Medigap Insurance Plans - Heritage Companies Kansas City

 

Medigap Insurance Plans

A Medigap policy is a health insurance policy sold by private insurance companies to fill “gaps” in Original Medicare Plan coverage. Medigap policies must follow federal and state laws. These laws protect you. The front of the Medigap policy must clearly identify it as “Medicare Supplement Insurance.”

Each policy has a different set of benefits. Two of the standardized policies may have a high deductible option. In addition, any standardized policy may be sold as a “Medicare SELECT” policy. Medicare SELECT policies usually cost less because you must use specific hospitals and, in some cases, specific doctors to get full insurance benefits from the policy. In an emergency, you may use any doctor or hospital. Medigap Insurance 2011

Outline of Medicare Supplement Coverage

Click here or click image to view guide to Medigap Policies
(Benefit Plans A-N)
  A B C D F* G K L M N
Medicare Part A Coinsurance hospital costs up to an additional 365 days after Meeciare benefits are used up
Medicare Part B Coinsurance or Copayment 50% 75% •***
Blood (First 3 pints) 50% 75%
Part A Hospice Care Coinsurance or Copayment 50% 75%
Skilled Nursing Facility Care Coinsurance     50% 75%
Medicare Part A Deductible   50% 75% 50%
Medicare Part B Deductible                
Medicare Part B Excess Charges                
Foreign Travel Emergency (Up to Plan Limits)        
Medicare Preventive Care Part B Coinsurance
**Out-of-Pocket Limit             $4,620** $2,310**    
***Plan N Pays 100% of the Part B coinsurance except up to $20 copayment for office visits and up to $50 for emergency department visits
*Medigap Plan F also offers a high-deductible plan. This means you must pay for Medicare-covered costs up to the deductible amount ($2,000 in 2010) before your Medigap plan pays anything.
**After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($155 in 2010), the plan pays 100% of covered services for the rest of the calendar year. Out-of-pocket limit is the maximum amount you would pay for coinsurance and copayments.

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