Medigap Benefits – What Are the Core Benefits Available in Most Policies?


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For senior citizens that are in need of health care services, including assisted living care, there are certain options available for them to offset the gaps in coverage from Medicare. One such option is Medigap which can pay for services that Medicare isn't covering, which otherwise could leave seniors owing medical bills they cannot afford or could even stand in the way of these seniors receiving the health care they desperately need.

There are several Medigap plans, with different benefits for each plan. There are, however, certain core Medigap benefits that are available in most of the policies allowing those of each policy to take advantage of the same main benefits. These benefits are available to cover those costs that Medicare doesn't cost including copayment and co-coverage. The Medigap plans range AN and all must provide these same basic benefits no matter what plan is chosen or the insurance company purchased from. The Medigap benefits in Massachusetts, Minnesota, and Wisconsin may differ a bit, however, as the policies are standardized a bit differently in these states from the others.

The Medigap benefits offered with most plans AN include:

• Coinsurance hospital costs up to additional 365 days past Medicare Part A
• Coinsurance or Copayment excluding preventative care for Medicare Part B
• First 3 pints of blood
• Skilled Nursing Facility Coinsurance (excludes A and B)
• Deductible Medicare Part A (excludes A)
• Coinsurance Medicare Part B Preventative care

Those in Massachusetts, Minnesota, and Wisconsin are offered various other benefits including:

• Inpatient Mental Health Hospital up to 60 days per year
• State mandated benefits including pap tests and mammograms
• Foreign travel emergency
• Outpatient mental health

Understanding the various elements of each plan available involves speaking with the insurance provider that offers these plans. Each insurance company is mandated by state regulation as to the benefits that are offered with each state, yet the prices may differ. Finding the best plan for you will mean finding the insurance provider that can offer an affordable plan that you can take advantage of and covers the gaps that you commonly experience with Medicare.

The various Medigap core benefits offered with most plans allows each senior with Medicare to be sure that their health care is covered no matter what. Most Medicare plans leave seniors needing more care or a payment plan just to repay for services, which is why Medigap is offered, to allow these seniors to receive the health care they desperately need without suffering further hardship.

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