Medicare supplement plans: rules to be followed

It is often seen that the Medicare policy that you are having does not cover for the total bill charged for your medical treatment. Now it sometimes becomes a big problem for some people to bear that extra cost. For that very reason here is the Medicare supplement, in other words known as the Medigap policies that helps you get relieved of that extra burden of medical cost. The fact is that in the original Medicare policies there always remain several gaps for which it doesn’t pay for all the health care services that you may need. Therefore if you are the one of the beneficiaries of the original Medicare plane, you may be in the need to buy Medicare supplement insurance. In other words it is also known as the Medigap insurance because of the reason that it bridges the gap between the policy coverage of the original Medicare plans and the total medical bill you need to pay. This is the type of health insurance policy that helps you pay for some of the costs in the original Medicare program and also for the part that it doesn’t cover.


The medigap offerings or the Medicare supplement plans have been standardized by the Centers of Medicare and Medicaid Services (CMS) in 1992. Though medigap policies were also available prior to that. But the seniors possessing the plans prior to 1992 are still under non-standard plans. But these plans are no longer eligible for the new plans. It is to be mentioned that the Medigap or the Medicare supplement plans are sold by the private insurance companies and there are no government sponsorship behind them. And for that reason the insurance policies may vary from state to state. According to the law, the companies can offer only 12 Medicare supplement insurance plans. And these plans are named from A through L and each plan provides different sets of benefits. In 2006 it has been clearly stated that the Medigap Plans H, I, and J, cannot be sold to people with prescription to drug benefits, although there is a lax of this rule for people who already have those plans and they can keep them.

It is however advised that you should go through the policy statements carefully before deciding to choose one best fit for you. And for the concern of the policyholders it can be said that the all the plans with the same letter cover, no matter which insurance company sells it must cover the same benefits. As for example it can be said that all Plan E policies have the same benefit coverage irrespective of the insurance company selling it. However, it should be kept in mind that the amount of premium can vary with company.

The fact is that the insurance company must keep renewing the Medicare supplement plans once you buy a Medigap plan for yourself. And it is also true that they cannot change the policy covers or the benefits that it promises to provide or even can’t cancel it unless there is any failure on your part in paying the premium. However, the company can increase the insurance premium, but that too they can’t do without providing your prior notice of the increase in due time.


By: William Richards : The Best Medicare Plans, Medicare plans California and Best Medicare Supplemental Insurance