Medicare alone may not be enough to cover your health-care needs in retirement. Medicare coverage comes with deductibles, co-payments or coinsurance costs for many types of treatments, including hospitalizations. Typically, the deductible amounts are increased each year. If you’re not prepared to pay these expenses out of pocket, you may want to consider a Medigap policy. Medigap policies are sold by private insurance companies, and must be clearly identified as “Medicare Supplemental Insurance.” These policies are standardized and regulated by both state and federal law.
Currently, 10 standardized plans are available (Plans A-D, Plans F and G, and Plans K-N). Not all plans are available in all states, as Massachusetts, Minnesota, and Wisconsin have their own standardized plans. These plans cover certain specified services, but offer different combinations of coverages. Some cover all or part of your Medicare deductibles, co-payments, or coinsurance costs. Some of the benefits not covered by Medigap include long-term nursing home care, vision and dental care. Medigap will follow Medicare in excluding what is unnecessary or experimental.
If you’re covered by an employer-sponsored health plan in retirement, you may not need to purchase Medigap insurance. In this case, your primary insurance coverage continues to be your employer’s health plan. For eligible unpaid expenses, Medicare provides secondary coverage.
If you have questions on Medigap coverage, contact the Insurance Experts at Henssler Financial: experts@henssler.com or 770-429-9166.
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