What percentage of people use original Medicare?

Asked by: Jeromy Klein  |  Last update: September 4, 2023
Score: 4.9/5 (20 votes)

Nine in 10 people with Medicare either had traditional Medicare along with some type of supplemental coverage (51%), including Medigap, employer-sponsored insurance, and Medicaid, or were enrolled in Medicare Advantage (39%) in 2018 (Figure 1).

How many people have original Medicare?

As of March 2023, 65,748,297 people are enrolled in Medicare, an increase of almost 100,000 since the last report in September. Of those: 33,948,778 are enrolled in Original Medicare. 31,799,519 are enrolled in Medicare Advantage or other health plans.

What percentage of people choose Medicare Advantage?

More than 28 million Medicare beneficiaries – 48 percent of all eligible beneficiaries – are enrolled in Medicare Advantage plans, which are mostly HMOs and PPOs offered by private insurers.

What are the benefits of having original Medicare?

Original Medicare covers most medically necessary services and supplies in hospitals, doctors' offices, and other health care facilities. Original Medicare doesn't cover some benefits like eye exams, most dental care, and routine exams. Plans must cover all medically necessary services that Original Medicare covers.

What percentage of Medicare recipients use Medicare Advantage plans?

However, these shares have diverged over time: in 2022, 44% of all Medicare enrollees were in enrolled in Medicare Advantage versus 48% with just Parts A and B.

Why I Would Always Choose Original Medicare.

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Why would I choose Medicare Advantage over Original Medicare?

Original Medicare does not include prescription drug coverage. You may choose to purchase a stand-alone prescription drug plan from a private company. Most Medicare Advantage plans include coverage for prescription drugs, although there are also MA plans that cover medical services only.

Why seniors are choosing Medicare Advantage over traditional Medicare?

Many Medicare Advantage plans offer additional benefits, such as money toward dental or vision care, which isn't covered by Original Medicare. About 1 in 4 people say extra benefits pushed them to choose Medicare Advantage, according to a survey by the Commonwealth Fund, a health care think tank.

Do most people choose Original Medicare?

More than twice as many people enrolling in Medicare choose traditional Medicare over a Medicare Advantage plan. A new report from the Kaiser Family Foundation suggests that most older adults and people with disabilities want open access to doctors and hospitals and fewer administrative hassles.

Is it hard to switch from Medicare Advantage to Original Medicare?

Again, you do need to contact your plan provider directly to disenroll, but once you do, nothing more is required on your part. Once you contact your Medicare Advantage plan during Annual Enrollment to dis-enroll, your coverage will automatically revert to Original Medicare.

Can you go back to original Medicare after Medicare Advantage?

If you're already in a Medicare Advantage plan and you want to switch to traditional Medicare, you should contact your current plan to cancel your enrollment and call 1-800-MEDICARE (1-800-633-4227). Note there are specific enrollment periods each year to do this.

Why are people switching to Medicare Advantage?

Lower out of pocket costs

Under Medicare Advantage, each plan negotiates its own rates with providers. You may pay lower deductibles and copayments/coinsurance than you would pay with Original Medicare. Some Medicare Advantage plans have deductibles as low as $0.

Is Medicare Advantage better or worse?

For many seniors, Medicare Advantage plans can work well. A 2021 study in the Journal of the American Medical Association found that Advantage enrollees often receive more preventive care than those in traditional Medicare. But if you have chronic conditions or significant health needs, you may want to think twice.

Who uses Medicare the most?

The U.S. states with the highest percentage of Medicare beneficiaries among their populations were Maine and West Virginia, where 24 and more percent of the population was enrolled. With over 6.2 million, California was the state with the highest number of Medicare beneficiaries.

Is it necessary to have a Medicare supplement?

Medicare supplement plans are optional but could save you big $$$ on doctor bills. Your cost-sharing under Part B is similar. You are responsible for paying your Part B deductible, which is $226 in 2023. Then Part B Medicare only pay 80% of approved services.

What is the average age of people on Medicare?

The majority (83%) of Medicare beneficiaries are ages 65 and older, and another 17 percent are younger than age 65 and qualify for Medicare because of a long-term disability (Figure 3, Table 2).

Is Medicare Advantage going away?

While there are no current plans for the Medicare Advantage program to be phased out, in some situations, your Part C coverage may end through no fault of your own.

Do you still have original Medicare with an Advantage plan?

If you join a Medicare Advantage Plan you'll still have Medicare, but you'll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare. You must use the card from your Medicare Advantage Plan to get your Medicare- covered services.

What is a main difference between Medicare Advantage and Original Medicare?

Medicare Advantage plans cover everything Original Medicare covers plus more, so if you want things like dental, vision or fitness benefits, a Medicare Advantage plan may be the right choice.

What percentage of seniors are on Medicare Advantage?

Forty-five percent of Medicare beneficiaries are enrolled in Medicare Advantage plans in 2022, a share that is projected to rise to more than 50 percent by 2025.

Is Medicare Advantage more expensive than traditional Medicare?

Medicare Advantage can cost less than Original Medicare. That's because Medicare Advantage plans must have a maximum out-of-pocket limit.

What is true about original Medicare?

Under Original Medicare, the government pays directly for the health care services you receive. You can see any doctor and hospital that takes Medicare (and most do) anywhere in the country. In Original Medicare: You go directly to the doctor or hospital when you need care.

Why people don t like Medicare Advantage plans?

High Out-of-Pocket Costs

One of the primary reasons why Medicare Advantage plans are bad for some is because of their high costs. While these plans may offer lower premiums than traditional Medicare, they often come with additional costs that can quickly add up.

Are seniors happy with Medicare?

Overall, the vast majority of adults 65 and older with Medicare coverage (94%) report being very satisfied or satisfied with the quality of their medical care and the availability of specialists.

What is the difference between Medicare Advantage plans and supplemental plans?

Medicare Advantage and Medicare Supplement are different types of Medicare coverage. You cannot have both at the same time. Medicare Advantage bundles Part A and B often with Part D and other types of coverage. Medicare Supplement is additional coverage you can buy if you have Original Medicare Part A and B.