Disadvantages Of Medicare Advantage Plans

Disadvantages Of Medicare Advantage Plans

Although there are advantages to Medicare Advantage plans, some disadvantages also exist. Therefore, a person should weigh all the pros and cons before making a choice. The disadvantages of choosing Medicare Advantage Plans or Medicare Part C plans are discussed below:

Disadvantage of Medicate Advantage Plans:

  • Numerous Plans: Medicare Advantage offers as many as 50 different plans. These many plans can give rise to confusion. People wanting to enroll in these plans will have to seek the advice of an expert in Medicare Advantage Plans, who can provide them with complete and accurate information. Without reliable and precise information, the person is likely to be misled to choosing wrong and inappropriate plans, resulting in payments for benefits that are not required.
  • Excessive cost: These plans cost more than the Original Medicare plan. Sometimes, they may cost more than 12 to 50 percent of the cost of Original Medicare Plan.
  • Lack of flexibility: The Medicare Advantage provides coverage if the insured obtains treatment from their network of health care providers. If the insured wishes to see a doctor outside the network, then the insured needs to pay an extra amount.
  • Limited coverage area: Many Medicare Advantage plans limit coverage to certain geographic areas. This is a disadvantage for insured who are frequent travelers. In case of any injury or illness, they may have to bear the expenses out of their pocket, if they are outside the geographical limits specified by the plan at that point of time.
  • Lack of stability: Medicare Advantage plans, being private insurance plans, are not very stable as the contracts can change annually.
  • Sudden termination of coverage: The private insurance company can withdraw from a particular area, if it is not making expected profits in that geographical are. This leaves the insured without any coverage.

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Disadvantages Of Medicare Advantage Plans