When Will Medicare Supplemental Insurance Pay The Difference?



Medicare Supplemental Insurance is a secondary insurance to the original Medicare plan. As Medicare participants reach the age of 65 and enroll in Medicare Parts A and B they become eligible for Medigap Medicare supplemental insurance. Once the Medicare participant has both the Medicare original and the Medigap Medicare supplemental insurance plan in place, each plan pays its share of the covered medical costs. Both Medicare original and Medigap Medicare supplemental insurance plans have premiums that must be kept current for the coverage to remain active.

Original

Medicare original Parts A and B cover visits to doctors and stays at hospitals. Copays, deductibles and out of pocket costs that are not covered under the Medicare original plan. These costs may be covered by the Medigap plan or other secondary insurances. By law the Medicare providers are required to file Medicare care claims for the services provided on behalf of the Medicare participant. In some situations the Medicare participant may need to file the Medicare claim. Once Medicare costs are filed they forward the balance to the secondary provider, which in most cases is a Medigap Medicare supplemental insurance plan for payment. Medicare original will pay its share of costs for services directly to the providers.

Medigap

As the secondary insurance payer Medigap Medicare supplemental insurance plans will receive the claim for its share of costs of services provided to the Medicare participant. Benefits and costs vary depending on the Medigap Medicare supplemental insurance plan the Medicare participant has selected. It’s important for Medicare participants to review the Medigap Medicare supplemental insurance plans for suitable coverage. Medigap Medicare supplemental insurance plans will automatically renew each year as long as premiums are maintained.



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