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BASIC MEDICARE RULES

Basic Medicare Advantage Rules

If you are deciding between Medicare Advantage and Medigap, you'll want to consider some of the rules before you enroll.

  • You must be enrolled in both Medicare Part A & B and live in the plan service area. Some people think they can drop Part B if they enroll in Medicare Advantage. That is incorrect If you drop Part B while enrolled, you will immediately be disenrolled from your Medicare Advantage plan.

  • Use network doctors and hospitals for the lowest out of pocket costs. Plans may have HMO or PPO networks. In PPO networks, seeing a provider outside the network will result in higher spending for you.

  • Advantage plans may require prior authorization for certain procedures

  • CALL ME IF YOU NEED HELP OR ADVICE -  MY SERVICE IS OF NO COST TO YOU

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