Medicare Supplement plans or Medigap plans are used to help cover out-of-pocket expenses left by Orginal Medicare (Parts A and B).
There are 12 standardized supplement plans currently available. However, each standardized plan has a different level of coverage except for Minnesota, Wisconsin, and Massachusetts which have their own standardized plans.
Medigap Plan A provides the least amount of coverage compared to the other supplement plans but has lower out-of-pocket costs and premiums.
Medigap plan A provides a small amount of additional coverage for Medicare beneficiaries, and this coverage includes:
Medicare Part A coinsurance costs hospital costs up to an additional 365 days after Medicare benefits are used up
Medicare Part B coinsurance or copay
First three blood prints for a medical procedure
Medicare Part B preventive care coinsurance
With Plan A you’ll not get coverage for these benefits:
Skilled nursing facility care coinsurance
Medicare part A deductible
Medicare Part B deductible
Medicare Part B excess charges
Foreign travel emergency
Medigap Plan A policyholders are responsible for Part A and Part B deductibles. In 2023, Part A’s deductible is 1600$ and Medicare Part B’s deductible is 226$.
Monthly premiums for Medigap plan A monthly premium costs are from 110$ to 180$. Several factors that can affect your monthly premium could be living area, tobacco use, gender, age, time of enrollment in Medicare, rates increase, etc.
Also, beneficiaries must pay for skilled facility nursing care if they need one, foreign travel emergencies, and Part B excess charges. With other supplement plans, this thing may be covered but the monthly premium costs more.
Medigap Plan A could be ideal for Medicare beneficiaries who want to get additional coverage at lower premium costs. Some of the enrollees may don’t want to pay for additional benefits that will never use.
It also could be good for those who never travel outside the United States and don’t go to the hospitals very often.
If you are traveling regularly out of the U.S. and need to go to the hospital very often we don’t recommend you to buy this plan because your out-of-pocket costs could be much higher even with the lower premiums.
Purchasing a supplement plan with more comprehensive benefits but with a higher premium would save you more money in case you would use those benefits.
For more information about asset based long term care, reach out to Texas Medicare Advisors today.
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