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Actual Saving
Judy R.  in  Queens, New York
Plan F  
Monthly Before Savings $230.00
Monthly After Savings $89.00
Savings Per Month $141.00
Saving Per Year $1692.00
 
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MEDICARE SUPPLEMENTS

Medicare supplement insurance policies, also known as Medigap, are designed to pick up coverage where Medicare leaves off. These plans, depending on the policy, can pay for coinsurance and deductibles, additional benefits not covered by Medicare, and charges exceeding Medicare-approved rates. Although Medicare itself provides basic protection against the cost of health care, it does not pay all medical expenses or most long-term care expenses. 


Medicare Supplement, or Medigap, coverage is only supplemental to what Medicare covers. If you have expenses not covered in the first place by Medicare (such as non-essential cosmetic surgery), your Medicare Supplement policy generally won’t pay for the coinsurance or deductible. Also, as a general rule, Medigap policies do not cover custodial care or long-term nursing home or home care.
 


The law guarantees the availability of Medigap policies to all new Medicare enrollees without any medical examination if you enroll within six months of your 65th birthday. At that time, you cannot be denied a policy or charged more because of your health.

Medigap insurance is specifically designed to supplement Medicare’s benefits and is regulated by federal and state law. Policies must be clearly identified as Medicare supplement insurance and must provide specific benefits that help fill the gaps in Medicare coverage.

Other kinds of insurance may help with out-of-pocket health care costs, but do not qualify as Medigap plans.

Unlike some types of health coverage that restrict where and from whom care can be received, Medigap policies generally offer the same supplemental coverages regardless of the health care provider that the insured has selected.

If Medicare pays for a service, wherever provided, the standard Medigap policy must pay its regular share of benefits.


Although the benefits are identical for all Medigap plans of the same type, premiums can vary a great deal from one company to another and from area to area.

Each standard Medicare supplement policy, with the labels of Plan A through Plan L, offers a different variety of coverages, essentially filling different “gaps” in Medicare coverage, and varies in price.
 

Below is a brief summary of what Medicare supplement policies A through N cover. Medigap plans M and N will be discussed following the outline of these Medicare supplement coverages.
Medicare Supplement Insurance Plans:

Medicare Supplement Plan A:
  •     Basic Benefits (described above)

Medicare Supplement Plan B:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible for each benefit period for hospital policy services
 
  Medicare Supplement Plan C:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Costs: Your cost ($137.50 in 2010) for days 21-100 in a skilled nursing home
  •     Medicare Part B Deductible: Yearly deductible for doctor services ($155.00 in 2010)
  •     Foreign Travel Emergency:  1) 80% of the cost of emergency care outside the U.S.; 2) Up to $50,000 during your lifetime; 3). A yearly deductible applies.
Medicare Supplement Plan D:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Costs
  •     Foreign Travel Emergency
  •     At Home Recovery:  1) Help for activities of daily living, such as bathing and dressing, if you are already receiving skilled home care covered by Medicare; 2) Help for up to eight weeks after you no longer need skilled care; 3) will pay a co-payment per visit.

Medicare Supplement Plan E:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Costs
  •     Foreign Travel Emergency
  •     Preventive Care:  For preventive services ordered by your doctor
 
Medicare Supplement Plan F:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Costs
  •     Medicare Part B Deductible
  •     Medicare Part B Excess Charges: Pays 100% of the difference between your doctor’s charge and the Medicare approved amount, if your doctor does not accept assignment
  •     Foreign Travel Emergency


*High Deductible Plan F:


Plan F also has an option called High Deductible Plan F. This high deductible plan offers the same benefits as the regular Plan F, but the benefits do not start until after you pay a calendar year deductible. Some of the expenses you will have to pay to satisfy this high deductible include the Medicare deductibles for Parts A and B, but does not include the Plan F Foreign Travel Emergency deductible.

Medicare Supplement Plan G:

  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Costs
  •     Medicare Part B Excess Charges: Pays 80% of the difference between your doctor’s charge and the Medicare        approved amount, if your doctor does not accept assignment.
  •     Foreign Travel Emergency
 
Medicare Supplement Plan H:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Costs
  •     Foreign Travel Emergency
  •     Prescription Drugs (limits apply)

Medicare Supplement Plan I:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Costs
  •     Medicare Part B Excess Charges: Pays 100% of the difference between your doctor’s charge and the Medicare approved amount, if your doctor does not accept policy assignment.
  •     Foreign Travel Emergency
  •     At Home Recovery
  •     Prescription Drugs (limits apply)

Medicare Supplement Plan J:
  •     Basic Benefits
  •     Medicare Part A Hospital Deductible
  •     Skilled Nursing Home Cost
  •     Medicare Part B Deductible
  •     Medicare Part B Excess Charges: Pays 100% of the difference between your doctor’s charge and the Medicare approved amount, if your doctor does not accept assignment
  •     Foreign Travel Emergency
  •     At Home Recovery
  •     Preventive Care
  •     Prescription Drugs (limits apply)



Medicare Supplement Plans K and L:
Medicare supplement plans K and L offer most of the same benefits as the other Medigap insurance plans. However, these Medigap plans provide you with a lower monthly premium. In exchange for a lower premium, these Medigap plans cover less of the co-insurance and co-payments than the other Medicare supplement insurance plans.

Medicare Supplement Plan K:

  •     Basic Benefits
  •     50% Hospice out-of-pocket cost sharing
  •     50% of Medicare-eligible expenses for the first three pints of blood
  •     50% Part B co-insurance, except for preventive care services, which are covered 100%
  •     50% coverage for skilled nursing facility co-insurance
  •     50% coverage for your Medicare Part A deductibles
  •     $4,640 out-of-pocket annual limit (in 2011)

Medicare Supplement Plan L:
  •     Basic Benefits
  •     75% Hospice out-of-pocket cost sharing
  •     75% of Medicare-eligible expenses for the first three pints of blood
  •     75% Part B co-insurance, except for preventive care services, which are covered 100%
  •     75% coverage for Skilled Nursing Facility co-insurance
  •     75% coverage for your Medicare Part A deductibles
  •     $2,320 out-of-pocket annual limit for 2011


Starting June 1, 2010, the types of Medigap insurance policies available changed. These changes to Medicare supplement insurance plans included the following:

  •     There will be two new Medigap plans offered. These are Medigap plans M and N.
  •     Medicare supplement plans E, H, I, and J will no longer be available to buy. If you already have Medigap plans E, H, I, or J or you purchased one of these Medigap plans just before June 1, 2010, you will be able to keep that plan.
Other important changes to Medicare Supplement insurance effective June 1, 2010 included:
  •     Basic Benefits. Starting with Medicare supplement policies on or after June 1, 2010, the Medigap Hospice Part A coinsurance will be covered. Medigap Plan K will cover 50% of the costs, and Medigap Plan L will cover 75% of these costs.
  •     Part B Coinsurance. Medicare supplement Plans K, L, and N will require that you pay a portion of Medicare Part B coinsurance and copayments, which could have the effect of lowering the premiums on these Medigap plans. All of the other Medigap plans pay them at 100%.
  •     Medigap Plans D and G. Medigap Plans D and G, effective on or after June 1, 2010, have different benefits than Medigap Plans D and G Plans purchased prior to June 1, 2010.

Insurance companies that offer Medicare supplement insurance are required to make Medigap Plan A available. If they offer any other Medigap plans, they must also offer either Medigap Plan C or Medigap Plan F. However, not all Medigap plans may be available in all states.

Medicare Supplement Plan M:
Medicare supplement Plan M also has a lower premium, due to the cost-sharing expenses. Out-of-pocket expenses incurred by purchasers of Medigap Plan M include:

  •     Part A Deductible – 50% of $1,100 (in 2010)
  •     Part B Deductible - $155 (in 2010) annual, per calendar year

Essentially, Medicare supplement Plan M was designed to lower out-of-pocket costs for consumers and to provide additional benefits not found in their current Medigap plans.


Many of the benefits in Medicare supplement Plan M are similar to those in Medigap Plan D. The primary difference is that Medigap Plan M will cover only 20% of the Medicare Part A deductible and none of the Medicare Part B deductible.


Medicare supplement Plan M will offer the core Medigap benefits of covering the 20% that Medicare doesn’t cover at the doctor, hospital, and with skilled nursing and hospice coverage. 


Medigap Plan M includes other core benefits of Medicare supplement in that it covers inclusive coverage for Medicare Part A hospital inpatient coinsurance, coverage for expenses after your Medicare benefits run out, coinsurance for Medicare Part B, blood services, hospice charges for drugs, and foreign travel emergency expenses.


Medicare supplement Plan M may be beneficial to you if you have not been to the hospital and do not anticipate any surgery or hospitalization in the near future. Medigap Plan M may also be good for you if you have frequent doctor visits.

Medicare Supplement Plan N:
Medicare supplement Plan N will have the purchaser pay some out-of-pocket expenses. These include:

  •     Hospital emergency room visit co-payment ($50 in 2010)
  •     Medicare Part B deductible - $155 (in 2010) annual, per calendar year
  •     Co-payment for doctors visits – up to $20 per visit (in 2010)

The new Medicare supplement Plan N is similar to both Medigap Plans D and F. But, rather than not covering part of all of the Medicare Part A and B deductibles, Medigap Plan N uses a cost-sharing arrangement in order to keep premiums lower.


With Medigap Plan N, a new copayment structure was created in exchange for the lower premiums. In Medicare supplement Plan N, doctor visit copayments will be $20 and emergency room copayments are $50. And, if you are then admitted to the hospital, the emergency room copayment is waived.


Medigap Plan N also has 100% coverage for Medicare Part A deductible, but no coverage for Medicare Part B deductible.


In addition, Medicare supplement Plan N does not cover the Medigap core benefits that include complete coverage for Medicare Part A hospital charges, the expense for inpatient hospital care after the Medicare benefit runs out. In addition, Medigap Plan N does not cover the blood services and coinsurance expenses for Medicare Part B, Medicare Part A hospice palliative medication coinsurance, or foreign travel emergency services.


In general, the cost of Medicare supplement Plan N is estimated to cost about 70% less than the current cost of Medigap Plan F.


Medicare supplement Plan N could be a good option if you seek low out-of-pocket expenses and no network restrictions.


In addition, Medicare supplement Plan N will not require medical underwriting in some states. Therefore, applicants for Medigap Plan N will not be required to answer medical questions or fill out pharmaceutical information to apply.


If you would like to fill in the “gaps” left by your Medicare coverage, <Click Here> for a quote on a Medicare Supplement insurance plan that will best fit your needs.

 

Choosing the Right Medicare Supplement Policy

Over the years, there have been a number of changes to the Medicare Supplement insurance policy choices that are available to those over age 65. As of last year, however, two additional plans were offered that focus on savings to the consumer through cost sharing types of arrangements. These are Medicare Supplement Plans M and N.

Since both are considered to be cost sharing plans, the insured will be responsible for additional out of pocket expenses as compared to Medicare Supplement Plans C, D, F, and G. Also, the insured will not be tied to any network restrictions for care as they are in Medicare Advantage programs. Therefore, they will be free to receive care from any hospital or doctor that accepts Medicare patients.

Other highlights of Medicare Supplement Plans M and N include:
Plan M

  • No co-payments for office or emergency room visits
  • Fully covers all basic Medicare benefits
  • Covers 50 percent of Medicare Part A deductible
  • Does not cover Medicare Part B deductible
  • Does not cover Medicare Part B excess

Medigap Plan M could be beneficial for people who don’t anticipate any hospitalization or surgeries within the near future. It may also be good for those who have frequent doctor visits.
Plan N

  • Will be issued on a guaranteed basis with some providers
  • Fully covers all basic Medicare benefits
  • There is a $20 co-payment for office visits
  • There is a $50 co-payment for emergency room visits
  • Fully covers Medicare Part A deductible
  • Does not cover Medicare Part B deductible
  • Does not cover Medicare Part B excess

Plan N can be a good option for those who seek low out-of-pocket expenses and no network restrictions.

 

 

 
 
TESTIMONIALS
 
Time and time again, USA Senior Life Advisors you have impressed me, thanks so much for saving me on my medicare supplement and life insurance. Im leaving my email address that you may keep me updated on your savings and other programs to earn income. Yo Wayne R.
Your agent was very professional and courteous. He thoroughly explained how medicare works and how I was to benefit the most from the plan choices that I selected. He also informed me that he would be keeping in touch to make sure that I was happy wi Judith G.
Your agency is truly a breath of FRESH AIR, your agent was very knowlegable and was able to help me earn income from home. I also been able to reduce my prescription costs. Thank you so much. Robert M.
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Thank you, you guys are the BEST....!!!! Margaret S.
 
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