Friday, May 15, 2009

How Does Medicare Supplemental Health Insurance Work

Enroll


Medicare Supplemental Plans are available to beneficiaries six months after they receive their Medicare benefit. Medicare beneficiaries who are also Medicaid recipients don't need Medigap plans because their services are covered by Medicaid. Medicare beneficiaries who are within 100 percent of the federal poverty level don't need Medigap plans because their services are also covered by a state and federally sponsored plan. Beneficiaries can't be denied from a Medigap plan because of a pre-existing condition.


Choose a Plan


Medicare Supplemental Plan types range from Plan A through Plan L. Different coverage is available through each type of plan. Regardless of who the insurer is, the plan type offers the same level of coverage. If insurer A offers Plan C and insurer B offers Plan C with suggested additional benefits, the consumer may be purchasing something other than a Medigap plan.


All plans offer basic benefits. Services that fall outside of basic benefits include skilled nursing coinsurance, part b deductible, foreign travel emergency, at home recovery and preventative care. Each plan offers basic coverage and a variety of services.








Determine Costs for Service Area


Medicare Supplemental Plans are offered in almost every state in the Union. Massachusetts, Minnesota and Wisconsin have their own version of Medigap plans that mirror supplemental plans in a variety of ways. Location affects the cost of one plan over another. Groups of potential beneficiaries in a geographic location are community-rated








as a tool to determine costs.


Assess Personal Fitness


How much insurance coverage is enough? It's hard to know the answer to that question unless the consumer knows exactly what is covered under an existing plan. Medicare makes the process a little easier by offering a well organization list of choices for additional coverage. Look at past health history and existing conditions. Meet with a physician to determine health prognosis for the future. Unexpected events occur, but look at the current situation to predict future needs.


Contact an Agent


Contact an agent and inquire about technical information that an agent may have about specific insurance companies. Once a final plan is decided with the agent, review the plan annually for possible changes in coverage or increase in premiums.

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