If you have Medicare they will pay up to 80% of your hospital and doctor office visits,but what about that last 20% you might ask. Well you have a few opptions you can pay out of pocket and 20% by your self, or you can get what is called a Medicare supplement plan also known as a Medigap plan or Senior Supplemental Insurnace.
What is a Medicare Supplement plan?
In Maine, as in the rest of the country, a Medicare Supplement plan can help pay for certain expenses not covered by Original Medicare, Part A and Part B. These out-of-pocket costs might include deductibles, copayments, and coinsurance. In addition, some Medicare Supplement plans might include coverage for emergency health-care services received outside the United States and Medicare Part B excess charges. Coverage will vary between plan types, as will the overall cost of the plan.
A Medicare Supplement plan in Maine, also referred to as Medigap, is designed to be used with Original Medicare. However, Medigap coverage isn't meant to be a substitute for Original Medicare, and you'll need to stay enrolled in Medicare Part A and Part B to be eligible for Medicare Supplement coverage. Medigap plans aren't meant to provide stand-alone health coverage; you'll still get your Medicare hospital and medical coverage through Original Medicare, Part A and Part B.
Medicare Supplement plans do not include coverage for prescription drugs. If you're enrolled in Original Medicare and want prescription drug benefits, you can get this coverage through a stand-alone Medicare Prescription Drug Plan.
Enrolling in a Medicare Supplement plan in Maine
Many states do not allow enrollment in a Medigap plan until a beneficiary turns 65; however, Maine requires insurance companies that sell Medigap plans to offer at least one plan option to Medicare beneficiaries under 65.
In general, the best time to enroll in a Medicare Supplement plan in Maine is during the Medigap Open Enrollment Period, which is the six-month period that automatically starts the month that you have Medicare Part B and are age 65 or older. During that time, Medicare beneficiaries may purchase any Medicare Supplement plan with "guaranteed issue," regardless of previous medical history or current health status.
Once their Medigap Open Enrollment Period is over, beneficiaries may still choose to enroll in a Medicare Supplement plan in Maine, but they may not have guaranteed-issue rights. This means that insurance companies may charge higher premiums or even deny coverage to beneficiaries with pre-existing conditions.
Choosing a Medicare Supplement plan in Maine
Like most of the country, there are 10 Medigap plans currently available in Maine, with each plan type labeled with a letter (for example, Plan C). Each plan type has a different level of coverage, and benefits are standardized. This means that regardless of which insurance company you purchase from, your benefits will be the same for plans of the same letter. However, the cost of individual plans can vary depending on the insurance company offering the coverage and the location of the plan. It may be a good idea to start by deciding the level of coverage you want and the Medigap plan type that best fits your budget and needs. From there, you can compare Medicare Supplement plans in your area to find the insurance company that offers that plan for the best price.
Incline.Media is owned and operated independently of our users, a make no claim to their viability. When it comes to Medicare Supplements we suggest you contact a licensed medicare supplemental insurance agent in your area or call our friends at 1-800-MEDIGAP . Medigap Plan F
This Website serves as an invitation for you, the customer, to inquire about further information regarding Medicare Supplement or Medicare insurance, and submission of your contact information constitutes permission for an agent to contact you with further information, including complete details on cost and coverage of this insurance if you desire.
Many of our customers in this category are licensed agents that may call you and are not connected with or endorsed by the U.S. Government or the federal Medicare program. Medicare has neither reviewed nor endorsed the information contained on this website. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www. href="http://www.medicare.gov">medicare.gov.
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