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Medicare Supplement vs Medicare Advantage

June 8, 2020

There are over 10,000 people who are turning 65 every day. The decisions these seniors have to make can be stressful and have a lasting impact on their retirement. Thankfully, Pinnacle Financial Services has the tools available to help you guide your clients through this process. There is a great difference between Medicare Advantage, Medicare Supplement, and Prescription Drug plan options that are available to your clients. Let’s discuss the primary differences between Medicare Advantage and Medicare Supplement plans.  

Medicare enrollment form

Medicare Supplement plans, which are also known as Medigap plans, is defined as a plan meant to supplement Original Medicare (Part A and Part B) and are sold by private companies. Medicare Supplements plans may even cover services that Original Medicare does not, like travel outside the United States. These plans have no network, so your client is able to see any doctor in the U.S. that accepts Medicare. Plan options can range anywhere from a plan A to a plan N , which will vary on a state by state basis. There is a premium associated with these options, which does not include your Part B premium, and they do not have drug coverage built-in.

Outside of Special Election Periods (SEPs) or new to Medicare clients, there is an underwriting process much like life insurance that your client would need to pass in order to qualify for coverage. There are no enrollment periods for Medicare Supplements and clients can enroll at any time if they can pass the medical underwriting. Medicare Supplements give your clients peace of mind by paying more upfront in premiums while having less exposure to medical expenses like in-patient hospital copayments.

Medicare Advantage plans, also known as Part C, are defined as a Medicare health plan offered by a private company that contracts with Medicare to provide your client with all of their Part A and B benefits. Some Medicare Advantage plans offer Part D, known as MAPD, while also adding extra benefits like dental, vision, and hearing. Medicare Advantage premiums can be as low as $0 while having varying forms of copayments, coinsurance, and deductibles. Options for these plans can vary by state, but the 2 most popular options are HMO and PPOs. Typically, these will have some form of a network that you will be subject to follow, as well as a service area. While there can be more upfront liability to customers due to the many forms of cost-sharing, Medicare Advantage plans do have a maximum out-of-pocket limit, which varies by plan and state, that will protect your clients from spending over a certain amount per year.

Pinnacle Financial Services has an abundant amount of technology that is available to all of our agents that will not only help quote your clients but also allow you to enroll them electronically over the phone. If you are struggling getting leads, we can help you there too. We have many Medicare orientated lead options including a guaranteed return lead mailer that we have agents using all across the country. Our back-office support can help you with any of your submitted cases while you continue to focus your efforts on getting sales. Tired of working with an upline that makes promises they can’t keep? Partner with Pinnacle Financial Services today – you won’t regret it.

For more information, contact a Pinnacle Financial Services representative today

1 (800) 772-6881 x7731 | sales@pfsinsurance.com

Dustin Ofsharick

Dustin Ofsharick

Director of Sales - Health

x7706 | dofsharick@pfsinsurance.com

Contact a Pinnacle Representative if you have any questions.

1 (800) 772-6881
support@pfsinsurance.com

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