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A complete guide to understand the Medigap Insurance basics!

Posted on September 8, 2020 By Ivy Richards

Health is the most precious thing to a person as everything can come back once lost, but health is something that cannot be gained back if once lost. So, you must take care of your health, but some things are out of the control of humans, and one of those things is an illness. 

Any person can fall ill at any time without any prior notice, and the treatments nowadays cost a lot of money, so you must have good health insurance to get some coverage for medical expenses. Medicare is one of the topmost Insurance policies, which is highly popular in the USA. 

There are different Medicare insurance policies, but one of the most popular and beneficial policy is the Medicare supplement policy. It is a significant part of the original Medicare policy and is also known as Medigap Insurance. Several Medicare supplement plans are offering different benefits and coverage. 

Medicare insurance covers most of the medical expenses, but there are few costs, such as coinsurance, copayments, etc., which are not covered by the original Medicare insurance. So, to cover all these expenses, Medicare supplement insurance or Medigap Insurance is there. The following are some basics of Medigap insurance explained that you must learn. 

What is a Medigap insurance policy?

Medigap Insurance is health insurance for which you need to pay a certain amount of money as a premium every month. One Medigap Insurance policy offers coverage for a single person only. Medigap insurance policies are not available for everyone as it is available for only those who have Medical part A and B.

There are different types of Medigap insurance plans starting from Plan A, which goes upto Plan N. You can pick any one of them that offers the best coverage and benefits according to your needs and requirements. The premium amount may vary according to different insurance companies.

What charges and expenses are covered by Medicare supplement plans?

The primary purpose of getting is a Medigap insurance plan is to get all the expenses covered, which are left uncovered by the Original Medicare health insurance plan. Without the Medigap insurance, all those expenses would go out of the pocket of the beneficiary.

If we talk about Plan A and B of Medicare, then it offers coverage for around 80% of expenses after the deductibles are subtracted from it. So, the patient has to carry only the 20% load of the total charges. There are several plans an each one of the covers different types of expenses and have some exceptions too.

What types of expenses are not covered in Medigap policy?

There are certain kinds of coverage that are not included in a Medigap policy and are not covered. Medicare advantage plan is not covered under Medigap policy as a person can have only one of these two. Adding to it, long-term medical care, dental care, private nursing expenses are some expenses that are excluded from the Medigap policies.

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