Modifications to Medigap plans

Due to the Medigap modernization law of 2010, which comes took effect on June 1st 2010, there were some changes to the standard Medicare supplement plans in force. Such changes did not affect people who have been included in a Medigap Plan before that date, and will only apply to people who sign up on or after June 1st.  Get a quote at

Medigap Plans E, H, I, and J were eliminated by Medicare, but those currently logged into these plans can stay with them without changes. The two benefits that are also eliminated include home health insurance and retirement benefits, which were under-utilized by Medicare beneficiaries. Those who have been registered in plans before 1 June 2010 who have any of these benefits are allowed to continue using them. Other important modifications saw the addition of the hospice benefit to every Medigap plans added to it, as this was a major benefit added to every Medigap plan.

The new modernized Medicare supplement plans also include two new plan letters, which should be very attractive to those currently in a Medicare Advantage plan. These two plans include Medigap Supplement Plan M and Medigap Supplement Plan N. As a result of the rising cost of the Advantage Plan rewards and the growing number of physicians who choose not to participate, Medigap plans M and N offer different cost-sharing features, which will help provide lower premiums for both against plans like Medicare Supplement Plan F or Plan G.

Medicare’s new Plan M provides unique co-op options that are particularly appealing to relatively healthy Medicare beneficiaries. Plan M offers 50% of the Medicare Part A Excess, which was $ 1100 per service period in 2010. For example, if you visit the hospital with Medigap Plan M, it means you have to cover for a part of the cost of $ 1,100 i.e. excess $ 550 as current rules continue to apply to Medicare Part A excess. If you travel 60 days or more and need to return within the calendar year, you will need to make this payment again.

Under the Medicare Supplement Plan M, the beneficiary is also expected to pay for the Medicare Part B deductible, which as at 2010 is set at $155. There is no co-pay medical office for this franchise and the 20% co-insurance is paid for by the plan.

Another new Supplement plan N was introduced on 1 June. 2010. This plan also offers cost-sharing options for the beneficiary very much like Medicare Supplement Plan M, but with Plan N they are in the form of co-pay.

Anytime you visit a health center and you have Medicare Supplement Plan N, invariably you must pay $ 50. For doctor visit anytime, it attracts a co-payment of up to $ 20 per visit after you receive the Medicare Part B annual deductible ($ 155 in 2010). These co-payments allow Medigap Plan N premiums to be lower than currently available Medicare Supplement plans, thus making it an excellent choice for those leaving a Medicare Advantage plan (whether the plan leaves your area or you are in the registration phase).


Get enrolled in Medicare Supplement Plans to get good benefits

Are you someone who is above the age of 65? If that is the case, then you must already be aware of the Medicare plans which are available for the purpose of taking care of you. The Medicare Supplement Plans combine to the already existing plans in order to give you better facilities.

Simple Medicare plans will give you simple care only

The Medicare B and A plans which are available already will be giving you a maximum of the benefits, but they will not be covering all your expenses. These plans will be covering most of the costs of your visit to the doctor, the prescribed drugs you will have to take as well the visits to the hospital you will be taking, but they will not necessarily pay for anything and everything.

This is why you will need the supplement plans so badly. They will cover the rest of the things, things which are not being covered by the Medicare plans. They fill in all the gaps such as the coinsurance, the deductible, the co-pay and all other excess charges as not filled in by the Medicare plans themselves.

Medicare Supplement Plans gives you lots of benefits

Even after reading about all the added benefits, people still do not understand the need or the significance of these best Medicare Supplement Plans, and hence they do not go for it. The best part about these plans is that all those people who are a part of these plans can very easily visit any of the doctors they wish to go for.

However, the only single problem with these plans is that all those companies who will be providing you with these Medicare Supplement Plans have some guidelines which are designed so as to make the process of qualifying into th3ese plans quite a difficult job.

However, if you purchase these plans by following the guidelines thoroughly, you will find that it will be making a huge difference in the type or quality of the care that you will be getting from them and the expenses which you will have to support will also be taken care by the supplement plans.

These Medicare Supplement Plans also provide you with a lot of cover charges, and there are several seniors who have been greatly assisted or helped by these plans. Seniors having purchased these plans have got a lot of help and guaranteed advantages from them.

Confused about which Medicare Advantage Plan to choose for 2019?

You will need to consult the doctors thrice a year, but you have a long list of prescribed drugs that you have to continue for long. You have applied for a Medicare Advantage Plan but still, the costs are high. Is it that your Medicare Advantage Plan is covering the doctor charges and other services that you do not require for the time being? Maybe you haven’t chosen you Medicare advantage Plan properly. But there is still time before 2019 starts applying for a more useful plan.


First of all, know what a Medicare Advantage Plan before is getting one for 2019


Medicare Part C is widely known as Medicare Advantage Plan which is a combination of Medicare Part A and Medicare Part B. Medicare Part A acts as the Hospital Insurance and Medicare Part B acts as Prescribed Medicine Insurance.

Medicare Advantage Plan help with Hospital cost, Doctors’ visit and other Medical services that you will get with Original Medicare. There’s more. They can also cover prescribed drug coverage as well as coverage for vision and hearing and can even cover gym and health club membership. But everything will depend on the plan you choose.


Final things to check before choosing any Medicare Advantage Plan for 2019


When you choose a Medicare Advantage Plan for 2019 make sure you read all the plans that are available and select among them the ones that will be benefiting you the most. Why not, after all, you will be paying some of hard earned for getting the benefits in the future.  Read all the details of each of the Medicare Advantage Plan for 2019 thoroughly. Read carefully the fine print, compare the different plans that are available, the cost structure and the rules and guidelines including the restrictions of each plan before applying for one.

In any case, you want to refer a specific doctor for your treatment. Then make sure to check the policies that offer the benefits from that desired doctor who is in their network.

Another fact, there are many people who want to choose a Medicare Advantage Plan that would cover their Prescribed Medicine cost. Then, choosing a Medicare Advantage Plan that covers the whole specified need rather than choosing a plan which covers a part only. Also, there is various plan offering the same benefits. In that case, compare and choose a plan according to the cost-sharing.

There are many Medicare Advantage Plans available. So make sure going through all of them before choosing for one.

For any query related to Medicare and Medicare Advantage Plan, you can check the official website-


Don’t Worry with Emerging Health Issue if you have Medicare Supplement Plans

All the Medicare Supplement plans enrolled after 1992 come under guaranteed renewable obligation which means that except for a certain number of limited circumstances, no insurance company can terminate your policy. This is more appropriate for those who enroll to a supplement plan during the six months of Open Enrolment period, since the benefit in this time is that no insurance company can deny you a supplement coverage plan for your pre existing health problems. However, you also need to know the particular circumstances when an insurance company can subject your policy under termination and this includes the following circumstantial reasons

  • If you do not pay your premiums
  • If the insurance company becomes insolvent or bankrupt
  • If the insurance company finds that you were untruthful in your enrolment application

However, out of these circumstances, if the reason surfaces to be the bankruptcy of the insurer company, then in generally the beneficiary or policy holder is offered with the issue right to select and buy a new plan. Again, while you are still within your guaranteed issue period, after your Medicare enrollment, no insurance company can ask for a medical underwriting and deny you from applying and enrolling for a plan.

Can You Get Medigap against a Lost Medicare Coverage?

It might happen that you may lose your Medicare policy papers, or you might have dropped your Medicare advantage plan or your Medicare, but even under such circumstances you are rightful of enrolling for a Medigap with your guaranteed issue right. However, in such cases you will do require few copies of your original policy papers in order to show your valid point while you apply for Medicare supplement plans. These essential documental records include:

  • A copy of letters, denials or even or even notices of your Medicare coverage with your name on it to prove your coverage
  • You can even take the postmarked envelope in which the Medicare documents had arrived to you as a mark of proof

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Under such cases it is recommended that you apply for a Medigap policy after your current health care coverage has ended. But you can also start a Medigap while you are still continuing your current Medicare coverage and choose to start your Medicare supplement plans after your current health care coverage ends, so that you can essentially avoid breaks in your health policy coverage. The Medicare rights under the guaranteed issue rights are under the Federal law; however there are many states which offer over the top additional Medigap facilities.

An Insight of How Your Premium Cost Determined Nowadays

Well though community rating, aged rating as well as attained age stands to be vital factors, yet some of these are losing their importance with the changing trends of the medical insurance norms and demands in the current political scenario. However, some of the factors which still carry potential importance and considerations when it comes to determining the Medicare supplement plans premium costing, includes

Enrolment Time

The best time for enrolling to Medicare supplement plans in the open period that six months from the date you enroll for your original Medicare, during which time no insurer can deny you a policy owing to your pre existing medical issues, disabilities etc, nor can demand for high premium rates. However after the open period lapses, you may even need to get medical underwriting to have a supplement policy that your need.


The location where you reside plays a vital role in determining the premium charges you need to pay for your Medigap. Insurers popularly assume the standard of living of the area and accordingly charge for premium.


Though not a compulsory determining factor for all insurance companies, yet many companies do follow age issue rating in structuring their premium scales. But for those who avail the open period benefit and enroll for Medicare supplement plans for 2019, they tend to be on an advantageous position at the age of 65 compared to those who wait until late age of 75 to get a supplement plan.


According to survey it has been revealed that there are many insurance companies which offer lower premium rates for women. Since according to health analysis it is said that women tend have a better healthy life and a longer life, therefore insurance companies stay at a advantageous position even after offering women discounted rates, since women claim less and pay for longer time.


Tobacco is the reason behind several health complications worldwide and it is no wonder why Medigap companies consider the consumption of tobacco by a beneficiary to be an essential reason for enhanced premium payments. As per a survey of the premium rates of several Medigap firms throughout, Tobacco users’ needs to pay approximately 10% higher compared to non tobacco users.

Households Discount

Many companies offer discounts for spouses to enroll another spouse of a policy holder as well with them. They can even offer discounts for any member residing in the same address aging above 18.