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You should ask the SW or DON at the NH how they deal with Medicare Advantage plans.

It really depends on whether their docs and pharmacy accept that plan.
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Honestly this depends on what you/she wants and where she lives.

As NOT on an advantage plan (let us pretend for the moment she uses United Health NOT the advantage program) she would pay a good deal more than on an advantage plan. Years ago my brother paid 250.00 for his monthly as measured against my Kaiser 98.00 per month). However, he was able to see any doctor at any hospital any time.

As member of advantage plans you are limited in terms of doctors in the system and hospitals in the system, such as the Kaiser plan I am a member of.
For me, Kaiser works (most of the time). For some others they want to use what doctor they want in whatever system they wish.

So again, depends on cost factors weighed against the ability to make your own choices. Really there is a lot of telephone "foot work" to work out what's best for you.
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If you change plans and you don't like the new plan, it is my understanding that you will not be able to get the old plan back. If you/your aunt are satisfied with the current plan, I wouldn't change...but that's just me.
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After my dad died, we made the decision to not change any of my mom's Medicare or Medigap plans. We did not want any insurance coverage surprises to occur by changing companies. It was already a stressful time without adding that uncertainty.

I can't really advise whether your aunt should change her Medicare plans, but if she is happy with what she has, it is generally better to stay with what you know.
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