понеделник, 24 октомври 2016 г.

Without Medicare Advantage Lakeland Residents May Not Be Able To Afford Medical Care

By Joyce Davis


Since the inception of a social health insurance in 1966 in the United States millions of people older than sixty five and younger people with disabilities have received medical care in terms of this program. There are conditions, however. Enrolled members need to have contributed to the funding of the program through payroll taxes. In 2015, the program had more than 55 million members. The services provided in terms of the program are strictly controlled but now, with Medicare Advantage Lakeland members can enjoy more benefits.

The program does not offer free medical treatment. It pays approximately half of the cost of treatment and the member is responsible for paying the remainder. Members have to make use of medical practitioners that are approved and registered by the program. In addition, the program will only pay for the treatment of a limited list of conditions and only approved drugs may be supplied.

The entire social medical insurance program consist of four parts. Basic membership include only the benefits offered by Parts A and B, Part A being a hospital plan and Part B medical insurance and a limited list of drugs. Part D provides for a wider variety of drugs and Part C is the key to the Advantage plans that are so popular. They offer additional benefits.

Part C plans are purchased from authorised medical insurance companies. Purchasing a Part C plan does not cancel membership of the basic plan. There is a variety of plans available and consumers need to be careful when comparing them. Experts advise that the best course of action is to gain independent advice from a medical insurance broker not connected to any specific medical insurance company. He will recommend a plan suitable the specific needs of the client.

Members should make very sure that they fully understand the rules of the plan that they have chosen. It is vital to contact the insurance company if there are any questions. Failure to do so can end up being very costly. For example, if the plan requires a member to get approval for referrals to a specialist, they will end up being responsible for all the costs if they did not do so.

There can be no doubt, however, that Part C plans offer many excellent benefits. For example, by law they have to limit the amount that has to be paid for treatment by the member himself each year. Once that limit is reached the member does not pay a portion of any further treatment. Members receive world class benefits at a very reasonable premium. The fees that may be charged for services rendered are also regulated.

Critics of Part C plans say that there are too many exclusions. They criticize the fact that members may only use practitioners approved by the insurer. This lead to situations where members rarely see the same practitioner with each consultation and this may lead to incomplete medical histories. There are even those that say that government expenditure on medical care for a select few is morally wrong.

One thing is certain. Medical care is extremely expensive and often out of reach of those unfortunate people that do not have medical insurance. Part C plans may be limited, but they offer quality care at very affordable premiums. For many people these plans are godsend.




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