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 Get to Know Medigap | Medicare Supplement Insurence

Get to Know Medigap | Medicare Supplement Insurence

Medicare Supplement Insurance is what you need to cover the “gaps” in Original Medicare and is provided by private organizations. Medicare covers most but not all part of the health care expenses.

A Medigap Or Medicare Supplement Insurance Plan helps you cover the leftover parts of health care expenses such as Copays, Coinsurance, Deductibles.

Newly Eligible candidates can’t avail of Part B covered deductibles. Which in turn makes them[Newly eligible candidates for Medicare on or after January 1, 2020] restricted from availing of Plan C and F.

If one has already been covered by Plan C or F or Plan F high deductible version before January 1, 2020, they can keep the plan intact. If one was eligible before January 1, 2020, but not enrolled yet, they may be able to buy one of these plans covering part B deductibles.

There are Insurance Policies that cover services beyond Medicare. Like Medicare, while traveling outside the U.S.

When you buy Medigap Policy as an addition to Original Medicare:
Medicare pays the share of the Medicare-approved amount for the covered cost, and Medigap policy pays its share in healthcare costs.

Things must know about Medigap policies. 

  1. One should have Medicare Part A and Medicare Part B.
  2. Medigap policy and Medicare Advantage Plans are not the same. Plans give you Medicare benefits, and the Medigap policy only supplements the benefits of your plan.
  3. Besides the monthly Medicare Part B plan’s premium paid to medicare, you pay an additional premium for your Medigap policy.
  4. Medigap Policy covers only one person. Each spouse requires to enroll separately.
  5. Only licensed insurance companies in each state can sell Medigap Policy.
  6. An Insurance company cannot cancel your Medigap policy as long as you pay the premium irrespective of the health problems, hence it guarantees renewal on Standardized Medigap Policies.
  7. Some Medigap policies that are sold in the past cover physician-endorsed drugs. As it may, Medigap policies sold after January 1, 2006, are not permitted to incorporate physician endorsed drug inclusion. You can get a Medicare Prescription Drug Plan on the off chance that you need Medicare-Prescription Drug Plan (Part D). On the off chance that you purchase Medigap and a similar organization’s Medicare drug plan, you may have to make 2 separate premium payments. Contact the organization to discover how to pay your expenses.
  8. It is illicit for anybody to sell you a Medigap Plan if you have a Medicare Advantage Plan except if you’re switching back to Original Medicare.

Medigap policies covering everything is a myth.

Long-term care, hearing aids, eyeglasses, vision or dental care, or private-duty nursing aren’t covered usually.

Insurance plans besides Medigap

Some types of insurance besides Medigap plans. Such as

  • Medicare Prescription Drug Plans
  • Veterans’ benefits
  • Medicaid
  • Long-term care insurance policies
  • Medicare Advantage Plans (such as an HMO, PPO, or Private Fee-for-Service Plan)
  • Tribal, Urban Indian Health plans & Indian Health Service
  • The Federal Employees Health Benefits Program (FEHBP) included by employer or union plans.

Dropping your entire Medigap policy (not just the drug coverage) 

You may require a completely different Medigap policy (not just your old Medigap policy without the prescription drug coverage). Or, you might decide to switch to a Medicare Advantage Plan that offers prescription drug coverage.

If you decide to drop your entire Medigap policy, you need to be careful about the timing. When you join a new Medicare drug plan, you pay a late enrollment penalty if one of these applies:

  • You drop your entire Medigap policy and the drug coverage wasn’t  creditable prescription drug coverage
  • You go 63 days or more in a row before your new Medicare drug coverage begins
  • Find a Medigap policy.
  • Call your State Health Insurance Assistance Program (SHIP).
  • Call your State Insurance Department.

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