In order to qualify for Medicare you must be 65 or older, under 65 with specific disabilities or any age with End-Stage Renal Disease. The gaps are somethings that Medicare might not cover. Co-payments, deductibles of Medicare covered services and coinsurance are some areas Michigan Medigap can help cover your portion. Medigap covers some costs the Original Medicare Plan will not.
Part A covers things like nursing facilities, inpatient hospital care, hospices, and home health care if certain criteria are met. Part B assists in covering necessary medical services like outpatient care and doctor service in which Part A does not cover like occupational and physical therapists, and some home health. Part B also partially covers some preventative services to help maintain good health and to keep some illnesses from progressing. Part C (Michigan Medicare Advantage Plans) these private insurers like PPOs and HMOs offer Part A, Part B, and occasionally Part D coverage to enrollees. Part D (Michigan Medicare prescription drug coverage) helps cover prescription drug costs.
You need to be enrolled in Medicare Part A and B in most cases when buying a Michigan Medigap policy. So you will still have to pay the monthly dues on Part B, along with the premium on the insurance. Any insurance company that is licensed in Michigan can sell you a policy and help you enroll. Policies are always renewable. Your policy cannot be canceled as long as you pay the monthly payments. New policies are not allowed to cover prescription drugs even though some of the old policies sometimes did. For prescription drug coverage you will want to join Part D which is a Prescription Drug plan, private companies offer this plan and it is approved by Medicare.
Medigap has an open enrollment period, which is the optimal time to buy a Medigap Policy. The open enrollment last for six months and begins on the first day of the month in which you are both age 65 or older and enrolled in Medicare Part B. In this period, an insurance company cannot do underwriting. You cannot be refused to buy any Medigap policy that is sold, make you wait for coverage to start or charge you more for a Medigap policy because of your health problems. An insurance company cannot make you wait for your coverage to start it is able to make you wait for coverage of a pre-existing condition which is a health condition that you had before the date of a new insurance policy. A medigap insurance company could refuse to cover your out of pocket costs for health issues for up to six month. This is called a “pre-existing condition waiting period.” If you have a pre-existing condition and you buy a Michigan Medigap policy during your Medigap open enrollment period and if you recently had creditable health coverage, the insurance company must shorten or eliminate this waiting period. There are several types of Michigan health care coverage that could count as creditable coverage for Medicap policies, however they will only count if you did not have a break in coverage. If you are without any creditable health coverage for more than sixty three days in a row this is considered a break in coverage.
It is vital to comprehend your Medigap open enrollment period. You can buy any Medigap policy the company sells during your Medigap open enrollment period. If you are eligible for other reasons and even then your choices will most likely be limited if you buy coverage outside of your enrollment period. There is no guaranteed the insurance company will sell you a Medigap policy.
For additional information or questions please visit the EZ Medicare Advantage team at www.ezmedicareadvantage.com
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