Medicare Supplement Plan Options and You

How much do you know about the most talked about Medicare Supplement Plan? All over the world, we have been hearing about the need to get a medical insurance. This is what this article is all about.

Medicare is a compromise between what types of health care are necessary for senior citizens and what the government can provide. Medicare supplemental insurance plans are the solution to these gaps in coverage. They cover items that Medicare cannot afford.

It covers the costs of more extended hospital stays, different therapeutic care, and emergency coverage that happen abroad. Before joining a plan, make yourself aware of the coverage options and the rules that govern changing policies. If you are still employed and covered under a group health plan, it may affect your Medicare options.

For seniors that are not covered by an HMO or PPO type of plan during their initial enrollment period, it is essential that they join Medicare Part B and Part D. They include medical insurance and specific prescriptions, respectively. Many people are directly enrolled in Part A of Medicare when they become eligible for Social Security.

Original Medicare is a health plan that has two parts: Part A and Part B.  Part A covers expenses related to hospital stay, skilled nursing care beyond custodial care, hospice and home healthcare.  The premium for Part A ranges from nil to a value that is decided based on conditions like Medicare taxes paid for a specified duration.  Part B covers expenses such as doctors’ fees, laboratory tests and surgeries that do not require hospitalization; in addition, Part B covers expenses for preventive services like health check-ups and vaccinations.

 

The Medicare Advantage Plan (Part C) is a kind of health plan that offers the benefits of Part A and Part B and some additional benefits.  Medicare Prescription Drug Plan (Part D) provides coverage for prescription drugs.

 

Both Part A and Part B plans are subject to:

  • Copayments: a fixed payment, within a yearly limit, made by the patient for each service – for example, a visit to the doctor
  • Deductibles: a yearly limit of expenses that the patient has to bear before the insurance plan starts paying medical expenses
  • Coinsurance: a plan in which a fixed percentage of the total expenses are paid by the patient and the rest by the insurer

 

Medicare Supplement Plans 2019 (also called Medigap plans) cover expenses that are not covered by Original Medicare.  These expenses are copayments, deductibles and coinsurance, among other services like medical care when the patient travels out of the country.

 

A Medicare Supplement plan is different from the Medicare Advantage Plan in that the former has to be taken in addition to Part A and B, whereas the latter can be taken as a substitute for Part A and B.  A Medicare Supplement plan can be taken irrespective of whether Part D is taken or not.A Medicare Supplement plan covers only one person, so individual plans need to be purchased for individuals in a family.