Are you thinking about enrolling in a Medicare supplement (Medigap) plan? When you enroll in a Medicare supplement plan alongside original Medicare, you will most likely have a wide network of doctors to choose from — however, there can be certain restrictions that apply in some cases. To help clear up any confusion, this supplemental insurance broker in Schererville, Indiana is going to discuss some of the key things you should know about the topic below.
What Is Medigap?
Medigap, or Medicare supplement insurance, pays for costs that Medicare doesn’t. The coverage can be handy for long-term hospitalization, dental/vision care, and extensive treatments. Basically, you can be reimbursed for out-of-pocket expenses. It also covers a vast network of healthcare professionals and facilities.
Who Needs Medigap?
Original Medicare isn’t a blanket insurance. There are gaps, and this is where Medigap enters the picture. Medicare Parts A and B comprise only basic coverage, Part D is again optional, and Medicare Advantage or Part C is a private replacement for public Medicare. However, you’ll need to enroll in Parts A and B through a supplemental insurance broker in Schererville, Indiana to qualify for Medigap. These plans give individuals more freedom, and they are also suitable for people who travel internationally.
Why Get Medigap?
The supplemental policy can help you save significantly in out-of-pocket expenses. It is great for individuals who have a chronic illness that requires frequent doctor visits, for example. Part B can cover the same, but you’ll be responsible for deductibles, copay, and coinsurance. When you have a Medigap, it applies after your Medicare covers these costs. Depending on your plan, you might owe a small amount, or you might owe nothing at all. The potential savings may or may not make up for the extra premiums you pay, but the peace of mind of visiting any doctor and walking out without a bill can be worth it.
Do All Doctors Accept Medigap?
Medigap is acceptable wherever Medicare is. 90% of all doctors will accept your insurance and bill you for your cost-share. They agree to use the Medicare-approved amount for services and file a claim on your behalf. In short, your Medigap works in tandem with Medicare. When scheduling your appointment, check with your doctor to make sure they accept Medicare.
Furthermore, you can buy your policy from any supplemental insurance broker in Schererville, Indiana. Your coverage will follow you everywhere in the country. Also, as long as you’re paying the premium, your policy is guaranteed renewal. Plus, there are twelve different plans, which means you can choose the one that suits you the best in the long run.
What Should You Do If Your Doctor Doesn’t Accept Medigap?
People often refer to their Medicare Advantage plan as Medigap or a supplemental plan, which is one reason why a doctor might initially deny the policy. Medicare Advantage has its own network, and in some cases, the network changes in the middle of the year.
Some doctors may refuse Medicare and supplemental plans due to lower reimbursements, strict regulations, and additional paperwork. In addition, a doctor or hospital that doesn’t accept Medicare can bill you up to 15% more for the services. They can also ask you to file your own claim documents.
What can you do? You can choose to cover those costs yourself, ask for a referral to another healthcare provider, or visit an urgent care facility that might accept your policy.
Looking for a Medicare Supplemental Insurance Broker in Schererville, Indiana?
Are you looking for more information about how a Medigap plan can apply to your situation? If so, and if you’re looking to meet with a supplemental insurance broker in Schererville, Indiana, look no further than the team at Senior Care Insurance Services (SCIS). Contact us today to schedule an appointment.