Lumaktaw sa pangunahing content

What suits you best.

Which Medicare Plan suits you best

The most comprehensive plan that is currently available is Medigap Plan F, which covers all of the gaps in Medicare. The next most comprehensive plan is Plan G, which covers nearly as much, with the Part B deductible being the only difference. Finally,  the Plan N is probably the third most popular plan because it operates similarly to Plan G except that you pay copays for doctor and E.R. visits, and also, you will pay your own excess charges out-of-pocket.

Medigap Plans are Standardized
There are currently 10 different Medigap plans that are standard across most states. (Massachusetts, Minnesota and Wisconsin have their own plan standards.) This means that Plan A offered by Company X in Anaheim is exactly the same as Plan A offered by Company Y in Boise. While premiums may differ, benefits and coverage are the same.
Medigap is offered by private insurance companies. These companies do not have to offer all 10 plans.  However, any company that offers Medigap coverage must offer Plan A. Also, if it wishes to offer more than one plan, it must also offer either Medigap Plan C or Plan F in addition to any other plans it offers.
Ever wondered which Medigap plan is the most popular?, the answer is Plan F, wherein it is about 55% of all Medigap plans. Plan C is a distant second at about 9%, according to the most recent Medigap enrollment data.
If you’re looking for the plan with the highest enrollment growth, Plan N and Plan G is skyrocketing in popularity, up to 33% and 25% respectively over last year’s numbers.
Here’s what you need to know about what these plans cover so you can choose the right one for you.
Medigap Plan Benefits
    F
    G
     N
Medicare Part A Coinsurance and Hospital Cost
(Up to an additional 365 days after Medicare benefits are used)

YES
YES
YES

Medicare Part B Coinsurance of Copayment
YES
YES
YES

Blood (First 3 pints)
YES
YES
YES

Part A Hospice Care Coinsurance or Copayment
YES
YES
YES

Skilled Nursing Facility Insurance
YES
YES
YES

Medicare Part A Deductible
YES
YES
YES

Medicare Part B Deductible
YES
NO
NO

Medicare Part B Excess Charges
YES
YES
NO

Foreign Travel Emergency (up to plan limits)
YES
YES
YES


What’s Covered on Medigap Plan F?
Medigap Plan F is the most favored with individuals who want First-dollar coverage on their health care costs. First-dollar coverage means that both your Part A and Part B deductibles are covered by the plan, so you won’t be paying anything before your Medicare benefits kick in. This kind of broad protection makes sense if you’ve got serious or chronic health conditions and have a lot of medical expenses each year.
Premiums for Plan F tend to be the highest among the Medigap plans, but if you’re looking for lower premiums and broad coverage, there is a high-deductible option for Plan F. Under this plan, you’ll have to pay first $2,200 of your expenses out-of-pocket before your plan pays.
There’s another thing, Medicare Plan F is being phased out. It won’t be offered as a new policy, however, if you’re already enrolled in a Plan F, you’ll be allowed to keep it.
What’s Covered under Medigap Plan G?
Medigap Plan G is currently outselling most other Medigap plans because it offers the same broad coverage as Plan F except for the Part B deductible, which is $198 in 2020. The only difference when you compare Medicare supplements Plan F and Plan G is that its deductible, otherwise they function just the same. 
There is one important feature that Medicare supplements Plan F and G have over all the other Medigap plans.  These two popular plans are the only Medicare Supplement Plans that offer coverage for Part B excess charges and that’s important if you want maximum flexibility to choose your healthcare provider. 
When you see a provider that doesn’t participate with Medicare, he can charge up to 15% more than the standard Medicare rate for your services. You will pay this money out of pocket unless you have Medigap Plan F or Plan G. It’s definitely something to consider if the provider's choice is important to you.
The good thing is that this plan won't be going away like Plan F.
What’s Covered under Medigap Plan N?
This one is another fast-selling plan because it offers a good balance between protection against catastrophic out-of-pocket expenses and affordable premiums.
Under this, you have all the same coverage as Plan F EXCEPT:
·         No coverage for Part B deductible
·         No coverage for Part B excess charges
·        You may have a copay of up to $20 for doctor visits and $50 for hospital visits         that don’t result in admission.

This one belongs to the newer plans, rolled out in 2010. It’s a good fit for individuals who don’t mind a little cost-sharing in exchange for lower premiums. It’s also not going anywhere in 2020, unlike Plan F.


Mga Komento

Mga sikat na post sa blog na ito

Medicare Part D Costs for 2020

Before 2006, Medicare did not cover prescription medications. There was a limited number of medications that were offered under Medicare Part Band,  and otherwise, you had to pay for your medications out of pocket. In 2003, everything had changed when President George W. Bush passed the Medicare Prescription Drug, Improvement, and Modernization Act (MMA). This is what we now know of as  Medicare Part D , an optional part of Medicare that provides prescription drug coverage. Part D plans are run by private insurance companies and not by the government. However, the federal government sets guidelines on what basic medications are covered and how much you can be charged.  A deductible is the amount of money you spend out of pocket before your prescription drug benefits begin. Your plan may or may not have a deductible. The maximum deductible a plan can charge for 2020 is set at $435. It has increased by  $20 from 2019. Part D

Benefit Period

The benefit period is the length of time during which a benefit is paid. It   measures your use of  inpatient  hospital and  skilled nursing facility (SNF)  services. This  begins the day you are admitted as an inpatient, or to an SNF, and ends the day you have been out of the hospital or SNF for 60 days in a row. After you meet your  deductible ,  Original  Medicare  will pay in full for days 1 to 60 that you are in a hospital. The remaining days, 61-90 , you will have to pay a  daily coinsurance. If your 90 days of hospital coverage has been consumed but you need to stay longer, Medicare covers up to 60 additional lifetime reserve days and yo u will also have to pay a daily  coinsurance . These days are nonrenewable , meaning you will not get them back when you become eligible for another benefit period. If you run out of days during your benefit period, Medicare will stop paying for your in-patient related hospital costs such as room and board.  To be eligible for a new b

Comparing Health Care Providers

How do I compare the quality fo Health Care Providers? Medicare collects information about the quality and safety of medical care and services given by most health care providers (and facilities). Check Medicare.gov/quality-care-finder and get a snapshot of the quality of care they give their patients. Some feature a star rating system to help you compare quality measures that are important to you. Find out more by: Talking to your health care provider. Each health care provider should have someone you can talk to about quality. Asking your doctor or other health care provider what he or she thinks about the quality of care other providers give. You can also ask your doctor or other health care provider about the quality of care information you find on Medicare.gov . Having access to quality and cost information upfront helps you get a complete picture of your health care options. You'll be able to compare quality ratings, cost information, and other details to hel