subject: Medigap Insurance Plan Has Every Kind Of Supplement For Medicare Policy [print this page] Here in this article you will come to know all about the gaps and covers of Medicare and medigap insurance plans. Now the Medigap policies are mostly under the administration of the private insurance companies the government have not much of hold on them. But the insurance companies are also allowed to sell only 12 standardized Medigap plans ranging from A through L. And according to the law, whatever company may sell the Medigap insurance the policies under the same letter cover should provide the same benefits. This means that if you buy a Medigap insurance plan under plan C, the company you are purchasing it is bound to provide the same benefits and coverage as provided by the other companies. But the amount of policy premium may differ from company to company. Each policy under the different letter covers has a different set of benefits. As for example starting from 2006, the Medigap Plans H, I, J, cannot be sold with prescription-drug benefit, although people who already had those policies prior to the date can keep them. All the twelve Medigap policies cover the basic benefits, but each one has some additional benefits along with them. In brief it can be said that the Plan A is the most basic plan. Now let us discuss about some of the gaps of the Original Medicare for which you will need some Medicare Supplement Plans. Let us start from Medicare Part A plan. The Medicare Part A plan is also known as the Hospital insurance plan and covers impatient hospital, skilled nursing facility, and home health and hospice services. Medicare covers the first 60 days in full after the deductible has been met; the daily coinsurance payment for days 61 to 90 is $267 per day in 2009, and for days 91 to 150, the "lifetime reserve days," $534. But it does not pay for Hospital services beyond 150 days per spell of illness. Again in case of skilled nursing facility the gap is beyond 100 days per spell of illness. And also there is a gap in Home Health nursing and aid services where there is no longer a skilled care component.
The Medicare Part B is sometimes also known as Supplementary Medical Insurance, which provides coverage for a variety of outpatient and physician services. It also pays for durable medical equipment, prosthetic devices and also for ambulance transportation. But there are some gaps in coverage that are not reimbursed by Medicare like the Part B deductible. The fact is that an annual deductible of $135 in 2009 must be met before Medicare will make payment for covered services. Another gap is also there in the Medicare which is that Medicare pays 80% of the approved charge for all Part B services and items, an amount that varies according to the services and items provided, and there remains a gap of 20% coverage. However there is also another important thing to be noticed and that is many physicians and providers charge more than the amount Medicare approves.
by: William Richards
welcome to Insurances.net (https://www.insurances.net)
