What Is Medicare Advantage?

A Medicare Advantage plan is available to provide more options for medicare beneficiaries.  Medicare pays private insurance companies a monthly premium to be your insurance company.  When you are insured on a Medicare Advantage Plan, your private insurance company pays a portion of your claims and you would pay a copay.  This is different from the co-insurance that you would pay with Original Medicare, which in most cases is 20% of the cost for services covered under Medicare Part B.  Another great benefit to having a Medicare Advantage plan is that they all have a maximum out of pocket limit.  A maximum out of pocket limit is the most you could be billed for medical services in a year.

Which Carrier Should I Choose?

There are several companies to choose from, many of which offer many extras such as gym memberships, dental insurance, vision coverage, hearing benefits, over the counter items at no cost and many other benefits.  Plans are specific to a service area, usually based on a county, so a Medicare Advantage plan the twe offer in San Antonio, TX will be different than most plans you would see in Mcallen or Dallas/Fort Worth.  This is why using a local independent agent is so important.  Our job is to do the research for you.  Please call us to help you determine the insurance carrier and type of plan that is right for you.

Why Speak With a Local Independent Agent?

We believe that speaking with a local agent is imperative to your Medicare Advantage shopping.  If you’re speaking to someone who is not in your city, county, metro area or even your state, how would they know all there is to know about the local market.

 

Do Plans Differ Based On Where I Live?

Yes!  This is the reason that we believe in meeting with a local agent to discuss the right options for each individual.  We realize that our agents in Waco may not understand the complexities of local networks in San Antonio, the Rio Grande Valley or even Dallas/Fort Worth.  This is why we do not believe in simply using a call center to help our clients.  Our belief is that local agents are best.

How Are Medicare Advantage Plans Rated?

Medicare uses information from member satisfaction surveys, plans, and health care providers to give overall performance star ratings to plans.  A plan can get a rating between 1 and 5 stars.  A 5-star rating is considered excellent. These ratings help you compare plans based on quality and performance. Medicare updates these ratings each fall for the following year. These ratings can change each year.

TMS Insurance Brokerage, INC (Texas Medicare Solutions) is a licensed insurance agency and is not connected with or endorsed by the US Government or the Federal Medicare Program.  Our licensed agents are compensated based on our clients’ enrollment in a plan.

How Can I Speak With a Local Licensed Agent?

To be contacted by one of our licensed insurance agents, fill out the form below and someone will call you as soon as possible.  For immediate assistance, you may also call our office at 210-908-6565 (877-362-2768 if you are calling from outside of San Antonio), Monday – Friday from 8am – 5pm.

 


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