"Medicare Supplements are one of our commitments in care for our clients and one of my favorite educational topics to teach.
Too often, our office meets individuals who have accidentally made the wrong choices or missed an important enrollment timeframe. I can't emphasize enough how critical it is for individuals to understand plan details and deadlines. Let's work together to ensure you get what supplemental coverage you need, when you need it."
- Tim Bruner (GEORGIABenefits, Inc.)
A Medicare Supplement (also referred to as Medigap coverage or Medigap policies) is a type of private insurance that helps you pay for some of the costs that Original Medicare does not cover. This may include help with coverage for copayments, coinsurance, and deductibles.
The term "Original Medicare" refers to:
Today, you have a choice between the Original Medicare Part A and Part B OR a Medicare Advantage Plan.
Electing a Medicare Advantage Plan means you do not need, or can be sold, a Medicare Supplement. Electing for the Original Medicare Parts A and B option should carefully review their needs for a Medicare supplement.
If you have original Medicare Part A and Part B plus a Medicare supplement, Medicare will pay its share of the Medicare-approved amounts for covered health care costs.Then, your Medicare supplement policy pays its share.
Note: This is only applicable when you have Original Medicare Part A and Part B in-effect in order to buy a Medicare Supplement.
Anything that Original Medicare would not cover.
For example, neither Medicare nor Medicare supplements will cover long-term care (LTC), vision or dental care, hearing aids, eyeglasses, or private duty nursing.
Yes. The best time to buy a Medicare Supplement is during your Medicare Open Enrollment Period, which:
It is critical for you to understand the value of open enrollment.
During that 6 months of your open enrollment period, insurance companies who issue Medicare Supplements cannot consider your health conditions and decline coverage. Your coverage is guaranteed to issue for the same price as healthy insureds during this time only.
No. Medicare Part D is Medicare's standalone benefit option for prescription drugs.
Medicare Supplement policies issued after 2006 are not allowed to include Prescription Drug Coverage. Some of the older Medicare Supplement policies do include prescription drug benefits.
If you choose to obtain the Original Medicare Part A (hospital insurance) and Part B (medical insurance), you should consider Part D for your prescription drugs and you should also consider a Medicare Supplement.
No. Nursing home and long-term care (LTC) benefits are typically covered by a separate LTC policy purchased specifically for those benefits.
Many people are not aware that group insurance plans, individual medical plans, and Medicare plans do not cover long term care needs.
Accidents and illnesses do not discriminate by age. Many LTC facilities house young victims of illness and injuries. It's important to note that group insurance and individual insurance plans do not pay for their long-term residential care.
The following guides are issued by the Centers for Medicare & Medicaid Services. Click on each button to view and download content.