Medigap insurance is not the only Medicare-related coverage that may be going through changes during the next few months due to the new health care reforms proposed by President Obama. Medicare Advantage Plans, which are also known as Medicare Part C plans, may also be experiencing change.

Here is some background on Medicare Advantage Plans:

Medicare Advantage Plans are Health Maintenance Organization (HMOs), Preferred Provider Organizations (PPO), Private Fee-for-Service Plans, or Medicare Special Needs Plans . To enroll in a Medicare Advantage Plan, you must have Medicare Parts A and Part B, and you may have to pay a monthly premium to your Medicare Advantage Plan for the extra benefits that they offer. Advantage plans are private. You should not be simultaneously enrolled in a Medicare Advantage plan and a Medigap plan as they counter one another.

Reports state that Medicare Advantage Plan payments to private health insurers will be frozen at 2010 rates for the entirety of 2011. The proposed health care laws stipulate $130 billion in cuts over the next decade to these plans to prevent government overcompensation of insurance providers.

Seeing as next year’s payments cannot match rising health care costs, what may occur is that insurance companies will offset the loss of payment increases by increasing the premiums that their customers are required to pay.

Medicare Advantage Plans and drug plans additionally must have significant differences betwixt their products due to CMS regulation requiring elimination of duplicate prescription and health plans. These differences range from plan types, client out-of-pocket costs, premiums, and formulary offerings.

Commencing in 2014, Medicare Advantage Plans must spend 85% of insurance premiums collected on providing health care to their customers as an additional limiting factor to overcompensation of insurance executives.

Learn more about Medicare supplements. Stop by Richard Cantu’s site where you can find out all about Medigap and what it can do for you.

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