Does A Medicare Supplemental Plan Replace Original Medicare?



The Medicare Supplemental Insurance Plan is in place to assist Medicare participants with the out of pocket costs for healthcare services. There are tests or special medical services, which are not covered under Medicare Parts A and B. The Medicare participant is financially responsible for these charges unless they have a Medicare Supplemental Insurance plan to cover the costs. For those who are eligible to purchase the Medicare Supplemental Insurance Plan, the coverage can save a great deal of out of pocket expenses.

Eligibility

Medicare participants who meet the eligibility requirements for Medicare Supplemental Insurance Plan and hold proof of Medicare are eligible to purchase the Medicare Supplemental Insurance Plan coverage. When a Medicare participant visits a doctor’s office or hospital for services, both plans are used to cover the costs of the services rendered. When selecting the Medicare Supplemental Insurance Plan the Medicare participant needs to understand services covered between both Medicare plans and learn to use them in managing their own future healthcare.

Coverage

The Medicare Supplemental Insurance Plan should be purchased within 6 months of enrollment by the Medicare participant into the Medicare Part B. The reason is that private insurance carriers, who provide Medicare Supplemental Insurance Plan, cannot deny coverage to any Medicare participant for pre-existing health conditions during this time period. Medicare participants need to expect increased costs of Medicare Supplemental Insurance each year.

Costs

Premiums are based on the age of the participant at the time the supplemental plan selection and purchase is completed. The increased costs are connected to inflation, which effect Medicare benefits, since Medigap is a benefit of Medicare, the costs to the Medicare Supplemental Insurance Plan monthly premiums are subject to increases.



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