Medicare Questions

Medicare Advantage Plans

 Medicare Questions

Find out how to get Great Benefits with a Medicare Supplement Plan

 

1.  Can I see any doctor or hospital in the Country?

Yes, the only requirement is that doctor or facility accepts Medicare.  Medicare Supplement Plans do not require a network or    referrals.  *Exception is the “Select” Plans offered by some companies, they require a specific hospital.  “Select” plans must be fully disclosed & understood at the time of enrollment.  They are generally lower in cost.

2.   If I’m traveling out of the country, will I be covered?    Some plans will cover out of country benefits, see the Comparison of Plans

3.  Do Medigap Plans have drug coverage?     No, you will need to enroll into a standalone drug coverage plan.

4.   Do I have to participate in Medicare Part A & Part B?  Yes.

5.   When can I enroll into a Medigap Plan?

You can enroll anytime of the year, as long as you have Part A & Part B.   Since Medigap Plans are sold by private insurance companies, they do not follow the same enrollment time periods that Medicare Advantage Plans must follow (Oct. 15 – Dec 7 of each year).

6.  I have health issues, can I enroll into a Medigap Plan?

When enrolling within 6 month of turning 65, you are allowed Guaranteed Issue.   No health questions will be asked or considered.  If you wait until after your 6 month enrollment window, health questions will be asked & you will need to pass that company’s underwriting standards.  Each company has their own underwriting standards, some companies will issue with health issues, but charge a higher premium, while others may decline your application.

7.  Why so many Plans?  I don’t understand the difference.

Several years ago, companies were mandated to standardize all plans, with the same benefits in each plan.   For instance, a Plan F with XYZ company has the same benefits as Plan F with ABC company.  The only difference is the price of the Plan & the stability of the Company offering it.

Be Sociable, Share!

Tags: , ,

No comments yet.

Leave a Reply

*