Supplemental

Because of my unique position I get a ton of questions regarding Supplemental Insurance, so here are the answers to the top 10 questions:

What is Medicare Supplemental Insurance?

If you are on Medicare part a Medicare part B you’ll realize that that does not cover everything, and most people will purchase a Medicare supplemental insurance plan for a private insurance company to help offset the cost that Medicare would not cover.  These Medicare supplemental insurance plans run around $100-$150 a month and will have varying coverage depending on which plan type you get. There are several plan types, these are standardize plans by the government and they include:

  • Medicare Plan N
  • Medicare Plan G
  • medicare Plan C
  • Medicare Plan F (Phasing out over the next few years)

There is also MEDICARE ADVANTAGE which is a plan that a private insurance company would take over MEDICARE PART A + Your MEDICARE PART B and includ a supplement plan to cover the gap and manage the whole thing. The government will pay the plan to manage the process on their behalf. It’s kinda an outsourcing process for the government. They can get private industry to do it, and then the private insurance companies charge you a premium. In some cases these premiums may be low, but the overall out of pocket may be higher. These plans are also know as MEDICARE PART C.

What is supplemental health insurance?

Supplemental health insurance plans are also known as medical Plans! These plans cover the gap that your medical insurance does not cover. Often times these plans or provide benefits or coverages for things like:

  • co-pays
  • deductibles
  • travel expenses
  • house keep while your away
  • hotels and other related expenses that your health insurance plan does not cover.

There is typically a bucket of money you can use for these things scheduled out when you purchase these types of policies. You can often get these as part of your employeer benefits or now stand along plans have been created to go along with the Obamacare plans.

What supplemental plans can I get with my employer plan?

Employeers typically offer ancillary benefits like:

 

In there a Supplemental Insurance plan to cover what  OBAMACARE doesn’t?

Because Obamacare has provided but if it’s for all, they have added a “skin in the game” concept. This is the concept where everybody has to contribute to their healthcare expenses, and first dollar benefits are not as popular as they once were.  This has opened up a whole new market for health insurance companies to provide medical gap plans to cover what Obamacare does not cover

Is there a Senior Supplemental to cover what my Medicare Advantage does not cover?

If you have a Medicare advantage plan, and cannot get back on a Medicare supplemental insurance or a Medigap plan and you need some sort of coverage to help you offset the out-of-pocket expenses you are feeling on your Medicare advantage plan you can get a gap plan that go along with your Medicare advantage plan.

I recommend customers purchasing these plans if they are stuck on a Medicare advantage plan because they will help offset the out-of-pocket expenses that will occur if a claim arises throughout the year that your Medicare Advantage plan does not cover.