What Are The Core Benefits Offered In Medigap Plans A-J?



Medigap insurance plans are health policies provided by insurance companies and are intended to fill the gaps that the Original Medicare Plan policy coverage creates. Any individual who is covered by Medicare and is over the age of 64.5 years old is eligible for Medigap insurance. However, the Medigap policies cannot be combined with policies other than the original Medicare. Insurances such as Tricare, Veterans Administration benefits, employer/union group coverage and Medicare Advantage Plans cannot work with Medigap plans.

The need for supplemental insurance

Medigap policies are referred to as Medicare supplemental insurance since they fill the gaps in the coverage provided by Medicare Part A and Medicare Part B, which only provide coverage for 80% of expenses and medical bills. Medicare supplemental insurance plans typically cover co-pays, deductibles and other medical expenses.

Extended hospital stays

The first kind of core benefits Medigap plans A- J covers include extended hospital stays. In any one specific hospital stay, Part A will cover 150 days in the hospital. In addition, it further provides another 365 days that can be used over the lifetime of the policy holder.

Preventative medical care

The second type of core benefits of the Medigap Plans A-J is preventative medical care. Plans E through J are the parts of this Medicare supplemental insurance that covers the preventative care that includes such benefits as doctor checkups and routine physicals. These would not usually be included in the policy of an insurance provider.

Medical co-payments

The third kind of core benefits included in Medigap plans A-J are medical co-payments, which in the original Medicare plan are not sufficient. Most of this co-payment, as long as the provider deems it reasonable, will be covered in Part B. Part D in addition, covers prescription medication for disabled individuals as well as for senior citizens.



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