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

Healthcare Provider Update: Healthcare Provider for Welltower Welltower Inc., a leading provider in the healthcare real estate sector, partners with various healthcare service providers, including senior housing operators, post-acute care facilities, and health systems. The company focuses on investing in properties that accommodate the healthcare needs of an aging population, ensuring that it collaborates effectively with top-tier operators to enhance care quality and access. Potential Healthcare Cost Increases in 2026 As 2026 approaches, health insurance premiums, particularly those tied to the Affordable Care Act (ACA), are projected to surge dramatically, potentially rising by 75% for many enrollees. Factors contributing to this steep escalation include the expiration of enhanced federal premium subsidies and escalating medical costs, with certain states experiencing increases exceeding 60%. For Welltower employees and retirees utilizing ACA coverage, these looming hikes necessitate strategic financial planning to mitigate the impact on personal budgets and healthcare access in the coming year. Click here to learn more

Medicare Advantage, sometimes known as “Part C,” is something of a catch-all choice for Welltower 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 Welltower 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