A Medicare Supplement Plan home page, sometimes also known as Medigap, is an individual insurance plan which will help cover some of your healthcare costs that Medicare does not cover. This can include deductibles, coinsurance and out-of pocket costs for certain healthcare costs. For Medicare participants who are on the rise and experiencing rising healthcare costs, a Medicare Supplement Plan can help put your mind at ease. For example, if you are one of those aging baby boomers who are paying for long term health care but have been turned down by their current HMOs (Health Maintenance Organizations) or PPO (Preferred Provider Organizations) forgoes the choice to select from a hospital within their network. If you go with a Medicare Supplement Plan, you will be covered in most cases for those three types of healthcare services – hospitalization, nursing home care and surgery – regardless of where the service is performed. You will still need to purchase the specific policy that covers your specific healthcare needs.
Medicare Supplement Plans were created to help bridge the gap between the actual cost of healthcare services and what Medicare would provide if a person fell ill and needed to be hospitalized. Before Medicare Supplement Plans, if a person fell ill and was unable to pay their own medical bills Medicare would cover the rest. Today, most people are finding it difficult to pay their own deductibles and coinsurance due to rising healthcare costs. A Medicare Supplement Plan can be a life saver in situations like this.
Although Medicare Supplement Plans helps relieve some of the pressure on high-cost care, they do not always offer a better alternative to high-deductible, out-of-network providers. When considering Medicare supplement insurance plans, it’s important to understand how Medicare advantage plans work. Basically, the applicant (the one who applies for the insurance) makes an initial premium payment, then makes payments every month to the Medicare provider of their choice. After making the initial premium payment, the applicant can take advantage of all of the benefits provided by their specific provider until they retire. It basically pays for the “gaps” left behind by other insurance plans.
Medicare Supplement Plan coverage varies from state to state. There is no single uniform national standard as to what Medicare supplement original Medicare policies offer. Each state has different laws and rules regarding how premiums, exclusions and providers are chosen. In general, advantage plans and other policies from smaller, out-of-network providers tend to offer fewer services and coverage than policies offered from larger, more liberalized providers.
Obviously, the most common services covered under Medicare advantage plan options are in-patient hospitalization, skilled nursing home care, hospice care, and physician visits. However, these benefits are not available across all states, so it’s a good idea to investigate your specific state’s regulations before selecting a plan. For example, in Alabama, there is no limit on the number of times you can visit a hospital within a 30-day period, but once you visit a hospital within that period, your Medicare claims will be disqualified. Similarly, many Medicare Advantage Plans excludes chiropractic care from being included in your treatment plan. Make sure your providers list their services in full in order to receive the full benefit.
As mentioned earlier, the government hopes to have Medicare Supplement Plan options available in five years. Although this is still years away, it is far more realistic than the ten year periods given by official Medicare figures. Additionally, it is likely that Medicare Supplement Plan options will become even more varied by the time five years rolls around. The time frame given by the government would be based on when problems with the current system are most severe.