Medicare Blog

why should someone choose a medicare supplement plan

by Dr. Maximilian Wilderman Sr. Published 2 years ago Updated 1 year ago

A Medicare supplement plan can save you money and provide peace of mind. Original Medicare, which consists of Medicare Part A and Part B, typically does not cover all of an individual’s health care costs. In order to fill the gap, many individuals purchase a Medicare supplement plan.

Full Answer

What are the top 5 Medicare supplement plans?

  • Plan G
  • Plan N
  • Plan A
  • Plan F
  • High Deductible Plan F

Are Medicare supplement plans worth it?

Medicare Supplement plans are worth it; doctor freedom, low out of pocket costs, and when Medicare pays the claim, your supplemental Medicare plan will pay the rest. Our team of experts is ready to answer your questions are share the most popular Medigap plans in your area. Call us today to find out if Medicare Supplements are worth it for you!

Do I really need a Medicare supplement?

You need a Medicare supplement to provide you peace of mind, knowing that if the unexpected happens, you won’t have your credit ruined because of unpaid medical bills. Medicare supplements take care of things like co-payments, deductibles, and coinsurance that you are responsible for, and some plans even cover you if you travel outside of the United States.

What is the best Medicare plan?

They are here to talk about their 5 star medicare plans available to switch your current plan or during the election periods throughout the year. As independent agents, Deb and Jerry represent most of the supplement plan and drug -plan carriers and all Medicare advantage plan carriers.

What is the purpose of Medicare supplemental insurance?

Medicare Supplement or Medigap policies are designed to pay your costs related to Original Medicare. Depending on the plan you choose, they could pay the Part A hospital deductible, the Part B deductible, and the 20% coinsurance that you are responsible for, as well as other out-of-pocket costs.

What are the advantages and disadvantages of Medicare Supplement plans?

Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.

What is a key advantage of Medicare Advantage plans?

If you join a Medicare Advantage Plan, you'll still have Medicare but you'll get most of your Part A and Part B coverage from your Medicare Advantage Plan, not Original Medicare. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.

What is the difference between Medicare and a supplemental plan?

When you buy a Medicare Supplement insurance plan, you are still enrolled in Original Medicare, Part A and Part B. Medicare pays for your health-care bills primarily, while the Medigap plan simply covers certain cost-sharing expenses required by Medicare, such as copayments or deductibles.

What are the disadvantages of a Medicare Supplement plans?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

Can I switch from an Advantage plan to a supplement?

If you have a Medicare Advantage plan, it is against the law for a company to sell you a Medicare Supplement insurance plan, unless you are planning to switch to Original Medicare.

What is the most popular Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.

What is the difference between Medicare Part C and Part D?

Medicare Part C is an alternative to original Medicare. It must offer the same basic benefits as original Medicare, but some plans also offer additional benefits, such as vision and dental care. Medicare Part D, on the other hand, is a plan that people can enroll in to receive prescription drug coverage.

Do Medicare Advantage plans save you money?

The combination of better benefits and better care for MA members means that the average MA member saves more than $1,600 a year on personal health care costs, as compared to traditional Medicare enrollees.

How do I choose a Medicare Supplement plan?

Follow the steps below to purchase your Medigap plan:Enroll in Medicare Part A and Part B. ... Find which insurance companies in your state are licensed to sell Medigap plans by visiting Medicare.gov.Compare costs between companies. ... Select a Medigap plan that works best for you and purchase your policy.

Can you switch from Medicare Supplement to advantage?

If you currently have Medicare, you can switch to Medicare Advantage (Part C) from Original Medicare (Parts A & B), or vice versa, during the Medicare Annual Enrollment Period. If you want to make a switch though, it may also require some additional decisions.

Which of the following is true about Medicare supplement insurance plans?

Which of the following is true about Medicare Supplement Insurance Plans? They are regulated by the Centers for Medicare & Medicaid Services (CMS). Plan benefit amounts automatically update when Medicare changes cost sharing amounts, such as deductibles, coinsurance and copayments.

What is a medicaid supplement?

A Medicare Supplement Insurance Plan, or Medigap, is private health insurance that Medicare beneficiaries purchase to help them pay for additional expenses not covered by Original Medicare. Currently, there are ten available plans, with benefits ranging from foreign travel emergency care to hospice care. However, starting in January 2020, this will be reduced to eight plans. Your choices are going to change, but one thing will not: the importance of choosing the plan that is most appropriate for your financial and health situation. Although you can decide to switch plans after you first enroll, companies can refuse to issue a policy based on health concerns, or simply hike your rates. So, choose wisely and consult the expertise of an insurance agent or broker.

When will Medicare Part B be eliminated?

The new law comes into effect on January 1, 2020.

Can you deny Medicare coverage at 65?

When looking for a Medicare Supplement Insurance Plan, keep in mind that companies cannot deny you acceptance due to a pre-existing condition when you enroll in a Medigap plan during Medicare open-enrollment at age 65.

Can you switch health insurance plans after enrolling?

Your choices are going to change, but one thing will not: the importance of choosing the plan that is most appropriate for your financial and health situation. Although you can decide to switch plans after you first enroll, companies can refuse to issue a policy based on health concerns, or simply hike your rates.

Can you renew Medigap if you are enrolled?

However, beneficiaries who are currently enrolled can continue to renew their policies because, in general, all Medigap plans are guaranteed renewable as long as enrollees continue to pay their premiums on time. Regardless, these beneficiaries can switch plans.

Why are Medicare supplements called medicap?

Medicare supplements are also known as “medigap” plans because they fill the gaps in Medicare. Medicare supplements cost more than Medicare Advantage – up front. Lately, most of my clients who are turning 65 have chosen a Medicare supplement over Medicare Advantage.

What is Plan F Medicare Supplement?

Plan F (as in “full coverage”) is the most expensive medigap plan, but it is the simplest plan. That’s because it fills all the gaps in Medicare and a person should never get a bill.

Does Medicare Advantage cover doctor visits?

Medicare Advantage plans are popular with people who would rather take their chances that they will stay healthy and will not have the “pay as you go” costs that are part of every Advantage plan (co-pays for doctor visits, labs, therapy, hospital stays).

Is Medicare Advantage popular in Arizona?

And this is true. Usually, a bill results from a mistake in coding at the doctor’s office. Medicare Advantage is very popular in Arizona, with nearly 50% of Medicare beneficiaries in Pima, Pinal and Maricopa counties enrolled in these private plans.

Why choose Medicare Supplement Plan?

Why Choose a Medicare Supplement plan? Whether you need medical care while traveling, in the comfort of home, or you want the flexibility to see any medical doctor or specialist that accepts Medicare, a Medicare Supplement plan may be just what you need. As you prepare for the next chapter of your journey, having a flexible ...

How to contact Medicare Supplement?

For others, purchasing a Medicare Supplement plan to enhance their Original Medicare coverage may be the right choice. To help you find the plan that's right for you, compare your Medicare coverage options, here, or call 888-825-4482 [TTY:711] to speak with one of our knowledgeable agents to help. For coverage you can count on, choose ...

What is Medicare Advantage?

Medicare Advantage plans are sold by private insurance companies like Blue Shield of California to combine the benefits of Original Medicare with other benefits, like prescription drug coverage. Medicare Advantage plans may have more restricted provider networks, depending on the plan. A person with this type of plan may pay a premium, copayments, and a deductible.

Why is it important to sign up for Medicare before 65?

That’s because it’s important you sign up for Medicare before you turn 65 to ensure you have the health coverage you need at a time when it matters most. Plus, enrolling when you’re first eligible will help you avoid paying late fees due to late enrollment.

What are the benefits of Plan G Inspire?

6 Vision benefits include coverage for costs that are not traditionally covered by Original Medicare, such as, eye exam, frames, eyeglass lenses or contact lenses. 7 One-time use per quarter allowance for eligible items.

Does Medicare Supplement pay for everything?

Though Original Medicare provides some health coverage, you should know that it does not pay for everything. This is where a Medicare Supplement plan (also known as Medigap) can help ― it can help cover the health care costs not covered by Original Medicare, including some copayments, coinsurance, and deductibles.

Is Medigap coverage right for you?

Medigap coverage may be right for you if : You are seeking treatment or care when traveling out of state. You want to seek treatment from a Medicare-approved provider of your choice. You want help paying for the healthcare costs Original Medicare doesn’t cover, like deductibles, copayments, and coinsurance.

What is Medicare Supplement?

Medicare Supplements. Medicare supplements are ideal for seniors who have Original Medicare and need help paying some of their out-of-pocket costs. Known as Medigap insurance, a Medicare supplement covers things like co-payments, coinsurance payments and deductibles.

What is Medicare Advantage?

Medicare Advantage plans combine the components of Original Medicare — Part A and Part B — into a single plan, while Medicare supplements help pay for costs that Medicare doesn’t cover. Seniors looking for lower costs or better coverage may want to explore their Medicare Advantage options.

Does Medicare Supplement cover Medicare Advantage?

It may also cover services that Original Medicare doesn’t cover. A Medicare supplement isn’t a replacement for Original Medicare or a Medicare Advantage plan; it simply supplements the coverage provided by Original Medicare.Medicare supplements are only available to seniors enrolled in Original Medicare. Seniors with Medicare Advantage plans may ...

Does Medicare Advantage have a co-payment?

Some Medicare Advantage plans have $0 premiums, which means a Medicare Advantage plan may help seniors save money every month. Medicare Advantage plans may also have lower co -payments or coinsurance requirements than Original Medicare, which can reduce a senior’s out-of-pocket medical costs.

Does Medicare Advantage have an annual maximum?

Original Medicare doesn’t have an annual maximum, which may make services received under a Medicare Advantage plan more affordable.Another advantage of choosing a Medicare Advantage plan over Original Medicare is that some plans include vision and dental coverage.

Can seniors with Medicare Advantage plan take Medicare supplements?

Seniors with Medicare Advantage plans may not purchase any Medicare supplements. Seniors may want to keep in mind that Medicare supplements sold after January 1, 2006, can’t include prescription coverage. Seniors in need of drug coverage may want to look into purchasing Medicare Part D, a type of Medicare that provides coverage for prescription ...

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