Thinking About Dental Coverage? Here’s What You Need to Know

by Natalie Stefan

If you’re exploring Medicare Advantage plans with dental benefits, it’s important to understand what’s covered—and what’s not—before you book that next cleaning. Most Medicare Advantage plans that include dental coverage offer full benefits for preventive care, including: These services are often covered at 100%, especially if you visit a provider within your plan’s network. While some PPO and HMO plans allow you to see any licensed dentist, you’ll typically pay less out-of-pocket by choosing an in-network provider. What About More Extensive Dental Work? Coverage for restorative procedures—like fillings, extractions, or crowns—varies significantly by plan. Some may cover a portion of the cost, while others might require higher copays or coinsurance. Always review your plan’s summary of benefits to know exactly

Are You Overlooking These Hidden Benefits in Your Healthcare Plan?

by Natalie Stefan

When was the last time you reviewed what your healthcare plan really offers? Most people focus on the basics—doctor visits, prescriptions, and emergency care—but many plans come with additional perks that are often underutilized or completely overlooked. Here are a few valuable benefits that might be included in your health plan, just waiting to be used: Health Coaching Whether you’re working on lowering your cholesterol, managing a chronic condition like asthma or diabetes, or simply trying to lose weight, health coaching can be a game-changer. These one-on-one sessions with wellness professionals provide personalized support to help you stay on track and reach your goals. 24/7 Nurse Hotline Health concerns don’t follow a 9-to-5 schedule. That’s why many providers offer around-the-clock

What Health-Related Services Are Not Covered by Medicare? Find Out Here!

by Natalie Stefan

If you’re currently enrolled in Medicare or considering signing up, it’s essential to understand exactly what’s covered under your plan—and just as importantly, what isn’t. While Medicare provides comprehensive coverage for many healthcare needs, there are some health-related services that it doesn’t cover. Being aware of these exclusions can help you make more informed decisions about your care and ensure you’re not caught off guard when the bills come. Here are some of the most common services that Medicare does not cover: 1. Routine Foot Care Medicare typically does not cover routine foot care, such as the treatment of corns, calluses, or toenail care. While this may come as a surprise to some, it’s important to note that treatment for

The Top Five Health Insurance Terms You Need to Know

by Natalie Stefan

Navigating the world of health insurance can feel like learning a new language. With all the jargon and unfamiliar terms, it’s easy to get lost in the details. However, understanding a few key terms can make managing your health insurance plan much simpler and help you make better, more informed decisions. Here are five essential health insurance terms that you need to know: 1. Premium Your premium is the amount you pay monthly to maintain your health insurance coverage. Think of it as your “membership fee” to have access to the insurance plan. However, it’s important to note that paying your premium doesn’t necessarily cover the full cost of your medical services. In fact, it’s just the baseline for having

HMO, PPO, and EPO…what’s the difference?

by Natalie Stefan

HMO, PPO, EPO: Breaking Down Health Insurance Plans Without the Headache Navigating health insurance can feel like learning a whole new language—HMO, PPO, EPO, copay, deductible… it’s enough to make your head spin. But don’t worry—we’re here to simplify the jargon and help you understand the most important details so you can choose the best health insurance plan for your needs (and your budget). Let’s break it down: HMO: Health Maintenance Organization Looking for a budget-friendly plan with predictable costs? An HMO might be for you. This plan works best if you’re comfortable sticking with one doctor and staying within a defined provider network. Just make sure you choose a PCP you trust—they’ll be your go-to for all things healthcare-related.

Understanding Medigap: What It Is and Whether You Need It

by Natalie Stefan

What is Medigap and Do I Need It? Have you heard of Medigap and wondered how it differs from a Medicare Advantage plan? It can be confusing to navigate the world of Medicare options, but we’re here to break down the key differences to help you make an informed decision. Medigap vs. Medicare Advantage: Key Differences Navigating Medicare options can be overwhelming, but you don’t have to do it alone. If you have more questions or need guidance, Health Plans of America is here to help. Their team of licensed insurance professionals is ready to provide you with personalized information and resources, making the decision process easier. Connect with a licensed Medicare specialist near you today!