What is a Medicare Supplement?
A Medicare Supplement Insurance also referred to as Medigap, is a policy designed to help pay part of the health care costs that were left uncovered by the Original Medicare, such as deductibles, co-insurance and co-payments
Unlike Original Medicare, a Medigap plan is offered via private insurance providers, and you will be required to pay the monthly Medicare Part B premium. Medigap policies must follow state and federal laws that are designed to protect you. If you currently have Original Medicare and you purchase a Medicare Supplement, here’s what happens:
- Your Medicare pays its approved share of the amount of money for covered healthcare expenses
- Then, the Medicare Supplement pays its part
What Is Not Covered by Medicare Supplement Plans?
Medicare Supplements don’t cover the following supplies and health services.
- Hearing aids
- Prescription drugs
- Eyeglasses
- Dental care or routine vision
- Long-term care (care in an assisted living facility or nursing home)
- Private-duty nursing
- Union or employer plans, including the FEHB Program
- Veterans’ benefits
- Insurance policies related to long-term healthcare
- Indian Health Services
- Medicaid
- TRICARE
What Do You Need to Know About Medigap Policies?
- In order to qualify for a Medicare Supplement, you are required to have Original Medicare Part A and B.
- In case you have a Medicare Advantage Plan, you are eligible for Medigap policy application. However, make sure to leave behind the Advantage Plan prior to staring the Medigap policy.
- You make payments to the private company on a monthly basis for your Medicare Supplement policy. You pay this monthly premium aside from the monthly Part B premium that is paid to the Medicare.
- A Medicare Supplement only covers a single person at one time. If you and your partner need Medicare coverage, you will each have to buy individual policies.
- You can purchase a Medicare Supplement policy from any insurance company that has the license to sell one in your state.
- Premium charges may differ on the basis of location and plan, even for the same benefits.
- Generally, Medicare Supplement plans are guaranteed renewable for, provided that you continue paying your premium.
- It is illegal for anyone to sell you a Medicare Supplement Insurance if you currently have a Medicare Medical Savings Account Plan.
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This guide helps you learn about the different parts of the Medicare program, including Medicare Part A and Part B (together, they are often called “Original Medicare”), Part C (often called “Medicare Advantage”) and Part D (the part of Medicare that covers your prescription medications).
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Florida Health Agency is a licensed health insurance agency certified to sell Medicare products. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all your options.
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