Posts Tagged ‘pennsylvania medicare supplemental insurance’

Benefits Of Getting A Pennsylvania Medicare Supplement Insurance

Monday, August 22nd, 2011

Pennsylvania Medicare supplement insurance plans are one type of Medicare insurance provided to people who have Medicare. Commonly referred to as Medigap, the Pennsylvania Medicare supplemental insurance plan can help pay for your coinsurance, copayments, or deductibles of Medicare-covered services. Working together, these two types of insurance plans will provide the most comprehensive coverage that anyone over the age of 65 can get. Residents of the state of Pennsylvania who have been legal residents of the US for at least 5 years are eligible for Pennsylvania Medigap insurance coverage.

Important Things to Know about Pennsylvania Medicare Supplement Insurance 

When I planned on getting Medigap insurance there were some things I had to have before I became eligible. For one, anyone who wants to buy Pennsylvania Medigap plans will need to have Medicare Part A and Part B. Medigap policies are not paid for by Medicare since this is a private insurance policy. Your policy must follow Federal laws as well as Pennsylvania state laws that cover Pennsylvania Medicare supplement insurance plans and Medicare. The policy should also state clearly that you are taking a Medicare Supplement Insurance.

I also learned that the Pennsylvania medical insurance coverage only covers me, since Medigap policies only cover one person. This means that if you are a couple and you both want coverage, you each have to buy individual Medigap policies. Another important thing to note is that there is some coverage not included in a Medigap policy. Therefore, it is important that you view the benefits of the policy before buying. For one, prescription drug coverage or Pennsylvania Medicare part D coverage is not included in Medigap policies. In my case, I wanted prescription drug coverage so I joined the Medicare Prescription Drug Plan, which is offered by private companies but approved by Medicare.

How to Get Affordable Pennsylvania Medicare Supplemental Insurance

There are various companies in the state that offer Medigap policies, which are categorized according to letters A through N. Most companies can only sell standardized policies, which offer the same basic benefits, no matter which company offers it. However, companies differ slightly in the cost of each policy, which is the only difference between them. This is the reason why it is important to shop around for the company that offers the most affordable Pennsylvania Medigap plans with the same basic coverage as the rest. In other states such as Wisconsin and Minnesota, insurance companies also offer a policy called Medicare Select, which is also composed of standardized plans that require the use of certain providers but cost less compared to other Medigap plans. 

Getting a Pennsylvania Medicare supplement insurance plan has provided me the widest range of coverage. Knowing that Medigap works hand in hand with Medicare to cover all my health and hospital needs, I am assured that I am covered no matter what medical emergency may arise. The extra cost for a Medigap coverage is worth every penny for the peace of mind that Pennsylvania Medicare supplement insurance gives.

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.

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