Medicare Part C
Since Medicare Part A and Part B roughly pay for around 75 percent of all your medical cost, you are now at a fork in the road. You may stay only with Part A and Part B and pay the rest on your own, or you may have a “gap plan” (also called Part C) to cover the rest.
Option 1: Medicare Advantage
- Individuals who are entitled to benefits under Part A and enrolled under Part B are eligible to enroll in a Medicare Advantage plan.
- All Medicare Advantage (MA) plans must cover all Part A and Part B benefits. Plan cost-sharing must be actuarially equivalent to cost sharing under Medicare Parts A and B, but may be different for specific services.
- Health Maintenance Organizations (HMOs) (some also include Part D)
- Preferred Provider Organizations (PPOs) (some also include Part D)
Option 2: Medigap and Medicare Supplement Insurance
- Medigap insurance is sold by private insurance companies to fill ?gaps? in Original Medicare coverage. Medigap policies only work with Original Medicare.
- Medigap insurance does not cover Medicare benefits, but works with Original Medicare coverage. Medigap covers Part A and Part B cost sharing (coinsurance, copayments, or deductibles) for beneficiaries in Original Medicare.
- Some Medigap policies cover benefits not covered by Part A or Part B of Original Medicare, such as assistance with at-home recovery or extra days of coverage for inpatient care.
- Medigap helps pay Part A and Part B coinsurance, copayments, and/or deductibles when Original Medicare determines that a benefit is medically necessary. Some Medigap plans also cover benefits not covered by Original Medicare.
- Available in standardized benefit plans, identified by the letters A – L (different plans are offered in Massachusetts, Minnesota, and Wisconsin).
- Turning age 65 and signing up for Part B triggers a six-month Medigap open enrollment period when Medigap plans must be issued, regardless of any pre-existing conditions.
Most Medigap plans pay for some or all of the following costs:
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Medicare Supplement Chart for 2012
Good Neighbor Insurance will be able to provide, in most states, a Medical Supplement Plan that will fit your needs. In the Medicare Supplement Plans, you will have an array of options from Plan C to Plan N, with Plan F being the ?best bang for your buck.? Please click on this form and fill out the needed information so we may provide you with a couple of Medicare Supplement Plans that will fit your needs.
Other Medicare Information