TUESDAY, JANUARY 3, 2023
Supplemental insurance helps pay out-of-pocket costs for people with Original Medicare, which includes Part A (hospital insurance) and Part B (medical insurance). Private insurers offer these plans, often referred to as Medigap.
Medigap helps cover Medicare copays, deductibles and coinsurance amounts according to the plan’s terms. In most states, Medigap plans, also called Medicare supplement insurance plans, are named A–D, F, G, and K–N. These plans are standardized to provide the same coverage. People who choose to purchase a Medigap plan keep their Original Medicare coverage.
Can You Be Turned Down for Medicare Supplemental Insurance?
In general, Medigap insurance providers aren’t allowed to deny applicants coverage due to a medical condition so long as they apply during the Medigap open enrollment period. During this time, Medigap providers must sell applicants a plan at the best available rates, regardless of current health status or past health problems.
The Medigap open enrollment period begins during the first month of Medicare Part B (medical insurance) coverage. Medicare recipients who choose not to enroll in a Medigap plan during this time may be turned down for coverage or pay more if they attempt to sign up outside the open enrollment window.
What Is the Best Medicare Supplemental Insurance Plan?
The best Medicare supplement for your situation depends on your budget, main healthcare concerns, health conditions and lifestyle.
For example, plans D and G may be a good fit if you plan to travel outside of the U.S. These Medicare supplement plans cover 80% of foreign travel emergencies up to the plan’s limits.
Some Medicare recipients have specific concerns about covering out-of-pocket expenses. Medigap plans may help address those concerns. For example, if you want help paying for potential skilled nursing facility care copayments, Plans D, G, M and N help cover 100% of those out-of-pocket costs. Plans K and L also provide partial coverage for skilled nursing facility copayments.
Medicare recipients who want help controlling their annual out-of-pocket healthcare costs may choose a plan with an out-of-pocket limit, such as Plan K or L.
Your agent can help evaluate your situation and recommend an appropriate Medigap plan to help address your concerns.
Contact Us
Contact Vanmar Insurance in Yakima, Washington, to get supplemental insurance quotes to help cover Medicare’s common out-of-pocket costs.
This blog is intended for informational and educational use only. It is not exhaustive and should not be construed as legal advice. Please contact your insurance professional for further information.
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