Medigap – Medicare Advantage Insurance Program

Medigap – Medicare Advantage Insurance Program

Medicare Insurance or Medigap is a health insurance Plan designed to complement the original Medicare insurance. Medigap is offered by private health insurance firms, but administered by Medicare. Medigap helps guarantee some of the health care costs not insured by Original Medicare (“loopholes,” such as co-payment, deductibles, and coinsurance) and some benefits not insured by Medicare. If you have the Medigap and the original Medicare, Medicare will pay your fee for the Medicare-approved values ​​for the insured medical expenses and then the Medigap payment.

Each Medigap Plan must comply with federal and state laws. Medigap strategies are standardized and labeled with the letters A-L. Each Plan must provide the same basic benefits, regardless of the health insurance company that sales. The only difference is the price offered by each provider. Plan A provides basic and basic benefits, while eleven other Plans provide basic benefits and some additional benefits. Plan A offers the following benefits:

  • To reserve insurance for the duration of the life of the hospital Part A for days 91 to 150
  • Part A co-hospital insurance for days 61 to 90
  • About 365 days of lifetime admission under Medicare insurance
  • 3 pints of blood from parts A and B that can be derived
  • 20% of part B insurance

Now, the rest guidelines (B to L) provide another combination of the following benefits:

  • Part A deductible in the hospital
  • Part A Co insurance for nursing insurance for 21 to 100 days
  • Emergency insurance for trips abroad
  • Preventive medical assistance
  • partial deductible
  • home recreation

If you buy a Medigap Plan, you must possess Medicare Part A and Part B. You will be responsible for Medicare Part B and Medigap Plan premium.

Meanwhile, it should be on record that most benefits not covered by Medigap include the following:

  • nursing assistance
  • Hearing aids
  • Prescription drug costs that exceed $3,000 per year
  • Vision care
  • Specialized assistance after 100 days
  • dental care

Note that Plans E, H, I and J are no longer sold (since 2012). But if you already have one, you can continue to receive benefits. Medicare has many deficiencies and does not fund all the necessary health services. If you enrolled for the original Medicare Policy, you can get Medicare Advantage Insurance from, also referred to as Medigap Insurance. This is a health coverage that pays some of the costs of the initial Medicare program and for a cure that does not guarantee.

Medigap insurance Plans are sold by private insurance companies. In accordance with the law, Medigap’s standard insurance Plans are those offered by insurers. There are 11 standard directives called A-N. The Plans offer an exclusive set of benefits that fill several “holes” in insurance and Medicare prices.

You must study all Medigap Plans before launching your store in the best Plan for you. Regardless of which insurance company provides a specific Plan, each Plan with a similar card guarantees the same resources. For example, all Plans in Plan C offer the same benefits, regardless of which company sells the Plan. Prices may vary, however.

The 11 standardized Medigap plans ensure primary benefits; however, each of them has extra benefits that differ by Plan.

Some of the standard Medigap Plans includes:

  • Long-term care for washing, dressing, eating or going to the bathroom
  • visual or dental care
  • headphones
  • glasses
  • prescribed medications
  • nursing care