Demystifying Medigap, Medicare, & Medicare Advantage Plans

Medicare comprises 4 basic parts and each of these are designated by different letters, i.e., A to D


The Part A Medicare Policy covers board and room in addition to a few other expenditures in inpatient circumstances including skilled nursing care, a hospice facility, and a hospital. Part A also has a co-insurances & deductible which you need to pay for. Majority of the people avoid paying premiums for this part.


Part B Medicare compensates for outpatient situations including visits to the doctor, physical or speech treatment, home health-care, certain drugs, etc.

Get a 2019 medicare supplement plan to avoid extra medical bills.

It can cover up to 80 percent of approved sums for the above expenses once a person meets his/her annual deductible. Part B needs you to pay each month. Enrollment can be made optional. Many times, there will be a penalty for late enrollment which is added to the person’s premium in case they delay their Part B enrollment and don’t have other credible plans. Each year, there are limited enrollments where an individual may enroll in Medicare Part B.


Medicare Part A and B come in the original Medicare policy which was created during the year 1965. The very first benefits were paid in the year 1966 for helping elderly with medical expenditures. Although the original Medicare plan can cover the majority of your medical expenditures, you can recognize certain gaps in this coverage. This is when most elderly consider what is known as Medicare Supplement Plans that aim to fill this gap.


With the basic Medicare, a person is able to use any hospital or medical center anywhere within the United States that accept Medicare.


Next comes Medicare Advantage or Part C Medicare. From the year 1997, senior citizens were given the choice to purchase a private Medicare Policy. Part C need to cover a minimum of what Part A and B covers. A few plans in Part C come with benefits that you won’t find in the basic Medicare such as eyeglasses, gym memberships & dental coverage. A few plans may also feature prescription coverage. Today, you can find multiple varieties in the Medicare Part C plan like PPO, HMO, POS, & PFFS. So remember that the coverage a person gets in the Advantage Plan is identical to Part A & Part B Medicare except for the supplement. Every Advantage Plan comes with additional expenses including day-to-day co-insurance for your hospital stays, office visits co-pays, etc. Besides, a person isn’t allowed to add a supplemental plan to go side by side with your Advantage Plan. Irrespective of the sort of Advantage Policy you pick, ensure to select a company that fulfills your specific needs or you’ll most likely end up paying way more out of your own pocket.


The final part is Part D Medicare which is simply a prescription coverage that is offered by private firms. The person will need to pay a monthly amount for this plan as per his/her selection.


You might avoid Part D Medicare, however, remember that you’ll need to pay a penalty for late enrollment when you decide to finally enroll. This fine is dependent on how many months are passed after you were qualified for this plan as well as your enrollment month.