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Medicare Supplement vs Medicare Advantage plans in Dallas Texas
Which should you choose?


If you live in the Dallas Texas region and you have your original Medicare coverage secured, you will have a choice of options for improving your coverage.  You may combine your Original Medicare plan with a Medicare Supplement plan, or you can sign up for a Medicare Advantage plan. Two out of three people in Dallas, choose the Medicare Supplement option, one third choose the Medicare Advantage option.  The Medicare Advantage option is growing in popularity.  So, which option is right for you? A brief explanation of the workings of both options may help.

Facts About Dallas, Texas
Dallas Texas
Dallas and nearby Fort Worth were initially developed due to the construction of major railroad lines through the area allowing access to cotton, cattle and later oil in North and East Texas.  The construction of the Interstate Highway System reinforced Dallas's prominence as a transportation hub, with four major interstate highways converging in the city and a fifth interstate loop around it.  Dallas then developed as a strong industrial and financial center and a major inland port, due to the convergence of major railroad lines, interstate highways and the construction of Dallas/Fort Worth International Airport, one of the largest and busiest airports in the world.
Good to know:  Each insurance provider has a formulary or list of medicines covered by the plan.  If a medicine is not on the formulary it may not be covered and you may have to endure a potential nightmare attempting to find an alternative medication.  The list of covered medicines is also often divided into tiers, which determines how much of a copay or coinsurance you may have to pay.  Make a list of your current medicines and compare it to the plan's formulary to make sure your medicines are covered and you understand the out-of-pocket costs that may be associated with them.

How A Medicare Supplement Plan Works
A Medicare Supplement plan is designed to fill in the "gaps" in your Original Medicare coverage. Medicare supplement plans don't work like most health insurance plans.  They don't actually cover any health benefits.  Instead, if you incur a medical bill, these plans cover the portion of the bill that Medicare does not cover.  These costs can include:
  • Your Medicare deductibles.
  • Your coinsurance.
  • Hospital costs if your stay runs beyond the Medicare covered hospital days limitations.
  • Skilled nursing facility costs if your stay runs beyond the Medicare covered skilled nursing facility limitations.

    • Here's how Medicare supplement plans in Dallas,TX work: You pay a monthly premium for your Medicare supplement plan.  In return, the plan pays most of your out-of-pocket expenses.  How much the plan pays, depends upon the plan type you select.  For example, if you go to see a physician, Medicare will only pay 80% of the bill.  You are responsible for paying the remaining 20%.  However, you are covered by a Medicare supplement plan, the supplement plan would pay the 20%.  You would owe nothing.

      There are 10 standardized plans available – labeled A, B, C, D, F, G, K, L, M and N – that cover anywhere from four to nine of these benefits:

      • Medicare Part A coinsurance for hospital costs (up to an additional 365 days after Medicare benefits are used).
      • Medicare Part B coinsurance, copayment.
      • First three pints of blood for a medical procedure.
      • Part A hospice care coinsurance or copayment.
      • Skilled nursing facility care coinsurance.
      • Part A deductible.
      • Part B deductible.
      • Part B excess charges.
      • Foreign travel emergencies.


      Keep in mind, all 10 Medicare supplement plans cover the coinsurance and 100 percent of hospital costs for Medicare Part A, but after that, plans differ in what they cover. With Original Medicare, you are free to see any doctor who accepts Medicare patients, with no referrals required.


      Baylor University Medical Center - health insurance
      Baylor University Medical Center
      3500 Gaston Ave
      Dallas, TX 75246
      Telephone: (214) 820-0111
      Plus Code: Q6QC+P5 Dallas, Texas




      How Medicare Advantage plans work in Texas

      Medicare Advantage plans (also known as Medicare Part C) combine doctor, hospital and often drug coverage into one plan.  Some may cover routine dental, vision and hearing needs, and may offer other services. Most Advantage plans offer prescription drug coverage.

      Medicare Advantage plans are offered by private health insurance companies.  These insurance companies provide consumers with Advantage plan coverage. In turn, rather than Medicare paying a physician or hospital for services provided, Medicare pays an ongoing, predetermined amount to the insurance company for providing the Advantage plan coverage.

      Medicare Advantage plans usually have copays and deductibles, but many limit the total amount you will have to pay for medical expenses out of pocket each year. Medicare Advantage plans work like the managed care plans you may have had during your working years.  You will have to receive your care from doctors, hospitals, and other providers within the plan's network. Plans can be health maintenance organization (HMO), or preferred provider organization (PPO).  If you have an HMO, you can only visit doctors and hospitals in those networks.  PPO plans have out-of-network benefits as well.  Visits to a specialist often require referrals, and some types of care may require advance approval.  There are several distinct physician / hospital networks in the Dallas Texas region.  If you have a doctor or facility preference, be sure to confirm their participation in the plan's associated network - before you purchase the plan.

      Whichever option you choose, it is an important choice.  Be sure to speak directly with a Medicare insurance professional before you make your decision.

      Good to know:  Ask questions.  If you don't understand the details of the plan offered, contact the insurance company or give us a call.  While there are a variety of online tools and resources that can help, the best thing to do is simply pick up the phone and talk to an insurance professional.  You need to clearly understand what you're buying.



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