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Medicare vs Medicare Advantage

Benefits Florida Medicare Advantage Plans

The Difference Bewteen Orginal Medicare and Medicare Advantage

There are many differences between Original Medicare and Medicare Advantage plans in Florida.  To understand these differences is another story. 

Medicare Advantage Seniors in Florida

Nationwide, people are moving to Florida to retire.  With warm climate all year around and sandy beaches, you can’t blame them. With retiring or reaching the age of 65 years old comes planning.  One thing often overlooked is Healthcare.  Many people just believe they get enrolled in Medicare and that’s it.  However, Medicare comes with many gaps in coverage such as dental and vision.  Don’t worry, you have options.  You can stay on Medicare and get a supplemental plan or enroll in Medicare Advantage. 

What’s original Medicare and how is it different than Medicare Advantage Plans in Florida?

With original Medicare, your benefits come from the Federal Government. Original Medicare comes in two parts, Part A and Part B.  Medicare Part A is your hospital insurance.   Whereas Medicare Part B is your medical insurance that covers medical services and supplies.

Many seniors on original Medicare may pick up a supplemental plan. Medicare supplemental plans pick up Medicare’s co-insurance amounts.  They also pick up Medicare Part D plan to assist with prescription costs.  These plans do have their own premiums, which would be in addition to the Part B premium of $144.60 a month.

Medicare Advantage

An alternative plan you might want to take a look at is the Medicare Advantage plans in Florida.  These plans provide Medicare benefits through a private-sector health insurance carrier. Original Medicare comes with many different parts.  Whereas, Medicare Advantage is like having an all-in-one healthcare solution.    Medicare Advantage looks and works very much like what many people had under employment or group coverage. 

There are many benefits of choosing a Medicare Advantage plan that you need to consider.

  1. A broader scope of coverage such as vision and dental that many seniors need. Some Medicare Advantage plans offer a variety of additional benefits such as wellness or fitness memberships, telemedicine and even call alert systems at no additional costs.
  2. With all these added features you might think there would be added costs to your premiums. However, many seniors find their premiums are lower and may also have lower out of pocket costs. 
  3. Many people are worried about hitting their maximum out-of-pocket limits with original Medicare. If you end up reaching your maximum out-of-pocket limits, you may see your costs go up.
  4. Do you travel abroad or like to cruise? Original Medicare doesn’t offer overseas coverage.  However, Medicare Advantage does have some plans that will cover you while over-seas.  

With many advantages with Medicare Advantage there are a few disadvantages to consider.

  1. One of the biggest disadvantages is that you have to pick participating physicians that work with your plan. Going outside of network with Medicare Advantage nay result in additional cost.  Unlike Original Medicare that is national program that provides more flexibility with which doctors you can see.
  2. Because Medicare Advantage works within networks you may need a doctor’s referral and plan authorization before a non-emergency hospital stay.  This includes certain medical equipment or to see specialists. 
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Understanding Health Behaviors in Florida

Florida Health Behaviors

Health Behaviors in Florida

How do we begin to understand health behaviors in Florida? Health behaviors come from many attributes from where we live to economic status. We all want to live healthy here in Florida but where are the healthiest areas within the state to live?  The Tampa Bay area located on the Westcoast of Florida has about 350,000 (2019) people living in it.  If you include Saint Petersburg and Clearwater the Tampa Bay area is the 4th largest metropolitan area in the Southeast.  Source – www.worldpopulationreview.com

Recently the County Health Rankings Report for 2019 came out explaining that effects of how well we live and how long we live are contributed to where we live. This study showed that the Tampa Bay area ranks in the top 25 out of 67 counties in the state.

These rankings are used by communities to raise support for local health improvement programs, health care providers, Politician support and local community organizations to name a few.  Contributing factors being considered are health behaviors, clinical care, social and economic factors and physical environment.

Types of Health Behaviors 

These types of behaviors are usually looked as a risk assessment that can lead to illness or impede your recovery.  Activities such as a poor diet, little to no exercise, smoking tobacco, abusing alcohol and drugs, and high risk sexual activity all can raise your risk factors.

  • Diet – If your diet is low in nutrients but have high fat, sodium, and calories you might be leading yourself towards major health issues such as heart disease.
  • Exercise – Some of the leading researches in health recommend that you should have 10k steps a day. How many steps do you do a day?  With little to no physical activity your risk factors go way up.
  • Tobacco – We all have seen the warnings about health issues with smoking.  One ad comes to mind about a cheer leader that is now older has to speak with a hole in her throat.  The risks of smoking are very high which is why most insurance carriers will ask when getting a new policy.
  • Alcohol and Drugs – Tobacco really falls under this group in my opinion.  This risk factor covers substance abuse, which includes alcohol, illicit drugs and even prescription drugs.  The risks factors are based on usage.  Drinking a bottle of bourbon in one night reflects far more risk than someone drinking a glass of wine with dinner.
  • Sexual Activity – Not protecting yourself from a virus such as HIV/AIDS among others is very risky.  Although not every case is considered a death sentence as it once was. However, it still ranks up there as a high risk activity.

Healthcare Politics

Watch the news, there is a never ending debate over access to care and the social and economic factors.  So let’s talk about the most over looked factor by the public, which are health behaviors. In many ways, people don’t like looking at themselves as the problem.  Sometimes it’s just easier to point the finger at the President, Congress, Big Health, or even at your own local physician. 

The federal government has been interjecting policies that affect your local care and access to care for years.  Does someone in D.C. know more about your health and need then your local official and physician?  I don’t think so.  The problem is that on the federal level there is always a push for comprehensive reform.  This is just another way of saying one size fits all, which doesn’t work.  They can demand access but time-over-time they write bills that over promise and under deliver. 

Location Helps

Location is everything in Real Estate and it affects our behaviors from state to state.  We here in Florida get more exposure to the sun than most of the country, which gives us a higher risk factor of getting skin cancer. Florida also has a host of danger with its location.  While out at a park or even golfing you might run across an Alligator or one of many of Florida’s deadly snakes.

If you live near good paying jobs and have access to multiple grocery stores you are more likely to have a diet that includes a verity of fresh vegetables.  At the same time, your risk factors go up if you live near powerlines or a chemical plant.  Location also reflects access to care as someone living in a metro area will have more choices then a rancher living in a rural area.    

Summary

Florida that has many risk factors also brings a quality of life, which is probably why so many seniors move to the state to retire.  Health behaviors, clinical care, social and economic factors and physical environment all contribute to our health and its care. However, no one can care more about your health than you.  No matter where you live, be proactive with your health.  Start small by eating a balanced diet and doing some exercise.  Taking a short walk a day will take you a long ways!

Here 4U Insurance

Here 4U Insurance offers Heath, Live, Dental, Vision, Final Expense, and Travel insurance throughout the state of Florida.  Contact us at www.here4uinsurance.com  or our Facebook page at
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