Medicare Advantage Plans & Medicare Supplement Plans

Medicare Advantage Plans & Medicare Supplement Plans
Medicare Advantage Plans

Thursday, October 21, 2010

An Overview of Medicare Supplement Plans A Through L


You'll find twelve Medicare supplement policies that handle expenses not covered by regular Medicare program. Each of these policies is required to pay for particular fundamental items.

The policies are identified as Plan A through Plan L. Each one provides a different set of benefits targeted at filling "gaps" in Medicare insurance coverage. They're each listed consequently. Plans K and L are similar in benefits to Plans A and J, but are less costly every month yet have higher limits.

If you are looking for a high allowable choice, Plans F and J have a $2000 deductible limit. This insurance plan allowable must be paid before the plan insures any expenses whatsoever. The amount of the insurance deductible on these plans aren't fixed and, consequently, may increase annually. Your premium itself is lower, although your out-of-pocket fee will be much higher.

Please be aware: Medicare SELECT is really a Medicare medigap health care insurance policy offered in addition to the twelve common A-L plans. SELECT usually costs less than the standard A-L plans. The downside to Medicare SELECT is the fact that you will have limits on which health professionals and hospitals you'll be able to decide on. If you wish to learn more about which Medicare SELECT plans can be obtained in your area, speak to your state insurance plan department.

Are you presently in a Medicare Advantage Program? (Medicare Health Maintenance Organization HMO is a Medicare Advantage Plan.) If you are, you no longer require a Medigap coverage plan.

People of Massachusetts, Minnesota, and Wisconsin have different normal Medigap plans from which to pick.

Simple Benefits:

Paid for by Plans A-J:

? Medicare Part A copayments along with insurance coverage for 365 more days after Medicare benefits end

? Medicare Part B copayments (typically 20 % of Medicare-approved expenses), or copayments for hospital services

? Initial 3 pints of blood annually

Paid for by Plan K:

Medicare Part A copayments plus coverage for 365 more days after Medicare benefits expire

? 50 % of hospice cost-sharing

? 50 percent for the initial three pints of blood every year

? 50 % Medicare Part B copayments, except 100 % copayments for Part B preventive services

Covered by Plan L:

Medicare Part A coinsurance plus insurance coverage for 365 additional days after Medicare benefits end

? 75 percent of hospice cost-sharing

? 75 % for the first three pints of blood on a yearly basis

? 75 % Medicare Part B coinsurance, except 100 % coinsurance for Part B preventive services

Medicare Part A Hospital Insurance deductible

Dealt with by Plans B-J:

$1,068 in 2009 for each benefit period for hospital services

Paid for by Plan K:

50 percent of the $1,068 Part A hospital insurance deductible

Covered by Medigap Plan L:

75 % of the $1,068 Part A hospital insurance deductible

Skilled Nursing-Home Costs

Dealt with by Medigap Plan C-J:

Your cost ($133.50 in 2009) for the days 21 through 100 in a skilled nursing home

Dealt with by Medigap Plan K:

50 % of $133.50 for days 21 through 100 in a skilled nursing home

Insured by Plan L:

75 percent of $133.50 for days 21 through 100 in a skilled nursing home

Medicare Part B Deductible

Covered by Medigap Plans C, F, J:

Yearly insurance deductible for doctor services ($135 in 2009)

Medicare Part B Excess Charges

Insured by Medigap Plan F (100 percent), G (80 %), I (100 percent), J (100 percent):

If your doctor doesn't accept assignment, the difference between what your medical professional bills and the Medicare-agreed upon amount.

Foreign Travel Emergency

Paid for by Plan C-J:

? Outside the United States: 80 percent of the expense of emergency care

? Up to $50,000 in your lifetime

? Yearly deductible of $250

At-Home Recovery

Paid for by Plans D, G, I, J:

? If already receiving skilled home care dealt with by Medical insurance Help, assistance with daily living activities, such as bathing and getting dressed.

? After you no longer must have skilled care, assistance for up to eight weeks

? Will pay up to $40 a visit, seven visits each week, or a total of $1,600 each year

Non-Medicare-Covered Preventive Services

Paid for by Medigap Plans E, J:

Up to $120 annually for non-Medicare-covered preventive services ordered by your general practitioner








To learn the main features of every single Medigap Insurance plan alternative, visit the Medicare Supplemental Insurance (Medigap) Reference at http://medicaresupplementalinsurances.com now!


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