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Know everything about Humana Medicare advantage plans

Humana medicare advantage plans are nothing but some alternate method of availing all the benefits under the Original Medicare. It is also known as Medicare Part C. Different types of advantage plans are there depending on the benefits and other terms related to it. Nevertheless, different state is known to have different advantage plan. Hence, you are only allowed to have a specific advantage plan that comes under the state you live in.

Benefits of Medicare Advantage Plan can be found by visiting

As per the federal law of the USA, the advantage plan should include all those advantages that are generally included in the original Medicare plan, only with the exception of hospice care. You are not supposed to lose out on any benefits if you go with advantage plan.

  • Prescription Drugs: In most of the cases, the advantage plan is there to include Medicare Part D prescription drug coverage. But you are really required to read the documents of the insurance plan in order to properly understand the medications that are to be covered. On the other hand, in few cases some of these plans may even include benefits for specific over the counter medications as well as treatments.


  • Vision Care: The original medicare is not supposed to cover the routine eye exams or even the prescription eye glasses except in some particular cases. But the advantage care basically comes with the vision care coverage, contact lenses and prescription eyewear. However, the benefits are slightly supposed to different from state to state.


  • Dental care: More often than not the advantage plans are there to cover dental care in the best way possible. Some dental plans that are covered under this plan are routine dental exams, teeth cleaning etc. On the other hand, in some cases you are even supposed to avail the benefits for the restorative dentistry like root canals, bridgework etc.


  • Wellness: The advantage plan is also highly likely to include various other health and wellness coverage such as weight management program, yoga classes, gym membership etc. However, again the benefits are to vary depending on the state you live.

You are supposed to remember that you should explore every pro and con of the medicare advantage plan before you go for it. Without having any prior information if you go for it then it will be difficult for you for the obvious reasons. The more you research, the better it will be for you.

When can I enroll in Blue Cross Medicare Advantage plan?

Medicare advantage plan also referred to as Medicare Part C plan, is a health insurance plan that started in the year 1995. The United States federal government provided more options for its citizens to have better access to health care services based on some conditions. Medicare Advantage plan is one of the plans available under Medicare plan that started in the year 1966 with Former United States President: Harry Truman and his wife, then First lady, being the first recipients.

Medicare Advantage plan has been found to offer more benefits compared to other health plans. Visit to find out more about your options.  One of conditions to be eligible for this plan is that you have to be registered under either Medicare Part A (Medical insurance) or Medicare Part B (Hospital insurance). Other conditions are:

  • Attaining the age of 65 and have worked and paid into system.
  • Being young and with one disability or other.
  • Having an End-Stage renal disease or kidney failure.

What are options available?

Medicare advantage plan offers these options below:

  • Health maintenance organization (HMO); where there is a restriction from getting services outside a specific network of local providers, with an exception for emergency and urgent situations.
  • Preferred provider organization (PPO); is similar to HMO, but you can see health providers outside the network at your own cost.
  • Private fee-for-service plans (PFF); there is only need to pay the co-insurance it allows you, at the point of service.
  • Special Needs Plans (SNP); for people with special needs. This may include coordination of care, medical appointments transportation fees, money for everyday health items, and coverage for dental health and vision.

When Can I enroll?

Specific times of the year exist when you can enroll, opt out or switch to a different plan.

  • Enrollment is possible during the 7-month period beginning the three month before you clock 65, and ends three months after. If you joined Medicare due to a disability, you can enroll between three months before and three months after it is effective. If your Medicare is retroactive, you can enroll between a month before you are notified and three months after.
  • Between October 15 and December 7; enrollment, disenrollment or switching to another plan is allowed. Your new coverage begins January 1 of the following year.
  • Between January 1 and February 14, there can be disenrollment.
  • After February 14, there can be no disenrollment until October 15.
  • There are also special periods when enrollment is allowed. This is usually due to a change of residence. These periods can vary according to different states.

Medicare Supplement Plans coverage, cost, and eligibility

A lot of people do not know that what difference is between the coverage of Original Medicare and the Medicare Supplement Plans 2016. So in this article let us discuss the coverage which is offered by most of the Medicare Supplement plans. Remember that although different schemes might have similar perks but the coverage offered by one scheme differs from another.

Coverage of a Medicare Supplement Plan can be reviewed on this site:

  • All the Medicare Supplement plans are bound to provide coverage for those medical and hospital services which are covered by the Original Medicare. However, the Medicare Supplement plans do not provide coverage for hospice care because your Original Medicare provides coverage for it even if you are enrolled in a Medicare Supplement plan.
  • Motivational thing is that all the Medicare Supplement plans provide emergency and urgent care coverage.
  • The majority of health insurance Supplement plans provides Prescription Drug coverage as well.
  • If you do just right amount of research, then you may find some plans which provide coverage for supplemental benefits such as vision, hearing, and dental.


Following requirements are must if you want to enroll in a health insurance Supplement plan:

  • You are already an enrollee of Original health insurance (Part A and Part B).
  • Plan in which you wish to enroll should provide its services in your area.
  • People who suffer from permanent kidney failure and require dialysis after regular intervals (End-Stage Renal Disease) are not eligible for health insurance benefit plans. However, exceptions can be made by plan provider if you have ESRD. Therefore, you can call provider to confirm such things.

Costs pertaining to health insurance Supplement plan

The cost is that aspect of a health insurance benefit plan which can vary on basis of location and scheme. You should look for following questions:

  • Is plan charging a monthly premium along with Part B premium?
  • Amount of each health insurance facility and doctor visit (coinsurance) both inside and outside of provider’s network.
  • Does plan contain any yearly deductible?
  • Also, search for maximum out-of-pocket limit for plan that you wish to purchase because limit varies from one scheme to another.
  • Is there any restriction on network usage? For example, is only provider’s network allowed or one can use outside network as well?
  • If someone only visits a certain doctor or hospital then do confirm that they are health insurance-approved and do they also fall in provider’s network?

Medicare Reimbursement Cuts

This article will assess the difficulties related with Medicare repayment cuts. The measure of consumption in this program has soar since its origin in 1965 in spite of different measures to control development. Here and now administrative fixes have been purchasing time for the advancement of long haul arrangements while different partners remain to win and lose as they are looked with expected repayment cuts. Among these partners are the national government, lawmakers, outsider payers, Medicare beneficiaries, and healthcare suppliers. Predictable issues exist in actualizing repayment slices including obstructions to patient care and the money related practicality of healthcare suppliers who depend on Medicare patient incomes. Ceaseless level headed discussion over here and now Medicare cuts will be obscured by policy changes identified with the suitability of the program and long haul practical healthcare subsidizing and conveyance frameworks. Find out more about supplement plans by visiting


Health care spending at present records for 16% of the total national output of the United States (Getzen, 2007). New innovation and higher livelihoods have expanded general healthcare spending and driven up costs. The inquiry raised, is the means by which health care use will be controlled inside government programs like Medicare. The development of Medicare and Medicaid by the Social Security Acts of 1965 set up the legislature as a noteworthy payer in health care. General repayment through government financing enabled doctor’s facilities and different foundations to develop in size, limit, and capital. Controlling development and expenses has turned into a noteworthy worry as relative use on healthcare has expanded. Of the different cost-containing measures utilized to control use, repayment cuts are probably the most antagonistic issues.

Foundation and Significance

Medicare has advanced from various perspectives since its commencement in 1965. Doctors were at first repaid by the program for administrations secured and could charge patients for non-took care of expenses. Healing facility repayment strategies likewise took after comparative examples until the point when a change was made in 1983 from “sensible cost” to the planned installment framework in view of symptomatically related gatherings. In 1992 the doctor expense plan supplanted the charge-based framework. The Sustainable Growth Rate (SGR) of 1998 was made to control spending significantly further. Yearly focuses for spending are built up and doctor installments are lessened if spending surpasses these cutoff points.

The main part of the present Medicare costs are different than those of the past. A bigger bit of use is owing to outpatient administrations secured by Part B of Medicare. This consumption has reliably surpassed the set up equation as specified in the SGR. Pending modifications as repayment cuts propose real issues for doctors accepting repayments for administrations rendered to their Medicare patients. “Though finished the following quite a while the SGR equation will cut doctors’ repayment by an expected 25 to 35 percent…[and] profound cuts in doctor repayment will constrain numerous doctors out of the Medicare program and leave numerous patients without access to a doctor (H.R. 863 IH, 2007).” These cuts will significantly affect doctors and clinics, and may compound healthcare get to obstructions to Medicare beneficiaries. New repayment cuts are particularly upsetting in light of proof that the development of Medicare repayments to new territories of care can profit patient health (Gross et al., 2006). The types and measures of slices to be made are to a great extent subject to enactment and activities on Capitol Hill.