Medicare Supplement = - Answers Medigap
Issued by private insurance
Medigap is designed to - Answers Fill the GAPS or holes of Medicare A&B
gaps= deductibles , copay, & benefits
Medigap policy is for only - Answers one person, spouses must buy separate policies
Regulated & approved by - Answers the STATE
Sold & serviced by private insurers - Answers and HMOs
Under 65 must have - Answers Disabled
ERSD
ALS
core benefits - Answers =basic benefits
How many standardized plans are there? - Answers 8 Plans
Can see providers that - Answers take Medicare
Eligibility / Qualify - Answers If you have Part A & Part B
Medigap is a guaranteed issue - Answers when enrolling in part B for 1st time
6 month OEP
Medigap doesn't pay for - Answers Part A or B deductible
Plans/ Core benefits - Answers Plan A
Plan B
Plan D
Plan G
Plan K
Plan L
Plan M & N
, Medicare Part B Excess Charge - Answers the provider will only receive the Medicare approved amount
up to 15% more
15% above Medicare rate if - Answers to providers whom don't accept assignment
Able to suspend MS coverage for - Answers 24 months (2years) if you qualify for Medicaid
Premium will be return if notified within - Answers 90 days of Medicaid eligibility
Medicare Supplement may not - Answers duplicate any Medicare Benefits
Medicare Supplement agent can not - Answers infer they are working for Medicare, or part of Medicare
Medigap plans must be - Answers guaranteed renewable or noncancellable
Noncancellable plan - Answers one in which nothing about the contract can be changed: including
premium & policy can't be canceled
-considered the best renewability for customers
FOR LIFE as long as premium is paid
Guaranteed Renewable - Answers Has to be at minimum, good for life as long as you pay premium.
-The insurer must renew the policy unless insured decides to cancel/stop paying policy
-can rise price by class
Medigap does not cover - Answers Part B deductible
or
DENTAL
Plan A = - Answers Core benefits
You will not have creditable coverage if you have a break in the coverage for more than - Answers 63
days
The core benefits that are found in Plan A must - Answers be offered in all plans
Pre-exsiting condition is - Answers health condition that existed 6 months prior to policy start date
Consecutive Days - Answers 63 days
Free look period - Answers 30 days
starts at policy delivery