If you’re asking about the right Medicare supplemental plans for you, the answer is, “It depends.” Consider your health and budget to identify the right California Medicare supplement plan.
California Medicare-eligible residents can reduce their out-of-pocket health care costs with Medicare supplemental plans. Medicare supplemental insurance plans in California work with Medicare primary insurance to lower the costs beneficiaries pay for medical and healthcare services.
California Medicare Supplemental Plans
Medical supplement insurance plans, also called Medigap policies, fill in many of the gaps in original Medicare Parts A and B coverage for California beneficiaries, such as copayments, deductibles, and coinsurance.
Other benefits may provide coverage for Medicare-eligible recipients when they travel outside of the United States.
California Medicare Supplemental Insurance Plans
Medicare supplement policies provide a range of coverage depending on a variety of monthly plan premiums:
Medicare Parts A and B pay up to 80 percent of the beneficiary’s medical and healthcare costs. If you select a Medigap supplement plan in California, it helps to pay a percentage of what Medicare doesn’t pay. Some Medigap plans pay a higher percentage of copays, coinsurance, and deductible costs.
Beneficiaries who receive Social Security benefits, such as Social Security disability and retired Social Security Administration beneficiaries, may be eligible to receive Medicare. A disabled person is eligible to receive Medicare two years from the date that Social Security determined the disability began. All American workers who paid sufficient FICA taxes over their working years are eligible to receive Medicare at age 65.
If the Medicare beneficiary lives in California, he or she is eligible to purchase a California Medicare supplement insurance policy. It’s important to note that if the Medicare beneficiary is married to a spouse younger than 65 years old, he or she needs private healthcare insurance until he or she is Medicare-eligible.
Considerations about California Medicare Supplement Insurance Plans
It may be challenging to select the right California Medicare supplement insurance plan. You might believe that you don’t need to spend money on a Medigap supplement plan if you’re robust and never see a doctor. If you’re in great health now, this could change as you get older.
Review the medical and healthcare costs that Medicare pays, then evaluate the Medicare supplement Insurance California policies available to you. Realize that Medicare Advantage plans aren’t the same as Medicare supplemental plans.
Apply for a California Medicare Supplement Plan in California
We’re here to help if you need to compare Medigap plans and rates. Contact our Medigap insurance expert team or contact us. Our service is free of charge. We’ll help you to identify the Medicare supplemental plans that best meets your needs and budget.
Medicare Supplement Insurance Policies and Medicare
Medicare Parts A and B pay some health-related and medical charges 100 percent but, in some cases, eligible covered charges are paid at up to 80 percent:
Medicare Hospital Insurance (Medicare Part A). The federal government provides Medicare Part A coverage to all eligible citizens in California. You don’t pay premiums to receive Medicare Part A. This insurance pays for inpatient hospitals, hospice care, and skilled nursing facilities.
Your Part A coverage pays for a semi-private room if you’re an inpatient in a hospital, nursing facility, or other medical services facility. It pays the costs of your hospitalization for 60 days. You must pay the annual deductible. The Medicare Part A deductible changes each year. The deductible tends to increase. If you need a longer hospital stay, Part A will pay at different rates. You’re responsible for the deductible and copayments.
Medicare Part A also pays your co-payments for clinical laboratory testing and part-time home health care.
Medicare Physician Insurance (Medicare Part B) pays doctors’ services, outpatient care, emergency medical services, durable medical equipment, and more. You pay a monthly premium to receive Medicare Part B coverage. If you elect to receive Medicare Part B, Social Security Administration will automatically deduct the monthly premium from your Social Security benefits. Typically, Medicare Part B pays up to 80 percent of eligible approved fees.
Medicare Supplement Plans Work with Medicare
It’s important to know that a Medigap insurance policy is an add-on to original Medicare Parts A & B. It’s never a stand-alone insurance policy. If you buy a Medigap plan in California, it won’t cover services such as hearing care and vision. It won’t cover dental expenses.
Medicare Part D isn’t combined with your Medigap policy. If you use Medicare Part D to help pay for your prescription medicines, you’ll need to enroll in a freestanding Part D plan. Like your Part B monthly premium, Social Security Administration can automatically deduct the cost of your Part D premium. Ask us for information about Part D plans available in California.
Keep in mind that a Medicare supplemental insurance plan isn’t the same as a Medicare advantage plan, sometimes called Medicare Part C. These plans combine your Medicare Parts A, B, and D coverage but don’t cover the gap between what Medicare Parts A & B pay, such as co-pays, coinsurance, and deductibles. For instance, if you need hospitalization, a Medicare advantage plan won’t pick up the difference.
For many reasons, many Medicare beneficiaries in California like knowing that a Medicare supplemental plans can help them save on out-of-pocket expenses. Contact us to discuss your questions about Medicare and Medicare supplement insurance plans available to California beneficiaries.