Advantage Solutions Employees: Navigating the Essentials of Medicare Advantage Plans for Your Retirement Health Needs

Healthcare Provider Update: Healthcare Provider for Advantage Solutions: Advantage Solutions typically collaborates with various insurance providers and plans for their healthcare offerings, primarily through partnerships with large national insurers such as UnitedHealthcare and Anthem, among others. These partnerships allow Advantage Solutions to provide a diverse range of health plans and options for their employees and clients. Overview of Potential Healthcare Cost Increases in 2026: As the healthcare landscape evolves, significant hikes in Affordable Care Act (ACA) premiums are anticipated in 2026, with some states experiencing increases exceeding 60%. The driving forces behind these surging costs include escalating medical expenses, the potential loss of enhanced federal premium subsidies, and sizeable rate hikes requested by major insurers. Industry analysts suggest that without intervention to extend these subsidies, over 22 million marketplace enrollees could face out-of-pocket premium increases of more than 75%. This impending financial strain casts a shadow over the current healthcare market landscape, compelling consumers to adopt proactive strategies to mitigate the financial impact. Click here to learn more

Medicare Advantage, sometimes known as “Part C,” is something of a catch-all choice for Advantage Solutions employees who are ready to sign up for Medicare. Medicare Advantage plans are offered by private insurers in conjunction with the Medicare program and can provide you with additional health insurance coverage.

What’s in them?
In addition to signing up for Medicare Part A (hospital stays) and Part B (medical coverage), Medicare Advantage plans offer their subscribers extra features. This frequently, but not always, includes the Medicare Part D prescription drug plan. In some cases, Medicare Advantage plans offer coverage for areas not normally offered within regular Medicare plans. This can include dental, hearing, and vision insurance.

What are the rules?
Medicare pays for a fixed amount of your health care to Advantage Solutions offering your Medicare Advantage (MA) plan. Beyond that, each MA plan requires different out-of-pocket fees. Those fees can vary from plan to plan. Depending on your plan, you may have different rules you need to follow when seeking a medical referral to get treatment from a specialist or if you are seeking non-urgent care (even from health care providers within the plan). It’s also important to remember that rules, requirements, and features may change from year to year. It will be important to make sure that those changes line up with any treatment that you need.

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What about my prescriptions?
While most MA plans offer Part D coverage for prescription drugs, some don’t. One example would be Medicare Medical Savings Account plans. In cases where the plan can’t or chooses not to offer prescription drug coverage, you may have the ability to join a separate Medicare Prescription Drug Plan, depending on the type of plan you enroll in. You will likely have a number of questions and concerns as you examine your options for Medicare Advantage plans. Discuss these with a trusted financial professional who can help you make choices that may best fit your lifestyle.

1. Medicare.gov, 2022