Medicare Supplement

Less than 60% of Medical Costs Are Actually Covered by Medicare

One of the great benefits that Americans receive as they mature is Original Medicare. However, Americans who qualify are surprised to discover that all medical costs are not covered under the government-sponsored plan. In fact, Original Medicare covers less than 60% of medical expenses. With all the deductibles, co-pays and exclusions, many seniors are left with burdensome medical expenses and are wondering what their options are to help cover these additional costs.

A Medigap or Medicare Supplement private insurance policy provides coverage for those medical expenses either partially covered or not covered at all by Medicare. All plans are standardized by the government. However, while the benefits are the same from one company to the next, there are still many options to choose from, and premiums and extra costs may vary significantly. It is important to be well-versed in those options before sitting down to make a decision.

At David A. Crotts & Associates, we represent many of the strongest Medicare Supplement carriers in the industry. Our team will help you explore the options available. Contact us today for more information.

Medicare Supplement Insurance (Medigap) Plans

BENEFITS A B C D F* G* K L M N**
Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Medicare Part B coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Blood (first 3 pints) 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Part A hospice care coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Skilled nursing facility care coinsurance     100% 100% 100% 100% 50% 75% 100% 100%
Medicare Part A deductible   100% 100% 100% 100% 100% 50% 75% 100% 100%
Medicare Part B deductible     100%   100%          
Medicare Part B excess charges         100% 100%        
Foreign travel emergency (up to plan limits)     80% 80% 80% 80%     80% 80%
              Out-of-pocket limit in 2020      
              $5,880 $2,940    

* Plans F and G also offer a high-deductible plan in some states. With this option, you must pay for Medicare-covered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2,340 in 2020 before your policy pays anything. (You can’t buy Plans C and F if you were newly eligible for Medicare on or after January 1, 2020. See previous page for more information.)

** Plan N pays 100% of the Part B coinsurance. You must pay a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.

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