What is Medicare Supplement Insurance (Medigap)?

Medicare Supplement Insurance, or Medigap, is a type of insurance provided by private companies to cover the gaps in your original Medicare Plan. Medigap policies can help pay for out-of-pocket costs such as co-payments, coinsurance, and deductibles that are not covered by your Medicare Part A and Part B Plan.

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Why Consider Medigap?

Medigap plans are essential for those who seek peace of mind and financial protection against unexpected health care expenses.

Here are the key benefits:

Reduced Out-of-Pocket Costs: Medigap significantly lowers your unexpected medical expenses by covering additional costs that Medicare does not.
Choice and Flexibility: There are several Medigap plans available, allowing you to select one that best suits your healthcare needs and budget.
Freedom to Choose Providers: With Medigap, you can access any healthcare provider who accepts Medicare, with no need for referrals or network restrictions.

At River City Senior Benefits, our dedicated agents specialize in understanding your unique needs and guiding you through the selection of the appropriate Medigap plan. We ensure that you are fully informed about your options and help you make a decision that best fits your healthcare and financial situation.

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What Does Medigap Insurance Cover?

Medigap plans are designed to assist in covering your portion of expenses for services included in Original Medicare (Part A and Part B). With varying benefits available in each plan, you have the flexibility to choose the one that aligns best with your individual needs.

Medigap Policies Generally Help Cover Out-Of-Pocket Costs Such As:

Copayments
Coinsurance
Deductibles

Medigap Policies Generally Don’t Cover the Following:

Long Term Care
Vision or Dental Care
Hearing Aids
Eyeglasses
Private-Duty Nursing

Who is Eligible for Medicare Supplement Insurance (Medigap)?

Medicare Supplement Insurance, also known as Medigap, is available to individuals who are already enrolled in Medicare Part A and Part B.

To be eligible for Medicare, you must be a U.S. citizen or legal resident AND you must meet one of these requirements:

Age 65 or older
Younger than 65 with a qualifying disability
Any age with a diagnosis of end-stage renal disease or ALS

When Can You Enroll for Medicare Supplement Insurance (Medigap)?

During the Medicare Supplement Open Enrollment Period, which usually starts on the first day of the month you turn 65 and are enrolled in Medicare Part B, you can enroll in Medicare Supplement Insurance (Medigap). This six-month window offers you the chance to purchase a Medigap plan without the risk of being turned down or charged higher premiums due to pre-existing health conditions. It’s crucial to take advantage of this period to ensure you get the coverage you need without facing financial or coverage barriers.

Questions and Answers About Medicare Supplement Insurance

What are the different types of Medigap plans available?

In most states, there are ten different types of Medigap plans, which are identified by letters from A to N. Each plan offers varying coverage levels. The available plans may vary depending on your location.

When is the best time to buy a Medigap policy?

The best time to purchase a Medigap policy is during the Medicare Supplement Open Enrollment Period, which typically begins on the first day of the month you turn 65 and are enrolled in Medicare Part B. This six-month window provides a unique opportunity to enroll in a Medigap plan without being subjected to medical underwriting, ensuring you can secure coverage without worrying about pre-existing health conditions affecting your eligibility or premiums. Taking advantage of this enrollment period ensures you can access the coverage you need without facing any financial or coverage-related obstacles.

How does Medigap work with other types of health insurance?

Medigap works alongside Original Medicare, filling in the “gaps” in coverage left by Parts A and B. It cannot be used with Medicare Advantage Plans, which provide an alternative way to receive Medicare benefits.

What costs are covered by Medigap policies?

Medigap policies help cover certain out-of-pocket costs associated with Original Medicare, such as copayments, coinsurance, and deductibles. Some plans may also offer coverage for services not covered by Medicare, such as medical care when traveling abroad. To explore options, just give us a call!

Can I switch Medigap plans after the enrollment period?

Yes, you can switch Medigap plans at any time, but after the initial enrollment period, you may be subject to medical underwriting, which could affect your ability to switch plans or the cost of your premiums. Additionally, you may not have guaranteed issue rights outside of specific enrollment periods.

How do I determine which Medigap plan is the best fit for my healthcare needs and budget?

Determining the best Medigap plan for your needs involves assessing factors such as your healthcare requirements, budget, and preferences. Comparing the coverage options and costs of different plans offered by River City Senior Benefits can help you make an informed decision tailored to your individual circumstances.

Can I purchase a Medigap plan from River City Senior Benefits if I have a pre-existing medical condition?

During the Medicare Supplement Open Enrollment Period, individuals aged 65 or older can enroll in a Medigap plan offered by River City Senior Benefits without being denied coverage or charged higher premiums due to pre-existing conditions. However, outside of this enrollment period, eligibility for coverage may vary based on your health status and other factors. Contact River City Senior Benefits for personalized guidance on Medigap plan options.

More Questions? For answers to all your questions, please schedule a consultation with one of our agents. We’re here to help you navigate your Medicare Supplement Insurance options and secure the coverage you need for a healthier future.