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MEDICARE SUPPLEMENTAL / SENIOR PLANS

 

Medicare Supplemental / Senior Plans

A Medicare Supplemental (Medigap) policy is health insurance sold by private insurance companies to fill the "gaps" in Original Medicare Plan coverage. Medicare has several gaps and doesn't pay for all of the health care services you may need. Medicare Supplement policies help pay some of the health care costs that the Original Medicare Plan doesn't cover. If you are in Original Medicare Plan, you may want to buy Medicare supplemental insurance, also called Medigap insurance.

By law, companies can offer only 12 standard Medigap insurance plans - plans named A-L. Each plan has a different set of benefits. (Beginning in 2006, Medigap plans H, I and J cannot be sold with prescription drug benefits, although people who already had those policies can keep them). No matter which insurance company offers a particular plan, all plans with the same letter cover the same benefits. For instance, all Plan C policies have the same benefits no matter which company sells the plan. However, the premiums can vary. To compare the the cost of Medicare Supplement policies with several major insurance carriers, click here.

All 12 Medigap policies cover basic benefits, but each has additional benefits that vary according to the plan. Briefly, Plan A is the most basic plan. Plans B-L offer everything in Plan A and give even more coverage. Plans K-L offer similar services as plans A-J but the cost-sharing for the basic benefits is at different levels. If you would like to see a side by side coverage comparison of Medicare Supplement plans with complete cost comparison with several major health insurance carriers, click here.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WrightInsurance.org
Your guide through the maze of insurance decision  making!


1-888-427-0269

 
HOME ABOUT US CONTACT US
 

MEDICARE ADVANTAGE / SENIOR PLANS

 

Medicare Advantage / Senior Plans

Medicare Advantage Plans are health plan options that are part of the Medicare program. If you join one of these plans, you generally get all your Medicare-covered health care through that plan. This coverage can include prescription drug coverage. Medicare Advantage Plans include:

  • Medicare Health Maintenance Organization (HMOs)

  • Preferred Provider Organizations (PPO)

  • Private Fee-for-Service Plans

  • Medicare Special Needs Plans

When you join a Medicare Advantage Plan, you use the health insurance card that you get from the plan for your health care. In most of these plans, generally there are extra benefits and lower copayments than in the Original Medicare Plan. However, you may have to see doctors that belong to the plan or go to certain hospitals to get services. Your choice of doctors, hospitals and other medical providers with Medicare Advantage PPO plans are a lot greater than with Medicare Advantage HMO plans, there is no need to select a primary care physician, you can choose a doctor whenever you need care, you do not need a referral to see a specialist or to get another opinion about a medical condition.

To join a Medicare Advantage Plan, you must have Medicare Part A and Part B. You will have to pay your monthly Medicare Part B premium to Medicare. In addition, you might have to pay a monthly premium to your Medicare Advantage Plan for the extra benefits that they offer.

To compare Medicare Advantage Plans click here.