Choosing a Plan

Choosing a Plan

Here at MedicareSupplemental.info we want to ensure that you can trust in our service.

Part of the way we build that trust is by providing informational guides and tips to help

you find the supplemental plan that best fits you.

 


Medicare Overview


Medicare has been around since 1956 providing people in the United States, aged 65 and over, with health insurance which includes coverage for hospitalization and other health related services and products.


Medicare currently has four separate parts which are:


  1. Part A – Hospital Insurance: this part of Medicare covers services rendered while in an inpatient center, like a hospital, hospice, nursing facility or home care.
  2. Part B – Medical Insurance: this portion of Medicare covers things such as doctor visits and outpatient care.
  3. Part C – Medicare Advantage: advantage plans provide a choice of private insurance companies if Medicare doesn’t seem like a good fit.
  4. Part D – Prescription drug coverage.

 


Which option is best for you?


There are two main methods of obtaining coverage. The first way is to go with Medicare Parts A and B. This is the “Original Medicare”. If this is the option you choose, it is typical for you to receive care from the doctor and medical providers of your choosing. The second option for obtaining coverage would be to decide on Medicare Part C or Medicare Advantage. A plan such as this operates similar to HMO (Health Maintenance Organization) or PPO (Preferred Provider Organization) meaning that enrollees generally use the services of providers who are part of the network associated with the plan.

 


Medicare Eligibility


To be eligible for Medicare you must:

  1. Be of age 65 or older.
  2. Under age 65 and diagnosed with certain specific disabilities.
  3. Be of any age and diagnosed with end-stage Renal disease.

 


Medicare Supplemental Insurance


Medicare Supplemental policies are designed to help you cover certain expenses which are not covered by “Original Medicare” which constitutes Part A, Part B, and sometimes Part D. The expenses that a supplemental plan help to cover are things such as coinsurance, co-payments and deductibles.

While Part A, Part B and potentially Part D cover some of your health care and hospitalization expenses, Medicare Supplemental Insurance or MediGap help to cover the additional costs. Although government Medicare Insurance can cover up to 80% of your medial expenses the remaining 20% can become a hardship for many Americans.

It is in these scenarios that Medicare Supplemental Insurance or MediGap policies shine. They are designed to cover the gap that is left after base Medicare has been utilized.

 


Are you qualified for Medicare Supplemental Insurance?


In order to be qualified for Medicare Supplemental insurance, you must first be enrolled in Medicare Parts A and B or “Original Medicare”. If you wish to, or already have opted in to a Medicare Part C or Advantage plan you are not eligible to have a Supplemental plan.


How to obtain a Medicare Supplemental Insurance Quote


One of the easiest ways to get a quote would be to go HERE.


Any licensed agent can get you a quote on a Medicare Supplemental Insurance plan.We can help you get in contact with a licensed agent in your area. Every Agent we work with is held to the highest professional standard to ensure that you have the best experience possible.


How much will a Medicare Supplemental Insurance policy cost?


Premiums vary from plan to plan based of different factors such as the benefits you receive. However, premiums are not dictated solely by the benefits. A general rule of thumb is that the more benefits you receive the higher the premium will be. While having coverage for every thing under the sun offers you a great piece of mind, you may not require coverage for everything. Due to this there are different supplemental plans which offer varying levels of coverage. These plans are alphabetized from Plan A to Plan N. It is important to make sure the plan you select is a perfect fit, that is why medicaresupplemental.info highly recommends you contact an agent to assist in finding the perfect plan for your needs.

There are other factors that effect policy cost besides level of coverage. Part of the reason for these varying premium costs is that MediGap and Medicare Supplemental policies are issued and sold through private insurance companies. Each individual company is allowed to set rates for the plans they offer. Company A might offer the same exact plan as Company B but at a lower rate. This fact further validates the benefit of finding an Agent that can help you navigate these sometimes daunting waters.

The three main factors that dictated a policies premium other than the extent of coverage are:

    1. Issue-age rated (Entry-age rated): A MediGap insurer that determines cost based upon entry-age or issue-age will determine the premium dependent upon the age at which you initially purchased your coverage (when the plan was issued). This pricing allows for cheaper premiums for the “early birds” who purchase a Medicare Supplemental plan at an earlier age. Premiums are still subject to change based off of inflation and other similar factors.
    2. Attained-age rated: This method of premium calculation is based off of the premium on your current MediGap policy at your current age. The premiums for this method are based off the number of years you have “attained” at your current age. This means that premiums will start out low for younger individuals and rise as time goes on.
    3. Community-rated (No-age rated): Community-rated method of premium calculation also known as no-age rated is when premiums are based off of the particular plan you choose and age is not used as a factor. This means that all people with a specific plan are charged the same rate. It is important to remember that while age is not a factor, premiums may still be raised due to factors such as inflation.

Other factors that may also influence the cost of premiums may include: geographical location, discounts due to living conditions, martial status as well as deductibles and medical underwriting status.

For more information about various plans and premium rates in your area click HERE.