all plans that fall under Original Medicare. These plans also offer to cover expenses of doctors, consultants and health care providers outside the network in emergency situations.

The extra benefits included with this plan that are not covered with Part A and Part B are:

·         Dental care

·         Wellness programs

·         Eye care

·         Hearing tests and aids

·         Fitness memberships

·         Premiums to fit budgets

Most of the Medicare Advantage plans also offer a Medicare Prescription Drug plan. Otherwise, it can be enrolled separately. As health is the primary key to living, choose the best insurance plans from Medicare Advantage plans and cut the future burdens and worries.