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Comprehensive Guide To Medigap Parts A Through N

Plan A of 2013 is a plan offered by all Medigap providers with standardized policies, meaning all policies issued within Plan A carry the same benefits even though price and service may vary from company to company. Plan A contains the most basic service coverage of all Supplemental Medigap plans and is thereby often referred to as medigap insuranceyour standard Basic Supplemental Insurance Plan. The advantage of the coverage provided being generally less than other plans is the lower, more affordable premiums – you won’t have to pay for benefits that chance may have it you think will go unused. If you feel that basic coverage is most suitable and you don’t think you’ll require a policy that offers more coverage in the event of an incurrence that will require it, Plan A may be the right plan for you. Within the basic coverage offered by this plan, you will find coverage for:

  • Hospitilization
  • Medical Expenses
  • Blood

Hospitalization covers not only the coinsurance for Part A but compensation for the next 365 days (one year) after your benefits with Medicare will expire. It will also cover the coinsurance costs inflicted under Part B of Medicare, which statistically averages at about 20% of outpatient hospital care/20% of approved health care costs. As far as coverage for blood goes,Comparison of Medigap insurance plans the first three pints of blood not otherwise covered by Medicare are supplemented. As one can see, Plan A does not cover a few of the benefits found to be more comprehensive under neighboring plans. Included in this would be the deductibles for part A and B, emergency care for travel outside the country as well as coinsurance for skilled nursing care. Atop these excluded benefits is the loss of coverage for excess charges under Part B of Medicare, although it does pay all of the approved costs of your services. It is important to keep in mind that under Plan A, coverage is limited to solely Medicare-approved charges.

Medicare Supplement Plan B covers the same basic benefits as Plan A, as well as coverage for the deductible incurred from Part A. Although both Plan A and Plan B offer you many identical medical and hospitalization benefits, a primary advantage for choosing Part B in 2013 would be the lightened responsibility for premiums, as you only are responsible for paying your Part B deductible, whereas coverage under Plan A haves you assuming responsibility for both Part A and Part B deductibles. Basic benefits aside, Plan B offers slightly more coverage for hospitalization expenses. Plan B is a choice plan for those who want moderately additional coverage in comparison to Plan A, exclusively hospital expenses coverage, while maintaining an affordable premium.

  • Coverage from Plan B includes basic benefits:
  • Hospitilization
  • Medical expenses
  • Blood coverage
  • Medicare Part A deductible
  • Hospice Care

Included in Hospitalization is Part A coinsurance and coverage for 365 additional days after benefits end. Included in Medical expenses is the payment of Part B coinsurance (usually 20 percent of Medicare-approved expenses) or copayments for hospital outpatient services. Coverage found in more comprehensive Medicare Supplement Plans but not Plan B consist partially of Skilled Nursing coinsurance, Medicare Part B deductible, and emergency care for travel outside of the country; in addition to the exclusion of coverage of Part B excess charges.

Plan C exhibits indemnity for your essential medical expenses on a higher level than basic benefits. With plan C, you will have the comfort of sleeping at night knowing that such medical needs will be covered. Within coverage, the standard coverage of Plan A is found along with most of every one of your medical necessities. However, Part B excess charges are not covered, whereas they would be in Plans F and G.

Coverage under Plan C includes:

  • Hospitalization
  • Medical Expenses
  • Blood
  • Skilled nursing facility care
  • Part A deductible
  • Part B deductible
  • Emergency care for travel outside the country
  • Hospice care

Included in Hospitalization is Part A coinsurance and coverage for 365 additional days after Medicare benefits end. Included in Medical expenses include the payment of Part B coinsurance (usually 20 percent of Medicare-approvedmedicare supplemental insurance expenses) or copayments for hospital outpatient services. Although coverage doesn’t include excess charges from Part B, it does include payment of all Medicare-approved costs of services.

Part D provides coverage for most of the high-level risk gaps not covered by Medicare alone. Premiums for Plan D tend to be cheaper than Medicare Plan F  which is a more comprehensive supplement plan. Coverage under Plan D includes:

  • Basic Benefits
  • Hospital Coinsurance
  • Medicare Coinsurance (Part B)
  • 365 additional days of hospitalization coverage
  • Blood
  • Skilled nursing coinsurance
  • Part A deductible
  • Hospice Care

Coverage for the Part B deductible as well as excess costs for Part B and preventative care are not covered under Plan B.

Medicare Supplement Plan F is the most popular choice of all Medigap policies, due to the fact that it offers the most comprehensive coverage. All gaps unfilled by Medicare on approved services are compensated under Plan F. Coverage under Plan F includes:

  • Part A coinsurance
  • Part B coinsurance/copayment
  • Part A deductible
  • Part B deductible
  • 100% of Part B excess charges
  • Coinsurance for hospital days 61-150
  • Coinsurance/copayments for Part B after meeting the deductible
  • 365 additional hospital days
  • Coinsurance for hospice services
  • Skilled nursing facility treatment
  • Emergency care for travel outside the country

A key advantage Plan F has available is the insurance of Medicare-induced excess charges resulting from the difference between what Medicare will compensate the physician for their services and what the physician is actually charging. The doctor is permitted to charge you up to 15% of the amount Medicare doesn’t cover, but under Plan F, it will be supplemented for you. Choosing a Plan F policy with a high deductible is also available as an option.

Plan G of Medigap is common among seniors and is known to be affordable. Not only does Plan G cover most of the key Medicare health expenses, but it can also minimize substantial charges that Medicare alone doesn’t cover. In essence, Plan Gis the primary choice for providing coverage for the large expenses not filled by Original Medicare. As long as you don’t mind assuming risk for the Part B deductible (of which Plan G does not cover), Part G may be the right choice for you. Coverage under Plan G includes:

  • Part A copayments
  • Part A coinsurance
  • Part B copayments
  • Part B coinsurance
  • Part A deductible
  • Skilled nursing facility services
  • Blood
  • 365 additional days of hospitalization coverage
  • Emergency care for travel outside the country
  • Hospice care

In comparison to Plan F, Plan G is more affordable but does not cover Medicare Part B deductible or complete cover for excess charges.

Plan K exercises different cost-sharing for services and items in comparison to most other plans. As opposed to paying for all of your costs, Plan K of Medigap will provide coverage in percentages. Some out-of-pocket costs will have to be paid out for select covered services (as a deductible), until the established point of annual out-of-pocket spending is met. At the point of reaching the cap, your Medigap kicks in and pays the rest (100%) of Medicare approved costs including Medicare coinsurance, copayments and deductibles incurred within the year. See the Medicare hand book for a complete explanation.

One should keep in mind that excess charges (doctor charges exceeding approved amounts) are not provided under coverage, nor do they count towards reaching the annual out of pocket limit; thus rendering you responsible for personally funding such costs. This plan necessitates you to pay the out-of-pocket deductible, and benefits will kick in after the established limit has been reached. Coverage included in Plan K includes:

100% full coverage after annual out of pocket limit is met for Medicare-approved expenses, as follows

  • Part A coinsurance
  • Part B coinsurance
  • Hospital benefits
  • Part A deductible
  • Skilled nursing facilities
  • Blood

The deductible for Part B is not covered under Plan K, nor is emergency care for travel outside the country. With all this in mind, Plan K is a good option for those with low medical expenses who want decent coverage for a large array of services with a low premium.

Medicare Supplement Plan L is the right choice for seniors and retirees who have minimal medical expenses because it gives them the privilege of having an out-of-pocket deductible which conclusively results in a relatively small monthly payment. After the annual out-of-pocket limit is reached, (set significantly lower than the out-of-pocket limit set by Plan K) Plan L kicks in and provides coverage in the form of paying 100% of your Medicare Part A/preventative coinsurance. In order to help keep your premiums low with low medical expenses, Plan L requires you to pay a percentage of the costs for other covered services, rather than covering the cost in its entirety for you. Under these circumstances, coverage provided under Plan L includes:

  • Coinsurance for Part A
  • 100% of expenses after Medicare hospital benefits expire
  • Part B preventive care coinsurance
  • 75% of Part B copay/coinsurance (services other than preventive)
  • 75% of skilled nursing facility service/hospice care coinsurance or copay
  • 75% of Medicare Part A deductible
  • 75% of blood coverage after the first three pints

What isn’t covered under Plan L includes the Part B deductible and excess charges, as well as emergency care for travel outside of the country.

2 Responses to “Comprehensive Guide To Medigap Parts A Through N”

  1. Mike says:

    The headline says “Compare Rates”! THERE ARE NO RATES HERE! What’s up with that?

    • Ben says:

      Quote engine is currently down, it’ll be back up in a couple of days (it’s gotta be fixed up – adding more companies/plans to it and what not).

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