Frequently Asked Questions

Medicare Supplement

After your visit or procedure, your provider sends the bill to Medicare, then your Medigap plan covers out-of-pocket costs that you are responsible for after Medicare has paid their portion of your medical costs. You could have low to zero out-of-pocket costs, depending on what letter Medigap plan you choose.

Once you enroll in Medicare Part B, you will have a six-month window to enroll in Medigap insurance without having to answer health questions and go through medical underwriting. Once this window has passed, you can still enroll in a Medigap plan anytime, but you must pass medical underwriting.

  • Medicare Advantage PPO comes with a limited network of providers. You will still have an option to see out-of-network providers, however you will pay higher coinsurance. Medicare Supplement (Medigap) has no network; it gives you freedom to choose any provider in the US that accepts Medicare assignment.
  • Unlike Medicare Advantage PPO, most Medicare Supplement plans don’t have copayments or coinsurance. However the Medicare Supplement monthly premium is generally higher than Medicare Advantage PPO.
  • Most Medicare Advantage PPO plans do include Medicare Part D (Prescription Drug), while Medicare Supplement plans don’t.

No, they are not the same. You leave Original Medicare when you sign up for Part C, while Medigap/Medicare Supplement plans work with Original Medicare to provide you more comprehensive benefits than Original Medicare has to offer.

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