Medigap 2023: Medicare Supplement Plans to Avoid!- Medigap plans are a great way to supplement your Original Medicare coverage. Original Medicare provides truly comprehensive coverage but these supplemental plans do help to fill in the gaps. However, not all plans are created equally.
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★☆★ABOUT THIS VIDEO★☆★
0:00 Intro
0:42 Original Medigap
3:09 Medigap Plans
9:20 Plan A & Plan B
11:25 HDHP Plan G & Plan F
12:50 Plan F
13:49 Our Recommendations!
When you turn 65, you’ll be eligible for Original Medicare which is Part A & Part B. Part A is your hospital insurance. Part B is your outpatient insurance. Together, they will cover a large portion of your medical needs.
Medicare.gov is an excellent resource and if you logon to medicare.gov you’ll see the full range of benefits offered by Part A & Part B.
Unfortunately, there are gaps. There are benefits that are simply not offered by Original Medicare such as dental, vision, hearing, and prescription drugs. For these benefits you will need additional insurance options.
But there are also deductible and copays and coinsurance. There is also no out of pocket maximum with Original Medicare.
So, you will have to pay a monthly premium at the very least for Part B. Most people are eligible for free Part A through theirs or their spouse’s work history.
Additionally there is a deductible for Part A and for Part B. For Part A it is applied per benefit period. Benefit periods can be a little tricky to understand, so you can think of it as a hospital stay. If you need to be hospitalized for a surgery for example, you would first need to meet your Part A deductible. If you needed to be hospitalized again in that same year, that would be a new benefit period and you would once again have to meet your Part A deductible.
Your Part B deductible is annual. So you only need to meet it once per year.
In 2023 the Part A deductible is $1600 and the Part B deductible is $226.
Then there are copays and coinsurance. For Part A, again it is a little more difficult to understand.
Part B is a little more straightforward. It will usually be 20% of the Medicare approved amount, unless there are Part B excess charges. More on than in a moment.
So, Medigap plans also known as Medicare Supplement Plans will help to cover these financial gaps. They can help with deductibles and copays and coinsurance. They will either cover all of your medical bills or impose an out of pocket max. But not all plans are created equally.
Medicare Supplement Plan A and Plan B do NOT cover your coinsurance for skilled nursing facility care. This could potentially cost you thousands of dollars. The monthly premiums do not offer enough of a savings to offset this potential cost.
High Deductible Plan F & Plan G are also not great options. The deductibles are so high that when you run the numbers, it doesn't work out great for the beneficiary. When you compare the potential cost savings, you would likely be better off with a regular plan.
Finally let’s talk about Plan F. Plan F is actually great. If you look at Medicare.gov you’ll see that it covers a LOT!
The problem is two fold. 1. These plans are no longer offered to new enrollees, so that will likely count your out. But even if you are eligible for Plan F, you may want to avoid it. Plan F, when compared to Plan G, usually has a much higher monthly premium despite offering very similar coverage. Also, although Medicare Supplement plans usually increase on a yearly basis, Plan F historically has had much steeper increases than other plans.
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Medigap 2023: Medicare Supplement Plans to Avoid!
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