What’s a Medicare MSA Plan? medicare plans in az
Medicare works with private insurance companies to offer you ways to get your health care coverage. These companies can choose to offer a consumer-directed Medicare Advantage Plan, called a Medicare MSA Plan. These plans are similar to Health Savings Account Plans available outside of Medicare. You can choose your health care services and providers.
Medicare MSA Plans have 2 parts
Medicare MSA Plans combine a high-deductible insurance plan with a medical savings account that you can use to pay for your health care costs.
• High-deductible health plan: The first part is a special type of high-deductible Medicare Advantage Plan (Part C). The plan will only begin to cover your costs once you meet a high yearly deductible, which varies by plan.
• Medical Savings Account (MSA): The second part is a special type of savings account. The Medicare MSA Plan deposits money into your account. You can use money from this savings account to pay your health care costs before you meet the deductible
• Another type of Medicare Cost Plan only provides coverage for Part B services. These plans never include Part D. Part A services are covered through Original Medicare. These plans are either sponsored by employer or union group health plans or offered by companies that don’t provide Part A services.
• For more information about Medicare Cost Plans, contact the plans you’re interested in.
• Demonstrations/pilot programs
Demonstrations and pilot programs, (also called “research studies”) are special projects that test improvements in
Medicare coverage, payment, and quality of care. They usually operate only for a limited time for a specific group of people and/or are offered only in specific areas. Check with the demonstration or pilot program for more information about how it works. To find out about current Medicare demonstrations and pilot programs, call us at 1-800-MEDICARE.
Programs of All-Inclusive Care for the Elderly (PACE).
PACE (Program of All-inclusive Care for the Elderly) is a Medicare/Medicaid program that helps people meet health care needs in community.
Medicare Advantage plans are an alternative to Original Medicare. They are known as Medicare Part C plans. These plans are offered by private insurance companies and cover all Medicare-covered services.
Medicare Advantage plans cover Medicare Part A (hospital services) and Part B (physician services). Most Medicare Advantage plans also include Medicare Part D (prescription drug coverage). They also may pay for additional services that aren’t covered by Original Medicare.
• In most Medicare Advantage plans, you can only go to doctors, specialists and hospitals on the plan’s list. Otherwise, you may pay more or you may not be covered for services at all. However, if you need urgent or emergency care, you will be covered even if you receive care outside the plan’s participating providers. Examples of Medicare Advantage plans include Health Maintenance Organizations (HMO) or Preferred Provider Organizations (PPO).