Types of Medicare Supplement Insurance Plans

Medicare Supplement insurance plans are also known as Medigap Insurance. The ten different Medicare Supplement insurance plans—labeled A, B, C, D, F, G, K, L, M and N—are available in most states* through private health care insurers. Each standardized plan has a different level of coverage.

Plan A

  • Medicare Part A coinsurance payments for inpatient hospital care up to an additional 365 days after Medicare benefits are used up
  • Medicare Part B copayment or coinsurance expenses
  • The first 3 pints of blood used in a medical procedure
  • Part A hospice care coinsurance expense or copayment

Plan B

  • Medicare Part B copayments and coinsurance
  • The first three pints of blood you receive as a hospital inpatient or outpatient (Original Medicare usually covers any pints you receive after the first three)
  • Medicare Part A deductible
  • Medicare Part A hospital expenses and coinsurance up to 365 additional days after your Medicare benefits are depleted
  • Hospice care coinsurance or copayment (Part A)

Plan C

  • Medicare Part A hospital coinsurance and hospital costs up to 365 days after Original Medicare benefits are exhausted
  • Medicare Part A hospice care coinsurance or copayments
  • Medicare Part B copayments and coinsurance
  • First three pints of blood for a medical procedure
  • Skilled Nursing Facility care coinsurance
  • Medicare Part A deductible
  • Medicare Part B deductible
  • Foreign travel emergency coverage (80% of approved costs up to plan limits)

Plan D

  • Medicare Part A hospital and coinsurance costs up to 365 days after Original Medicare benefits are used up
  • Medicare Part A deductible
  • Medicare Part A hospice care coinsurance and copayments
  • Medicare Part B coinsurance and copayments
  • First three pints of blood used in a medical procedure
  • Skilled Nursing Facility care coinsurance
  • Foreign travel emergency care (80% of approved costs up to plan limits)

Plan F

  • Part A hospital and coinsurance costs up to an additional 356 days after Medicare benefits are exhausted
  • Medicare Part A hospice care copayment or coinsurance
  • Medicare Part B coinsurance
  • Medicare Part B excess charges
  • Medicare Part A deductible
  • Medicare Part B deductible
  • First three pints of blood used in an approved medical procedure (annually)
  • Skilled nursing facility coinsurance
  • Foreign travel emergency coverage (80%, up to plan limits)

Plan G

  • Medicare Part A inpatient hospital coinsurance and hospital costs up to 365 days after Original Medicare benefits are exhausted
  • Medicare Part A hospice care coinsurance or copayment
  • Medicare Part A deductible
  • Medicare Part B coinsurance or copayment
  • Medicare Part B excess charges
  • First three pints of blood for a medical procedure used in a year
  • Skilled nursing facility care coinsurance coverage
  • Foreign travel emergency coverage (80%, up to plan limits)

Plan K This plan covers 50% of the cost for the following benefits:

  • Medicare Part A deductible
  • Medicare Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Medicare Part B copayment or coinsurance
  • First three pints of blood for a covered medical procedure (yearly)

Plan L

  • Medicare Part A coinsurance and hospital costs up to one year after Original Medicare benefits are exhausted This plan covers 75% of the costs of:
  • Medicare Part A hospice care coinsurance or copayment
  • Medicare Part A deductible
  • Medicare Part B coinsurance or copayment
  • First three pints of blood used in a medical procedure

Plan M

  • Medicare Part A hospital coinsurance and hospital costs up to a year after Original Medicare benefits are used up
  • Part A hospice care coinsurance and copayments
  • Medicare Part B copayments and coinsurance
  • First three pints of blood for a medical procedure
  • Skilled Nursing Facility care coinsurance
  • Medicare Part A deductible (50%)
  • Foreign travel emergency coverage (80% of approved costs up to plan limits)

Plan N

  • Medicare Part A hospital coinsurance and other costs up to an additional 365 days after Original Medicare benefits are exhausted
  • Medicare Part A hospice care coinsurance or copayment
  • Medicare Part A deductible
  • Medicare Part B coinsurance or copayments (except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that do not result in inpatient admission)
  • First three pints of blood used in a medical procedure (yearly)
  • Skilled nursing facility care coinsurance
  • Foreign travel emergency care (80%, up to plan limits)

* If you live in or plan on living in Massachusetts, Minnesota or Wisconsin while enrolled in Medicare, check out their state standardized Medicare Supplement insurance plans.

Ameri Quote is here to help you. We are a locally owned and operated insurance agency specializing in Medicare. If you have any questions or would like to learn more, visit our website or call us at (970) 221-1141 to learn more.

 

 

Which Medicare Insurance Plan Is Right For Me?

Before you decide which Medicare insurance plan is right for you, think about your options carefully. At Ameri Quote, we are here to help you through that process. Additionally, it can be helpful to start talking to your doctor and friends who have Medicare. Compare the costs, benefits, and quality of the plans you are considering.

Ask yourself the following questions:

    - What is most important to you in a Medicare plan — cost, coverage or convenience?
    - How well does the plan cover the services you need?
    - Will you have your choice of health care providers?
    - How does the plan’s quality ratings compare with others in your area? And with those nationally?
    - How much will you have to pay for your health care and prescription drugs?

Cost
If cost is most important to you, you may want to look at a Medicare Advantage Plans because they have a yearly limit on your out-of-pocket costs. Meaning once you reach a certain limit, you’ll pay nothing for covered services for the rest of the year.

Coverage
If coverage is most important to you, look into what you really need. Coverage in Medicare Advantage Plans must cover all of the services that Original Medicare covers. Some plans offer benefits that Original Medicare doesn’t cover like vision, hearing, or dental.

Convenience
If convenience is most important to you, Medicare is accepted by many doctors. With Medicare Advantage Plans, you may need to use health care providers who participate in the plan’s network.

Ameri Quote is here to help you. We are a locally owned and operated insurance agency specializing in Medicare. If you have any questions or would like to learn more, visit our website or call us at (970) 221-1141 to learn more.

 

 

Applying for Medicare through Ameri Quote

You have several options when the time comes for you to enroll in Medicare. Here at Ameri Quote, we are always looking for the best options for you. For some people, Medicare enrollment is automatic, while for others, eligibility may vary. With the following options below, setting up a meeting to explore your options is quick and easy:

Online
Request a quote from one of our insurance specialists by filling out our Request for Quote form.

On The Phone
We are just one easy call away! To get in touch with one of our experts at 970-221-1141. Our office hours are, Monday through Friday from 8 a.m. to 5 p.m.

In-person
Come to our office and pay us a visit to set up an in-person meeting. We’d love to connect!

Before you apply, make sure you have all the documents needed to fill out the application.
These documents typically include:

    - Your Social Security number
    - Your date and place of birth
    - Your citizenship status
    - The name and Social Security number of your current spouse and any former spouses
    - The date and place of any marriages and/or divorces you’ve had
    - Whether you’ve applied for Social Security benefits in the past, or whether anyone has applied on your behalf
    - The name and address of any employer you’ve had in the past 2 years
    - The amount of money you’ve earned in the past 2 years (if you’re applying between September and December, you’ll also need to estimate next year’s earnings)
    - The dates of any military service you had before 1968
    - Information about any work you or a spouse has done for the railroad industry
    - Information about any Social Security work credits you’ve earned in another country
    - Information on any federal pension you receive now or will receive in the future

Ameri Quote is here to help you. We are a locally owned and operated insurance agency specializing in Medicare. If you have any questions or would like to learn more, visit our website or give us a call at 970-221-1141.

 

 

Medicare Parts And How They Work

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Knowing everything you can about Medicare is essential before you enroll. Medicare has two plans: Original Medicare and Medicare Advantage. Original Medicare is a fee-for-service health plan that has two parts: Part A & B. Medicare Advantage is a plan offered by private companies approved by Medicare. Medicare Advantage is Part C. Finally, part D is available as a stand-alone plan. We know that Medicare can be overwhelming, but we are here to make it easier for you with a basic breakdown of the different parts.

Original Medicare

Part A: Hospital Insurance
Medicare Part A is also called Hospital Insurance. Part A is the part of Medicare that covers most medically necessary hospital care, skilled nursing facility (SNF) care, home health care, and hospice care. Some people are automatically enrolled Medicare Part A and others have to sign up for it. Check your enrollment status online to see if you’re automatically enrolled.

Part B: Medical Insurance
Medicare Part B is often referred to as Medical Insurance. Part B covers most medically necessary doctors’ services, preventive care, durable medical equipment (DME), hospital outpatient care, laboratory tests, x-rays, mental health, and some home care and ambulance services. Similar to Part A, some individuals are automatically enrolled, while others aren't. To check your enrollment status, visit one of the many websites that allow you to do so!

Medicare Advantage

Part C: Alternate Way To Receive Medicare Benefits
Medicare Part C, or Medicare Advantage, is an alternative to Original Medicare (Parts A and B). Part C combines the coverage and benefits that Medicare Parts A and B offers, including hospital care, doctor visits and other medical services. However, Part C does not include hospice care, which continues to be covered by Part A. Many private plans also provide prescription drug coverage and additional benefits like routine dental and eye care. Part C is optional, voluntary coverage. You get to choose whether you only enroll in Original Medicare or would prefer a Medicare Advantage (Part C) plan instead.

Part D: Prescription Drug Coverage

As stated before, Medicare Part D is available as a stand-alone plan. Part D helps cover the cost of outpatient prescription drugs and protect you against higher prescription drugs costs. Part D is provided only through private insurance companies that have contracts with the federal government. If you want to get Part D coverage, you have to choose and enroll in a private Medicare prescription drug plan (PDP) or a Medicare Advantage Plan with drug coverage (MAPD). Whether or not you should sign up for a Medicare Part D plan depends on your circumstances. You may have creditable prescription drug coverage from an employer or retiree insurance. Some people who are also already enrolled in certain low-income assistance programs may be automatically enrolled in a Medicare prescription drug plan and receive additional financial assistance.

Ameri Quote is here to help you. We are a locally owned and operated insurance agency specializing in Medicare. Whichever plan you are looking to enroll in, we can help. If you have any questions or would like to learn more about what is available to you, visit our website or call us to learn more.