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Home>>Health>>Medicare Supplement Plans – Important Guide to Medicare Eligibility
Health

Medicare Supplement Plans – Important Guide to Medicare Eligibility

Frederick Sullivan
October 22, 2021

Choosing between Medicare Supplement insurance and Medicare Advantage plans can be difficult. While original Medicare ( LBSA) covers most of the healthcare costs, it does not cover everything. Even with all covered medical services, often beneficiaries are required to pay a wide range of deductibles and co-payments, which can quickly add up. There is an alternative available to those who need coverage for more than the basic service provided by Medicare.

Medicare Advantage plans 2022 are available to provide immediate coverage whenever necessary. Medicare Supplement plans are standardized contracts that cover different types of healthcare services. Some of the services covered are extended hospital stays, critical illness coverage, physiotherapy, spousal support, prescription drug coverage, vision insurance, dental, pulmonary disease, travel insurance, and gastrointestinal services. Medicare Supplement plans differ from provider to provider. Many times providers offer similar or identical benefits with different variations in deductibles and other benefits.

One thing you should know upfront is that if you have a pre-existing condition then your premiums will be higher than people without that same condition. In addition, Medigap insurance plans do not cover “usual” medical emergencies.

So even if you are at the doctor for a routine procedure or you are experiencing a serious ailment that is not life-threatening, you will need to find a way to pay for it. Another thing to consider is that to qualify for a Medicare Supplement plan you must be 55 or older. Anyone younger than that may qualify for an Advantage plan instead.

Most people do not look into medicare supplement insurance plan benefits very deeply because they are not aware that they exist. For example, what is covered by a standard policy for an individual is a maximum limit of out-of-pocket expenses for covered medications plus a percentage of the cost of prescriptions. Another aspect to remember is that most plans provide a standardized maximum out-of-pocket expense for hospitalization, doctors’ fees, and coinsurance for prescription drugs as well.

There are two types of plans: Medicare Part A and Medicare Part B. The terms “Part A” and “Part B” are used interchangeably. These two programs are jointly designed by the government and health insurance companies to guarantee coverage to Medicare beneficiaries.

Parts A and B cover outpatient hospital stays medical supplies, disability income, funeral expenses, and similar coverage items. The biggest difference between these two types of plans is that Medicare Part A is the more expensive of the two. Part A coverage is also more expensive per person and the cost-per-person rate on Medicare Part B is also much higher.

Medicare Supplement Insurance Plans are available to people whose Medicare coverage has expired or who would like to join Medicare while it is still active. These plans are available in many different configurations with different premiums. Because of this wide range of plan options and rates, both old and young people can qualify for coverage.

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