Posts Tagged ‘part b benefit’

Why Buy Pennsylvania Medicare Supplement Insurance?

Saturday, July 30th, 2011

If you have Medicare as your primary health insurance and live in the state of Pennsylvania, have you thought about obtaining Pennsylvania Medicare supplement insurance?

Many times, individuals believe that Medicare will cover the full cost of their health care, and are surprised when they receive a bill for copayments or deductibles after a visit to the doctor.  Medicare coverage can be hard to understand, but when talking about coverage for things like physician visits and medical supplies, you should know that Medicare would only actually pay for 80% of allowed charges through their Part B benefit.  This means a physician’s visit costing $200 could cost you $40 out of pocket.

For those on a limited retirement income, $40 can be a lot of money.  Even individuals with larger incomes do not want to spend any more out of pocket than they have to, and that is where Pennsylvania Medicare supplemental insurance comes in.  For as low as a few dollars a week, these plans pick up any charges Medicare deems to be the responsibility of the patient.

Also known as Pennsylvania Medigap insurance coverage or Pennsylvania Medigap plans, a secondary policy of this type will always pay copay amounts after Medicare has processed a medical claim.  However, you should shop around for the best plan for the right price. 

Some Pennsylvania Medicare supplement insurance plans cover more than just the copay.  There are plans that will cover the $110 annual deductible and others that will pick up charges for items Medicare does not cover.  An example of this would be syringes used to administer insulin.  Medicare does not cover syringes, but a secondary insurance might pick up some or all of the cost.

Individuals worried about the cost of prescription medication may want to consider a Pennsylvania Medicare Part D coverage plan.  Unlike other plans, which offer medical benefits related to things like visits to a physician, medical supplies, and lab work, Part D coverage plans specifically address prescription medications. 

You should be very careful when looking into these plans, though.  Medicare Part D plans are some of the most complicated insurance plans available. Often there are large donut holes in the policies, which can cost you a great deal of money. 

A donut hole is a place in the annual medication expense where you pay 100% of the cost.  For example, a plan might pay 80% of drug costs up to $3,000.  Then, they might pick up 100% of the cost after $9,000.  Between those two amounts, you foot the bill. That means if you have over $9,000 of medication costs in a year, you will be paying for more than $6,000 of it!

When buying Pennsylvania Medicare supplement insurance of any type, always make sure you read the fine print in the policy.  Never buy insurance when you do not understand what you are paying for, what items will be covered, and understand how much the insurance will expect you to pay out of pocket. Supplement insurance can be a great friend to those with high medical costs, but the wrong insurance can cause unexpected expense.

Archives
Get a Quote: 1-800-392-5621
Site by: OpenArms.tv/soluions | Template by: WP-Spider