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Learn What Medigap Insurance Will Cover

By Larry Price


Folks who are approaching retirement age may want to begin applying for Medicare and checking out gap coverage. It is a good idea to learn what a gap plan offers. The gap plans are purchased from a private company and is in addition to Medicare. These Medigap insurance plans pay for those costs that Medicare does not. These costs include medical care received outside the US, co pays, and deductibles.

It is important to note that gap plans do not pay for vision care, dental care, hearing aids, or eyeglasses. Also, there is no plan that covers private duty nursing or long term care. Part D is a separate plan people have to select to cover the cost for prescription medications. The gap premium is paid monthly to a private company that is separate from the Medicare B premium.

You are only eligible for this type of coverage if you already have Medicare part A and part B. Part A coverage pays for hospital expenses and as mentioned earlier, B covers doctor charges. If you have an Advantage plan you cannot buy gap plans. Learn which gap plans are available in your area. You can find all the information you need through the department of insurance can be found online.

Standard gap plans are labeled A through N, and provide various coverage levels. Side by side comparisons of these plans is always a good idea. Comparison helps folks choose the coverage that will best meet their needs. Keep in mind that if you are a new subscriber, you can not get E, H, I, and J plans.

Monthly premiums for gap plans vary from company to company. However, the standard plans offered are always the same regardless who is offering them. The plans offer the identical set of benefits across companies. Some states have different standards for their gap coverage.

The time to purchase a gap plan is during open enrollment. This is the period of time that is six months prior to the first day of your sixty fifth birthday month. However, you must be signed up for Part B of Medicare or within 6 month of when you signed up. You will be able to purchase the gap coverage for the premium a healthy person pays.

Once the window of opportunity for purchasing gap coverage comes to an end, there is no guarantee that folks can get the coverage. If you are able to purchase coverage, there is a risk you will pay a higher premium. Remember that you will be paying a premium for Medicare B and a separate premium for your gap coverage. The gap premium will be paid to a private company.

Premiums are dependent on the policy that you select, where you live, how old are you, and the insurance company you purchase from. Paying your premium on a standardized plan on time guarantees that you will be renewed. Even if you have a pre existing health problem, you will be guaranteed the policy will renew.




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