Medigap
A Medigap policy is an insurance policy that helps fill "gaps" in Original
Medicare Parts A & B and is sold by private companies. Original Medicare A & B pays for
much, but not all, of the cost for covered health care services and supplies.
Medigap policies are sold by private companies, and can help pay for some
of the costs that Original Medicare A & B doesn't, like copayments, coinsurance,
and deductibles.
Some Medigap policies also cover certain benefits Original Medicare A & B doesn’t
cover, like emergency foreign travel expenses. Medigap policies don’t cover
your share of the costs under other types of health coverage, including
Medicare Advantage Plans, stand-alone Medicare drug plans,
employer/union group health coverage, Medicaid, or TRICARE.
If you have Original Medicare A & B and a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs.
Then, your Medigap policy pays its share to your provider. Medicare doesn't pay any of the costs of buying a Medigap policy.
A Medigap policy is different from a Medicare Advantage Plan because
those plans are another way to get your Part A and Part B benefits, while a
Medigap policy only helps pay for the costs that Original Medicare A & B doesn't
cover. Insurance companies generally can’t sell you a Medigap policy if you
have coverage through a Medicare Advantage Plan or Medicaid.
This chart shows basic information about the different benefits that Medigap plans cover.
If a percentage appears, the Medigap plan covers that percentage of the benefit, and you
must pay the rest. If a box is blank, the plan doesn't cover that benefit.
If you need help choosing a Medigap plan or company, call us at (949) 694-1976 for a no obligation appointment.
Source: Medicare 2023 Choosing a Medigap Policy:
A Guide to Health Insurance for People with Medicare
Call us anytime Monday-Friday between 8:00 a.m. and 8:00 p.m. Pacific Standard Time. (949) 694-1976
