Medicare Supplement Plans
Also called Medigap plans.
These are Medicare Plans that fill in the gaps of Original Medicare Part A & B.
Although Medicare Part A & Part B pay for a portion of your healthcare costs; there are limits to the coverage with deductibles, copays, and coinsurance not all medical services are covered. Medicare Supplemental Plans sometimes referred to as Medigap, fill in the gaps where Medicare alone does not cover.
Medicare Supplement Plans are recognized wherever Original Medicare is accepted. The insurance plans allow you to choose your own doctor or specialist (who accepts Medicare patients) without network restrictions. Other services not normally in a supplement Medicare Plan are Dental and Vision, and Prescription Drug Plans.
Getting a Part D Prescription Plan is important in order to keep creditable prescription drug coverage so you will not incur a penalty.
Stand Alone Dental and Vision and Prescription Drug Plans are available. We can answer your questions about out-of-pocket cost and Medicare Supplement premiums and ensure you are fully protected. We have access to a wide range of Carriers for the Medicare Supplements in Houston, Tomball, and The Woodlands.
Did you know?
Medicare Supplement Plans are standerized by the Goverment.
The standerized Plan G policy offered by Aetna must include the same basic benefits as a Plan G policy offered by Mutual of Omaha.
There are 10 different Medicare supplement plans. You’ll see them designated as letters: A through D, F, G, and K through N. Each of these different plans is standardized, meaning the same set of basic benefits needs to be offered for each Plan.
Why buy a Medicare Supplement?
A Medicare Supplement has a monthly premium. What do people like most about the Medigap plan?
One of the popular features is that there is no network. All doctors and hospitals that accept Medicare will also accept a Medicare Supplement.
It's the freedom of choice with doctors and hospitals and also you don't need a referral to see a Specialist either.
Plans G, N and F.
A deep dive into what's covered.
Plan G with Original Medicare Part A&B covers 100% except $203 Part B deductible
Covers Medicare Part A coinsurance, deductible and hospital costs. Medicare Part B coinsurance or copays First 3 pints of blood. Skilled nursing care facility coinsurance. Medicare Part A hospice care coinsurance or copays. Medicare Part B excess charge (if a doctor charges more than the Medicare-approved amount, this plan will cover the difference). Foreign travel exchange of up to 80 percent. Plan G does not cover: Part B deductible for doctor visits $203 a year
Plan N with Original Medicare Part A&B covers 100% except $203 Part B deductible. and Part B excess charges.
Covers Medicare Part A coinsurance, deductible & hospital costs. Medicare Part B coinsurance or copayments. First three pints of blood. Skilled nursing facility coinsurance Medicare Part A hospice care coinsurance or copays. Foreign travel exchange of up to 80 percent. Plan N does not cover Part B deductible $203 & *Part B excess charges, Dr. visit copays up to $20 and emergency room visit copays of $50
*Part B excess charges are when a doctor charges more than the Medicare approved fee schedule. They can be up to 15% above the Medicare fee schedule.
Some recent studies have put the national percentage around 5% of instances where doctors charge “excess charges”. Keep in mind, even if a doctor does charge them, they are limited to 15% of the Medicare-approved payment schedule.
Plan F* with Original Medicare Part A&B is 100% coverage
Medicare Part A coinsurance, deductible and hospital costs.
Medicare Part B coinsurance or copayments,
First three pints of blood
Skilled nursing facility coinsurance
Medicare Part A hospice care coinsurance or copays Medicare Part B deductible Medicare Part B excess charges.
Foreign travel exchange of up to 80 percent.
*The guidelines for who can enroll in Plan F have changed in 2020. People who are new to Medicare from Jan. 1, 2020, and onward will not be able to buy Plan F. If you already had Plan F before Jan. 1, 2020, you’ll be able to retain it. If you were eligible for Medicare before Jan. 1, 2020, but delayed Medicare enrollment, you may still have the option to buy Plan F when you do choose to enroll.
Mutual of Omaha has been in business since 1909. They are an A+ rated, financially stable company.
Medicare Supplement Trivia.
Did you know?
Mutual of Omaha has offered Medicare Supplement Plans since Medicare was signed into law in 1965.