Medicare and Medicare Supplemental Insurance known as Medigap work together to pay medical expenses for Medicare recipients. How does it work?
Medicare recipients often wisely purchase a Medicare Supplemental Insurance Plan to help pay the medical expenses not covered by Medicare.
Medicare is considered the primary insurer paying first on Medicare approved charges for medical expenses and approved procedures. Once Medicare has paid the full amount it will pay the Medicare Supplemental Insurance will pay its part of the remaining expenses. This is not to say that even with a Medicare Supplemental Insurance Plan known as Medigap all expenses will be paid in full.
What To Look For With Supplemental Insurance
It is of great importance that when eligible for the Medicare Supplemental Insurance Plans the consumer shop carefully for the appropriate Medigap plan that will best suit his needs. The plans are designated a letter, A through L, with each of
the twelve plans covering different medical expenses. Before purchasing a Medicare Supplemental Insurance Plan the consumer should take into consideration his present health conditions and select the Medigap plan that best matches his expected health needs.
For any of the Medical Supplemental Insurance Plans to pay benefits the expense or procedure must be a Medicare approved incident. Medicare must pay its maximum benefit first. Then and only then will the Medicare Supplemental Insurance Plan pay benefits and only if the incident is covered by the supplement.
For example, Plan A of the Medicare Supplemental Insurance Plans will not pay the Medicare Part A Deductible while the other Medigap Plans will pay all the Medicare Part A Deductible or a portion of the deductible. Medicare pays first on approved charges. Depending on the Medicare Supplemental Insurance Plan the person has purchased all, a percentage of or none of the remaining charges will be paid.