A government-issued program, Medicare, is designed to provide medical care to the elderly over the age of 65. The main problem with Medicare and the associated supplementary insurance programs is that it is difficult to understand what is covered by each plan and what each participant needs. It’s obvious that Medicare Part A and B only cover the basics of what most seniors need.
Because of this, Medicare Supplemental Insurance plans can be purchased to cover the gaps in Medicare coverage plans. Understanding what each individual plan offers and deciding whether the cost is justified for the participant is often difficult for the participants. It is important when participants approach the golden age of 65 to explore and review their needs with the various complementary insurance plans.
First, it is important to see what is covered by the bones of Medicare Part A and B. This is what is provided by the government for free to individuals who are qualified. Medicare Part A is the part of the insurance plan that provides fees related to inpatient care for hospice facilities, hospitals, nurses, and home health care.
Medicare Part B participants pay a small premium each month covering two basic benefits; medically necessary services and preventive services. Part B includes services and supplies needed for the diagnosis and treatment of diseases using recognized methods. Preventive services include things like vaccinations, flu shots, or tests that can help early-detect a disease early and when it’s relatively less expensive to handle.
Medicare Supplemental plans usually cover Medigap because it is the Medicare insurance that covers the gaps left by Medicare Part A and B. If the participant is not interested in purchasing options to cover the gap in Medicare coverage, yet another choice offered by the government; Medicare Part C or a Humana 2019 Medicare Advantage Plan.
As with any insurance program, there are pros and cons for Medicare Advantage Plan. With Plan C, participants can only get care through providers who are willing to participate in this type of coverage plan. For some beneficiaries, this means that they have to travel a long distance to be provided care by the providers who work with their plan.
The Specialist can only be seen by recommendation; this is just one of the rules that are outlined. If a provider suddenly no longer participates in the Advantage program, the support is no longer covered and must be requested by a participating provider.
As with Medicare Part A and B with additional add-ons, there are also several Advantage programs to choose from; SNP, HMO, PFFS, and PPO. It is important for participants to examine all aspects and possibilities before registering for one of the government insurance plans to ensure that the coverage you provide matches the needs of the participant.
The rules that surround Medicare are often difficult to understand and can help a professional. Luckily, there are many Medicare Supplemental Insurance Professionals who will check what services are needed and desired and will fit a plan designed specially for each beneficiary.