There is a variety of Medicare Advantage plans to choose from. Each plan has different benefits, premiums, and copays. Fortunately, there are some key things you should keep in mind when choosing a plan that will best suit your needs as a beneficiary. Let’s take a look at some of the most crucial factors when choosing the Best Medicare Advantage plans for you.

Is There a Monthly Premium?

Premiums are the amount you pay each month to the plan in exchange for their services. While premiums are often associated with private insurance plans, they’re also common with Medicare Advantage plans.

If you have a low income and are income-eligible for Extra Help, you may not be required to pay a premium for your Medicare plan. However, this does vary by state and is something you should confirm with your local Medicare office.

What Are the Copays and Co-Insurance?

Another crucial factor to consider is the copays and co-insurance you’ll pay for various healthcare services. These are fees you’ll pay for certain services, like prescriptions, office visits, and more. While copays and co-insurance vary by plan, they’re generally consistent with the services you get. A plan with higher copays and co-insurance will have lower premiums.

Which Drugs Are Covered?

Some Medicare Advantage plans cover all prescriptions, while some don’t cover any. What drugs are covered can vary significantly by plan, so it’s important to check what your particular plan covers.

If a plan doesn’t cover all drugs, it will have a list of excluded drugs. This is something to be mindful of and clarify with your doctor before choosing a plan. You may also want to ask if your doctor has a preferred drug list.



How Good is the Caregiver Access?

Another important factor to keep in mind is caregiver access. This refers to how easy it is for someone to access your healthcare information. You may want to choose a plan that allows access to your information via phone and online.

This is generally easier for a caregiver to navigate than a plan that only permits in-person visits to the office. In many cases, you can select a plan that allows you to choose the caregiver access option that you prefer.

How Big Is the Network of Health Care Partners?

Another thing to keep in mind is the size of the network of health care providers in your area. For example, you may be considering a plan that offers in-network providers at hospitals and doctor’s offices from all over the country.

While this may be convenient, it may not be the best option for you. Instead, you may want to choose a plan that has in-network providers in your area. This will help ensure that you have quick access to medical care when necessary.

How Much Is the Deductible?

Finally, you may want to consider the deductible associated with each plan you’re considering. The deductible is the one that you should pay by yourself before your plan starts to cover any medical expenses.

While this is something that varies by plan, you should choose a plan with a low deductible if possible. This will help ensure that you’re able to access medical care when necessary and don’t have to pay large out-of-pocket expenses just to see a doctor.