Find Medicare Supplement Insurance that’s Right for You

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There’s a Better Way to Handle Your Medicare Bills

Medicare Supplement insurance coverage

One of the most frustrating aspects of healthcare is understanding the totality of your benefits and how much you’ll need to pay out-of-pocket. In the case of Medicare coverage, there are some extra healthcare expenses involved that are simply not fully covered. This leaves you, the insured, responsible for costly bills; and this can become quite overwhelming to many.  

 

As a solution to this, insurance carriers provide standardized Medicare supplement riders. Widely known as Medicare Supplement insurance plans, these policies can help you manage Medicare’s additional costs with the goal of minimizing your out-of-pocket expenses. With this additional coverage, you become protected from all types of extra costs by bridging the gap in your Original Medicare policy.  

 

With a medicare gap plan, you’ll be able to spend more time enjoying retirement as opposed to spending valuable time, money and energy managing your health care bills.

 

Read more about Medigap.

Medicare Supplement insurance coverage

What are Medicare Supplemental Policies? How do they differ?

Medicare coverage

Sold by insurance companies, Medigap is an insurance policy that must follow federal guidelines to be approved as an insurance rider for medicare. For example:

  • Medicare policy holders cannot obtain coverage unless they also have Medicare Part A & B.
  • There are no joint plans, it only covers one person. So a married couple will need two policies, one for each spouse.
  • These policies cannot be used in combination with Medicare Advantage.  
  • These policies are standardized. This means, for example, that a Medigap Plan F in one state provides the same coverage as a Plan F located in another state.  
  • Although the plans are standardized, insurers that offer the coverage will be different and the pricing will vary as well.
Medicare coverage

Paying for your Medicare Supplement Insurance Coverage

If you have Original Medicare coverage (Medicare A & B) in conjunction with a Medigap plan, you’ll end up paying two separate premiums. The first premium for Medicare Part B and the other for the gap coverage; this is assuming you have no premiums to pay for Medicare A (If you are 65 and you or your spouse has paid Medicare taxes for at least 10 years, you don’t pay a premium for Part A).  

 

Where Medicare B premiums are taken from your Social Security income check,  Medigap premiums, on the other hand, are paid directly by you to the insurance carrier that offers the policy.

 

Neither Original Medicare nor a gap plan cover outpatient prescription drugs.  If prescription drugs are needed, Medicare enrollees can purchase a separate Part D prescription drug coverage policy by paying a separate monthly premium. Since 2006, when Medicare Part D coverage became available, gap policies stopped including any outpatient prescription drug coverage, however, some previous policies issued before 2006 may have been grandfathered-in.

What does it Cover?

Medicare Supplement insurance plans

Medicare supplement insurance coverage handles the sorts of expenses

that you, as a beneficiary of Medicare A & B, would have to pay out-of-pocket. It is important to note that these expenses are covered by Medicare, but not fully covered.

 

In most cases, Medigap plans are put in place to handle out-of-pocket expenses for services that are covered by Medicare. For example, this means that gap plans do not cover vision and dental fees, just as Original Medicare does provide coverage for routine vision and dental services. 

 

Read more about Medigap policies and what they cover.

Medicare Supplement insurance plans

What About Deductibles and Coinsurance?

Medicare Supplement plans

Both Medicare A & B both come with deductibles and coinsurance. When the deductible is met, Medicare Part B covers 80% of the approved amount, leaving you to pay the other 20% with no limit on out-of-pocket expenses.

 

For every benefit period, Medicare Part A applies a deductible, and then coinsurance starts to accrue after 60 days in the hospital.  Although it is termed ‘coinsurance’, it is actually a fixed daily amount, not a percentage of the cost.

 

For stays that go beyond 20 days in a skilled nursing facility, as per Medicare Part A, a coinsurance charge is applied. As in the case of Part B, there is no limit on the amount an enrollee can spend in out-of-pocket expenses under Part A.  

 

Medicare supplement insurance coverage comes into play to protect Medicare beneficiaries from these deductibles and coinsurance expenses. These policies are in fact the ‘bridge’ that fills the gap in Medicare.

Medicare Supplement plans