This guide answers the most common questions Utah residents ask when choosing a Medicare Advantage plan. Below you'll find every topic covered, with links to plain-English answers for each.
Peter Abilla is a licensed Medicare agent in Utah.No pressure, no cost — just clarity on your options.
Book a 20-Minute ReviewIf you're new to Medicare and live in Utah, chances are good that you've used Intermountain Healthcare services before. Many people want to stay with their familiar providers when they move from private insurance to Medicare coverage. This article will help you understand which Medicare Advantage (MA) plans in Utah include Intermountain Health.
A Medicare Advantage plan is a type of health plan offered by private companies approved by Medicare. These plans provide all the benefits and services covered under Original Medicare, Part A (hospital insurance) and Part B (medical insurance). Many MA plans also cover additional benefits like vision, hearing, and prescription drugs.
Medicare Advantage plans are popular because they often have lower out-of-pocket costs compared to Original Medicare. They typically include a network of doctors and hospitals that you can choose from. If you want to keep using Intermountain Health providers, it’s important to find an MA plan that includes them in its network.
To find Medicare Advantage plans in Utah that include Intermountain Health, you’ll need to check the provider networks of each plan. Every year, health insurance companies update their provider networks, which means some providers may be added or removed from a plan’s list of participating doctors and hospitals.
Here are some steps to follow:
1. Visit Medicare.gov: This is the official government website for Medicare information. You can use the Plan Finder tool to search for plans that include Intermountain Health. 2. Contact Insurance Companies Directly: Some MA plans in Utah are offered by major insurance providers like UnitedHealthcare, Kaiser Permanente, and Cigna. Each of these companies maintains its own network of healthcare providers, so it’s important to contact them directly or visit their websites for the most up-to-date information. 3. Check Network Lists: Most MA plans publish a list of in-network doctors and hospitals on their website. You can look up Intermountain Health facilities to see if they are included.
When choosing a Medicare Advantage plan that includes Intermountain Health, there are several factors you should consider:
1. Coverage Details: Each plan covers different services and treatments. Some plans may cover preventive care fully while others might charge copays or coinsurance. 2. Costs: Look at the monthly premiums for each plan and any additional costs like deductibles, copays, and coinsurance. These can vary widely between plans. 3. Network Size: While it’s important that Intermountain Health is included in your chosen plan’s network, consider if you want to have access to other providers as well. Some MA plans are more restrictive with their networks than others.
Enrolling in a Medicare Advantage plan can be straightforward, but there are certain times when enrollment is allowed:
1. Initial Enrollment Period (IEP): This period starts three months before your 65th birthday and ends three months after you turn 65. 2. Annual Election Period (AEP): If you’re already enrolled in Medicare, AEP runs from October 15 to December 7 each year. During this time, you can switch plans or go back to Original Medicare. 3. Special Enrollment Periods (SEP): There are several circumstances that qualify for a SEP, such as moving out of your current plan’s service area or losing other health coverage.
To enroll in an MA plan:
1. Contact the Plan Directly: You can call the insurance company directly and speak with a representative. 2. Online Enrollment: Many plans allow you to sign up online through their website. 3. Medicare.gov: The official Medicare site also provides options for enrolling in an MA plan.
Finding a Medicare Advantage plan that includes Intermountain Health is crucial if you want to continue using your familiar healthcare providers. By checking the provider networks, understanding coverage and cost details, and knowing when to enroll, you can make informed decisions about your health insurance. Remember to compare multiple plans to find one that best suits your needs.
Not affiliated with or endorsed by the federal Medicare program or any government agency.
Medicare Part B covers most outpatient cardiology services including EKGs, echocardiograms, and specialist consultations. Medicare Advantage plans cover the same services but with different copay structures.