Q: What is the difference between a Medicare supplement policy and a Medicare advantage policy?
Original government Medicare includes Part A (hospital) coverage and Part B (outpatient) coverage but only covers 80% of a person’s medical expenses. An individual can add a Plan G Medicare supplement (Medigap policy) to cover all but $226 per year of the 20% of medical expenses not covered by government Medicare. Medicare supplement policies come from various insurance carriers, not the government. With a Medicare supplement policy, you can use ANY doctor or facility of your choice in the U.S. that accepts Medicare.
Enrolling in a Medicare Advantage (Part C) plan means that you are allowing an insurance carrier to manage your Medicare benefits for you. These plans typically include prescription drug coverage and some other supplemental benefits. The downside of a Medicare Advantage plan is that the networks of providers are more limited and the annual maximum out-of-pocket cost to the plan member can be as high as $8,000 per year.
Q: Which plan network is best?
We recommend choosing a PPO network health insurance plan. These plans allow you to choose your own doctors and hospitals, and pay the same benefits in or out-of-network. Also, PPO network health plans do not require a referral from your primary care doctor to see a specialist.
HMO and EPO network health plans are much more restrictive and require you to use only doctors and facilities that in in-network and do not generally pay any benefits to out-of-network providers
Q: Is there any cost for DFW Direct Insurance to help me locate an insurance policy?
There is never any cost for our professional services!
Q: When can I enroll in a health plan?
The majority of our health plans are available for enrollment at any time during the year. No open enrollment period or special life-changing event is required!
Most plans can start the day after you apply for coverage.