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Medicare Advantage Plans in Georgia

What are Medicare Advantage plans in Georgia?

Medicare Advantage plans in Georgia allow beneficiaries to expand their coverage beyond Original Medicare benefits. These plans offer the same coverage for medical services and hospitalization as Part A and Part B, but may include additional benefits like vision care, dental services, and prescription drug coverage. Medicare Advantage plans are offered by private insurance companies in Georgia that have been approved by Medicare.

There were 308,218 beneficiaries enrolled in a Medicare Advantage plan in Georgia in 2012, which accounted for 24% of the total Medicare population in the state. These beneficiaries choose from a number of plans that vary in terms of the coverage and the overall cost of the plan. Coverage varies from company to company, and cost may even fluctuate between areas within the state.

There are a number of different types of Medicare Advantage plans in Georgia to choose from. Plan types are similar to those seen with other insurance plans and include Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Private Fee-for-Service (PFFS) plans.

Prescription drug coverage with Medicare Advantage plans in Georgia

Some Medicare Advantage plans in Georgia include prescription drug benefits, allowing beneficiaries to keep most of their health care benefits together in a single policy. The type and amount of prescription drug benefits may vary from plan to plan. These plans are also referred to as Medicare Advantage Prescription Drug plans, or MAPDs.

If prescription drug coverage is not included with a Medicare Advantage plan in Georgia, beneficiaries also have the option of combining their Medicare Advantage plan with a Medicare Part D plan . This stand-alone Prescription Drug Plan (PDP) can be used at the same time as Medicare Advantage or Original Medicare. However, some Medicare Advantage plans may not allow enrollment in a stand-alone PDP.

Choosing a Medicare Advantage plan in Georgia

There were 89 different Medicare Advantage plans in Georgia to choose from in 2012, which provided beneficiaries in the state with a number of choices in coverage options. Beneficiaries need to carefully consider the benefits and costs of each plan to find the best coverage for their specific health care needs and personal budget. Benefits may vary considerably, with some plans offering features like vision and hearing services, while others might provide dental care or prescription drug benefits.

At the same time, the overall cost of a Medicare Advantage plan in Georgia can also vary. Beneficiaries should look at all the factors that impact the cost of a plan, including monthly premium amounts, deductibles, and out-of-pocket expenses. By carefully weighing all the variables, they are likely to find the plan that provides the best value while meeting their medical coverage requirements.

Trends in Medicare Advantage plans in Georgia

Here is a look at some of the trends in Medicare Advantage plans in Georgia in 2012:

  • There were 23 HMOs, 20 PPOs, and 46 PPFs offered to Medicare beneficiaries in the state.
  • Most beneficiaries (182,489) were enrolled in PPOs, 77,875 were enrolled in HMOs, and 47,854 were enrolled in PFFSs.
  • There were 194,458 beneficiaries enrolled in MAPDs in the state.
  • More than half (55%) of beneficiaries were enrolled in a Medicare Advantage plan in Georgia with a $0 monthly premium.
  • More than one-fourth (29%) were enrolled in a plan with a monthly premium of $50 or more.

Data provided by the Henry J. Kaiser Family Foundation.

Medicare has neither reviewed nor endorsed this information.

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Medicare has neither reviewed nor endorsed this information.