With open enrollment available through the end of 2008, it might be wise to check out personal options available in Medicare Advantage insurance programs.  The first step is to see which, if any, Advantage programs are available in the county of residence.  The next step is to see which medical and hospital networks are available through the competing Advantage providers.  Then it’s time to compare charges.  Many Advantage plans also have options for Medicare Plan D prescription medicine coverage, but as with all Plan D programs the available medicines, the “formulary,” the deductible and the co-pays have to be evaluated.

The comparison process can be complex and confusing to an older adult, so caregivers and friends can be especially helpful.  Medicare’s Web site, www.medicare.gov, is improved and helpful, and most state governments as well as many not-for-profits serving seniors offer individualized help programs.

Large savings are often possible with Advantage programs over older “Medi-gap” and Medicare supplemental insurance policies, but the terms of coverage need to be carefully compared before considering a switch.

Changing public policy may affect the popularity of the Advantage programs if federal payments to insurance companies offering Advantage products are significantly reduced.