Most important information on Medicare Advantage Plans

Most important information on Medicare Advantage Plans

Many types of related Medicare Advantage Plans are available for the elderly and can be found by visiting These plans are usually popular as Medigap Insurance Policies.

Medigap refers to several private health insurance plans which are sold as Advantage Medicare in the United States.

There are 12 Medigap insurance policies, which are known as Medicare Advantage Plans from A to L. Medigap insurance policies are offered by insurance companies and most are regulated by federal and state laws. Seniors need to have Medicare part A or B to purchase a Medigap insurance policy.A person can buy Medicare Advantage Plans A, B, C, F, K, or L that’s sold by any insurance company in their state.

Medicare part A Gaps:

Seniors who have Medicare part A, which covers hospital and nursing home stay, will have coverage deficiencies that may be subject to an additional Medigap insurance policy.Coverage gaps usually include the deductible and co-payment that is required for any hospital stay for diseases. There is also a gap in coverage, for illnesses, hospital services, and specialized care services that are needed. Hospital stays should last more than 150 days and specialized care facilities that take more than 100 days.

Medicare part B Gaps:

Gaps also exist for seniors who have coverage provided by Medicare Part B, which covers outpatient and medical services.Coverage gaps include the deductible that is required for part B, and the 20 percent coinsurance payment. Medicare Part B is also a gap that exists when the billing charge for services is above the limit that has been approved by Medicare.This gap exists because doctors tend to apply more than what Medicare will approve of payment.

Buying a policy:

Seniors can purchase a Medigap policy during an individual’s open enrollment period. The registration period begins on the first day of the month in which an individual reaches age 65 and lasts six months. There could be an additional open enrollment period available in some states. Individuals need to pay the Medicare Part B premium and Medigap insurance premium.

Insurer Restrictions:

When seniors purchase a Medigap policy from Medicare Advantage Plans during their enrollment period, the insurer is limited to performing any type of medical subscription.

This includes refusing to sell an individual a Medigap insurance policy, including any waiting periods before starting coverage and charging a higher price for a policy because of an individual’s health. However, an insurer may include a waiting period for a pre-existing condition.