New York State Medicare

Medicare Advantage plans are private health insurance options that take the place of your traditional Medicare. These plans are required to cover all of the same services as Parts A and B, but they can have different cost sharing parameters. Also, Medicare Advantage plans often have things like Part B givebacks, $0 Premiums, and extra benefits like Dental, Vision and Hearing at no cost. Though these benefits can be enticing, Network Adequacy and Prior Authorization should be top factors when considering the appropriate Medicare setup. Medicare Advantage will most certainly have a more limited network and procedure approval rate than Traditional Medicare plus a Medigap plan. If Medigap plans are not affordable for you, you should definitely consider the Medicare Advantage plan due to its Maximum out of Pocket.

Just like any other state when considering Medicare Advantage versus Traditional Medicare with a Medigap Plan and Stand-Alone Part D drug plan it’s a comparison between premium costs, out of pocket potential, and Medicare Advantage networks. In a state like New York, you can have a vast different from one county to the next regarding the network adequacy of a specific Medicare Advantage plan. However, statistically, New York would be among the higher acceptance rate states for Medicare Advantage.