Category Archives: Blog

Plan G of Medicare Supplement Plans, know the offers and benefits

Medicare Supplement plans G is also referred to as Medigap plan G, and this is one of the 10 standardized Medicare supplement plans mostly available in majority states. Medicare supplement plans is offered by the private insurance companies working in association with Part A Medicare, that refers to hospital insurance and medical insurance covering the Part B. Medicare supplement insurance helps you in paying the costs out-of-pocket for medical services and hospital care under Part A and B Medicare.


However, you must understand that Medigap Plan G is not available in case you are living in Wisconsin, Massachusetts, or Minnesota. These are the three states offering their regular Medicare Supplement plans benefits.


Will Medicare Supplement Plan G be suitable? Find out at

In case you already have Part A and B Medicare, while you are shopping for Medicare Supplement plans to fill the Medicare coverage gaps, Plan G Medigap may suit your needs, based on the needs. Plan G is the comprehensive plans of Medigap, but it may be a higher premium in comparison to the other lesser comprehensive plans.


Generally, Medicare Supplement Plans, Plan G provides benefits such as:

  • Part B Medicare copayments/coinsurance
  • Part A deductible Medicare for the benefit period in 2018 is $1340. Typically, a benefit period begins from the day you are an inpatient admitted to a skilled nursing facility or hospital and this completes when you do not receive care as skilled care Medicare-covered or inpatient hospital in a skilled nursing facility in a row for 60 days.
  • Blood up to 3 pints
  • Part A Medicare coinsurance for hospital costs, here Part A Medicare is not paid for 20%.
  • Hospital care for 365 additional days after Part A benefits is exhausted.
  • The coinsurance or copayment amounts as hospice care are not paid by Part A Medicare


Benefits that Medicare Supplement Plan G offers?

Are you travelling outside the U.S, you must be pleased that Plan G of Medicare supplement plan covers medical emergency care as you travel abroad such that you get approved costs of 80% as per the plans limits.


Plan G of Medicare Supplement plans cover Part B Medicare for excess charge in case you use the health care provider’s services that fails to accept Medicare assignment. Thus it means such providers do not accept the Medicare determined amount as customary and reasonable as payment in full. Even if a doctor denies accepting Medicare, the doctor may be permitted for excess charge, and this is approved by Medicare for an office visit or specific procedure.

What are the coverage types that are not Medicare Supplement plans covered?

Are you a Medicare beneficiary and are you enrolled also in other coverage types, through the Medicare program or through your employer. Signing the Original Medicare for the first time means you will fill a form known as the Initial enrolment questionnaire and will be asked if there are other insurance types you are enrolled with.


It is crucial to include different coverage types, if you have any. This is because Medicare uses these details as you receive your first health-care services. The coverage types are not the same as the Medicare Supplement plans.


What are the benefits covered by Medicare Supplement plans?

Right now the regular Medigap plans are 10 in numbers, each is denoted by a letter (A, B, C, D, F, G, K, L, M, N; and there is a Plan F of high-deductible version). These plans are obtainable in most states; except for Minnesota, Massachusetts, and Wisconsin. The fact is that each state has a set of Medicare Supplement plans as standardized.


The premiums and coverage levels vary, but each plan benefits within a lettered category such that it enjoys the same regardless of the insurance company or its location. For instance, the benefits of Plan A may be the same in New Jersey as they are in Oregon. In case a Medicare Supplement plan includes a benefit, this benefit enjoys 100% coverage unless specified.


Generally, all the Medicare Supplement plans cover these benefits:

  • Part A Medicare coinsurance and hospital costs rising up to 365 days as additional once the Medicare benefits are used.
  • 3 pints of blood
  • Part B Medicare coinsurance or copayment
  • Hospice care Part A copayment or coinsurance


The coverage offered for Medigap plans may be partial for some, while Plan N covers coinsurance Part B except up to $20 copayment for office visits sometime and copayment up to $50 for emergency room visits that does not turn into any inpatient admission.


Medicare Supplement plans types that cover includes:

  • Coinsurance for skilled nursing facility care
  • Part A Medicare deductible
  • Part B Medicare deductible
  • Part B Medicare excess charges, this may be an amount as non-participating provider charging above the approved cost of Medicare for a service.
  • As per the plan limits, it also covers foreign travel emergency


Plan K and L, are Medicare supplement plans that are an out-of-pocket limit. on reaching an amount for Medicare covered services, the Medigap plan will cover Medicare costs as covered to 100% for the remaining part of the year.

A clear sneak-peak of Medicare supplement plans

Traditional Medicare pays for health-care services and it entails Part A and B, but does not involve paying for all the health-care expenses. This is the reason you are compelled to consider Medicare supplement plans, that is known as Medigap.


Unlike the traditional Medicare, the Medicare supplement plans are issued through private insurance companies. These plans help in paying the medical costs and hospital charges that the Traditional Medicare fails to cover, that includes coinsurance, copayments, and yearly deductibles.


A few Medicare Supplement plans pay for a few services that Traditional Medicare fails to cover, and this includes the emergency overseas travel coverage or also can be referred to as the Part B excess charges.  The advantage is that in Medigap plans nearly 2/10 include out-of-pocket limit yearly and this does not include Original Medicare. Basically, a policy of Medigap truly fills the Traditional Medicare coverage gaps. Enroll in a 2019 supplement plan at


Medigap or Medicare Supplement plans working system

Medigap plans complement the benefits of your Original Medicare, and this is the reason these policies are known as Medicare Supplement plans. There is a need to be in Traditional Medicare enrolled to qualify for Medigap coverage. You may stay enrolled for the coverage of your hospital and medical in Original Medicare. However, understand that Medicare Supplement plans are not offering stand-alone benefits.


You must check for Medicare supplement coverage depending on the place you live.  It may not be possible if you are under 65 years and have disability, amyotrophic lateral sclerosis, or end-stage renal disease.  The states do not provide the benefits of Medigap coverage for people under 65 and if you are already in Traditional Medicare enrolled, check with the insurance department of the state to find if you qualify to enroll in Medicare Supplement plans.


Bear in mind that the plans of Medigap do not include the Part D that refers to prescription drug coverage. And, if you require assistance with your medication costs, there is a need to get enrolled in Medicare Prescription Drug plan as stand-alone. You cannot use Medicare supplement plans to pay for the costs that is already covered with Medicare Advantage plans. Medigap insurance is used in Traditional Medicare to cover costs.


If you already have or are enrolled with Original Medicare and also have the Medicare Supplement plan, the first that will pay is the Original Medicare, and your Medigap policy will fill the cost gaps.

Why should you prefer purchasing Medigap plans in advance?

Most of the people these days are opting to buy the Medicare advantage plans in advance. Usually they are doing it six months prior. Medicare advantage plans combined with the original Medicare plans can help to save a substantial amount of money. The charges that aren’t covered by Medicare plans are covered by Medicare advantage plans. Therefore, the advantage plans act as a bridge between the effective arenas. Also, it helps you to being saved from the potential risk of high biols. Nonetheless, you should ensure that you purchase the medigap plans from a registered authority.

Find a AARP advantage plan at

Turning 65

When you step into the senior citizenship aka the age of 65, you should consider purchasing the medicare advantage plans. This policy becomes valid from the very day itself you gain the age of 65. Therefore, it is for this reason that you should begin your shopping a little year. At the minimum, you should consider taking 4 months in advance to buy the policy. Purchasing the Medigap plans is a long procedure since you need to do a lot of factors. Therefore, beginning a little earlier than you 65th birthday will give you the time to research, determine and properly compare between the two plans.


Beginning six months earlier can serve a lot of purposes

The rate will be chosen basing on the signature date. Therefore there are possibilities that you may get the best rate. Also, you will be able to avoid the increased price that may happen between the signature date to that of the actual beginning date.


Starting your process early will allow you to have control over your documents early which indeed is pretty beneficial. Also, it is very comforting since you will have all the necessary policy rule and ID. Before your Medicare date begins, you should apply for it and get hands on the card earlier.


Losing Group Coverage

There are chances of losing your employer health coverage. Therefore if you are stuck in one such situation and do not have the Medicare Part B, you can still apply for the Medicare advantage plan. In this case, you will need to give some time to yourself in advance before that of your application. This ensures that the insurance companies have enough time to process all the applications. Therefore, you will get time from your start date too.


You can contact the potential medicare advantage plan companies and determine how to get through the procedure. Also, make sure you clarify all your doubts.

What are the factors that determine the Medicare advantage plan premium?

The Federal Government has standardised the rules for the Medicare advantage plans. As a result, the monthly premium usually varies depending upon the Medicare advantage plan you will be choose. The companies usually charge the premium depending on the two factors, the type of plan you will be choosing and the company from which it will be buying. There are 10 different Medigap plans offered by the states. The benefits of these plans are usually same in the different places but the price will be different too.


Irrespective of the location and companies you buy the medicare advantage plan from, the benefits will be same, but there will be a slight change in the premium rates. The charge of the price usually keeps increasing each year. As a result, you should check up with the requirements you will be requiring. The monthly premiums are usually set up by the Medicare advantage insurance companies depending on a number of factors. It is for this reason that the price usually varies from one place to another despite the benefits being the same.


What are the factors determining the cost of the premium? Find out these answers here

There are several factors that determine the cost of the premium for the Medicare advantage plans



There are many Medicare advantage insurance companies that offer low premium rates to their female customers. As per the normal statistics, women tend to live longer than the men. Therefore, this way they pay for more coverage in the course of their life. They are pretty healthy and thus need to claim for the benefits very rarely.



Tobacco causes severe health concerns, therefore if you’re a tobacco smoker, you will need to pay more for your Medicare advantage plan. Therefore, compared to the other people, the tobacco smokers pay about 10% more premium.



The age also plays a significant role in determining the premium for the Medicare advantage plans. This is because the different companies set up their pricing methods depending on the age of the insurer. If you get the plan in the beginning itself, at the age of 65 you will need to pay less premium.



Other health concerns and inflation has been on the significant rise. It is for this reason that the insurance companies over the time have been increasing their price. Many insurance companies tend to increase the price as compared to the other. So you should initially check for all the costs and compare them before actually purchasing one.

Do I buy a Medicare Advantage Plan or Medicare Supplement Plan?

Persons covered by Medicare Parts A and Part B should not depend solely on Medicare. Medicare has deductibles and only pays 80% of the approved expenses after the deductible. A big, catastrophic medical expense could mean that you have to pay a high medical fee. There are two ways to limit these huge, potential losses. Let us examine each in detail:

Medicare supplements – also known as “Medigap coverage” – these plans cover most of the costs or gaps that Medicare has not paid. The government standardized the Medicare supplement plans years ago so that benefits from one insurance company to another are the same. There are currently 10 plans available with the letters A-J. The most common plan is F and is offered by virtually all Medicare insurance companies.

Not all insurance companies offer all 10 plans. Plan F covers both the Part A and B deductibles and the 20% gap left by Medicare. For the individual who wants to cover all doctor visits, hospital fees and other medically necessary tests and expenses, a Medigap plan would be the best choice. Many insurers offer plans which are based on age, and medical underwriting must be approved for a plan, unless you apply during a guarantee issue period or an open enrollment period.

It is important to know that if you apply for coverage within 6 months of your 65th birthday, underwriting is not required. Registration is part B of Medicare, whichever is later. In situations where other insurance is lost through no fault of the insured person, there are special guaranteed enrollment times. Individuals in need of more medical attention seem to be better satisfied with a supplementary plan, although these plans provide no or insufficient coverage for routine dental, visual, auditory or preventive care.

Medicare Advantage Plans – Although part of Medicare (Part C), these plans are very different from the original Medicare products linked to a plan. Initially, no claims will be filed directly with Medicare. Medicare Advantage Plans are private service fees that are directly related to the insurance company. An advantage plan is responsible for processing all your medical claims. These insurers are subsidized by Medicare as they pay for your medical costs. Find a Humana plan at

There are some advantages and disadvantages associated with these types of plans. One advantage is the low premiums. Most plans cost much less than a conventional Medicare plan – some even have a $ 0 premium. No medical insurance is required to purchase one of these plans. Although the plans must cover all of the medial procedures that are usually covered by Medicare, most plans offer some additional benefits for dental, visual and hearing screening as well as for checkups.

These additional benefits vary greatly from one insurer to another. A major disadvantage of these plans is the cost of incidental and ancillary costs available to the insured. Although expenses are limited to a maximum, these expenditures can be substantial if they are not fully covered by a conventional supplementary plan

Medicare Advantage Guidelines

The Obama administration issued the 2013 Payment and policy guidelines for health insurers in the United States that wish to participate in the Medicare Advantage program. According to the administration, the proposed changes to the guidelines would result in lower premiums and stable or improved benefits.

Since the Guidelines did not provide an official preliminary estimate of the average net change in net reimbursement, many insurers and financial markets had no idea of ​​the potential impact the 2013 Medicare Advantage guidelines would have had on the industry.

Low premiums and stable benefits are most likely to continue

Private healthcare plans in Medicare, commonly referred to as Medicare Advantage Plans and Medicare Part D plans, have relatively low premium rates and stable benefits. Federal officials believe this trend was likely to continue in 2013.

The officials released a growth percentage for the per capita spending of Medicare, stating that this will be used to set and determine interest rates on Medicare Advantage plans in 2013. In accordance with the Centers for Medicare and Medicaid Services, the agency that manages federal health For the Senior Citizens Program, the 2013 guidance provides for an aggregate annual growth rate of 2.47 percent and a growth rate of 2.3 percent per capita for the following year.

A statement issued by the agency says: “This positive growth trend will help beneficiaries maintain a range of plans without significantly increasing premiums or decreasing benefits.” Officials of CMS stated that the net total amount for 2013 and the final interest rate announcements would be published and unveiled on April 2, 2012.

The CMS said it accepts public comment on the 2013 Medicare Advantage and Prescription Drug Plans payment and policy guidelines. According to the advance notice and draft Call Letter for 2013, the CMS will exercise its powers under the Affordable Care Act to reject offers from plan insurers that propose “too significant” increases in beneficiaries’ cost sharing or a reduction in benefits.

What are Medicare Advantage Plans?  Find out more at

About 25% or 48 million Medicare beneficiaries participate in Medicare Advantage plans. Unlike traditional Medicare plans, plans are offered by private health insurance companies. Unlike Medicare Supplement insurance plans, which only supplement your Medicare parts A and B, it replaces your Medicare.

MA plans are very popular among beneficiaries because they have no medical insurance. All Medicare beneficiaries are guaranteed acceptance, with the exception of end-stage renal disease. These plans are also referred to as Medicare Plan C, as they combine the benefits of Medicare Parts A, B and part of the Part D coverage.

Another attractive part of the MA plans is that they have low premiums. The reason is because they are funded by the federal government. Given the low premiums, you save on healthcare. Note however, that you are limited on the list of doctors and hospitals you can use. Before you decide to be admitted to MA plans, you must weigh the merit and demerit to determine if this is the best plan for your healthcare.

Will Medicare Supplement Plan cover the surgery charges?

The Medicare Supplement Plans have been designed to cover the additional and extra charges which aren’t covered by the original Medicare Part A and Part B programs. Most of the times the original Medicare plan pays off the 80% of the expenses but does not do so with the 20%. These are the coinsurance and deductible charges which needs to be covered by the bearer. However, most people are often concerned whether the Medicare supplement plans cover the surgery charges or not. As a result, it is better to consult with an experienced person or the agent.


There are basically two types of Medicare plans which cover the surgery costs and are divided in two different parts.


The Part A of the Medicare plan helps to cover the hospital expenses  and the service charge of nurses and other providers. However, on the other hand, the Part B of the Medicare plan covers the charge for the necessary treatment and equipment required for the surgery. Nonetheless, the insurer must meet the certain guidelines for the two services to be carried out.


Medicare Supplement Plan Coverage for surgery

To determine whether your surgery costs will be covered by the Medicare supplement plan or not, you should check if the original Medicare plans cover for it. If the original Medicare plan covers for a certain area, the other remaining portion would surely be controlled by the Medicare supplement plan.


Medicare supplement plans 2019The Medicare will pay about 80% of the total bill amount and you will be required to pay the rest 20% which includes copayments, deductibles and coinsurance. However, if you do not have a medicare supplement plan, you will be caught responsible for paying the 20% of the charge. If your Medicare supplement plan holds to be valid the remaining charge will be covered by it. Therefore, you will not need to spend anything on your own.


Estimate the cost of surgery

It is pretty tough to determine the actual amount of surgery as doctors too are unaware of the services you may need. You must consult with your doctor how much you will be required to pay. Also, check with the hospital whether you are inpatient or outpatient because the charge usually varies depending on this factor too. It is very much necessary to check what type of Medicare supplement you have. This will give you a brief idea about what it will pay for. The payable amount usually depends on the letter.

Can you purchase a medicare supplement plan if you had pre-existing condition?

Pre-existing medical conditions are referred to those which you have prior to beginning with your health benefits. As far as medicare supplement plans are concerned, the pre-existing health condition is referred to the one that you have before beginning with your medical supplement plan. If you have an original medicare plan, you may get to enjoy the additional benefits with it. Also, it tends to offer all necessary requirements in case of pre-existing condition. Therefore, if you have been thinking to buy a medicare supplement plan, you will need to be a little considerate about the eligibility procedure.


How can pre-existing conditions have an effect on the Medicare supplement plan eligibility?

Although the Medicare supplement plans follow the governmental regulations, they are basically offered by the private institutes. The Medicare supplement plans are usually named depending on the standard letter across the board. But, the charges of premium for the Medigap plans usually vary from one place to another. The difference in price also depends on the location and company from which you will be purchasing it. Basically, for the same coverage you will have to pay different charges.

Find a supplement plan here

Some of the medicare supplement plan insurance companies have their own procedure of charging the premiums. They look into a lot of factors before actually determining the rate of the premium. Also, the price of the premium keeps on increasing each year which is why you should choose your plan wisely. As a result, you should prefer to look up for references. With the presence of internet, things have become pretty easy and therefore you can easily check and compare the premium rate of different companies in your area. Nonetheless, if you do not do a proper research, you will end up paying more than required.


Do the Plans cover pre-existing conditions?

If you are enrolling for the Medicare supplement plan after the expiry of Open Enrollment Period, the medicare insurance company will refuse to pay for it. This is standardized by the law. This period usually lasts for six months and is referred to as pre-existing conditions waiting period. This is applicable to all the health conditions that you have been diagnosed with ever since the beginning of the coverage start date. The waiting period can be avoided too if you have the coverage period before the six months. Almost all the health coverage will be considered to be valid if you do not have a break in the coverage for maximum 63 days.

Can you switch your medicare supplement plans?

The rate of the premium keeps increasing each year which further becomes a problem for a lot of people. Therefore, in cases like these a number of people prefer changing their Medicare supplement plans. If you feel satisfied with your current plan, you can definitely work with that, but if you are not you can consider changing. You need to stick to a plan, as long as it can fulfill your requirements. There are various reasons why you may consider changing your plan. But, you can actually discuss with your company about the whole procedure.


As per the federal law, you have the right to purchase the Medicare supplement plan during the Medigap Open Enrollment Period. Usually, this period becomes valid since your 65th birthday or from the day your Part B plan becomes valid. The Open Enrollment period lasts for a time period of six months. If you’re purchasing the plan during this period, you won’t be denied or the potential benefits. Nonetheless, if you miss out on it, you will have to get a medical underwriting.


Switching after open enrollment period

When your Open Enrollment period ends, the insurance companies will refuse to sell the Medicare supplement plans to you. They may do other things too such as charge higher premium owing to a pre-existing health condition or delay to provide you the plan. Many times, you will need to undergo the medical underwriting process too.

However, you can choose to switch the plans in this case. But, the only disadvantage would be that you will need to put extra effort and take up a higher level risk.


What if you aren’t satisfied with new policy?  Find a new one at

If you have switched to a new policy and do not like it, you can immediately ask to change the Medicare supplement plan within the first 30 days. It is easy to cancel during this period since you have the option of ‘free-look period’.


Will you need to switch if you move to other place?

Technically, if you own the Original medicare Part a and B plans, you will not need to switch your medicare supplement plans no matter which place you move to.


However, if you want to purchase a new policy, you can definitely contact the insurance company and know about the plans. In that case, you may need to pay more if you are out of your Medigap open enrollment period. Therefore, you need to be completely prepared for the whole situation.