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MEDIGAP AND MEDICARE SELECT MEDICARE SUPPLEMENTAL INSURANCE

Medigap insurance is specifically designed to supplement Medicare's benefits and is regulated by Federal and State law. It must be clearly identified as Medicare supplemental insurance and it must provide specific benefits that help fill the gaps in your Medicare coverage. Other kinds of insurance may help you with out-of-pocket health care costs but they do not qualify as Medigap plans.

There are 10 standard Medigap policies. Each policy is labeled with the letter "A" through "J". Plan A is the basic benefit package. Plan J provides the most coverage of all the plans. Some states do not allow the sale of all 10 of these standard plans. Contact your State Health Insurance Assistance Program to find out which Medigap policies are available in your State.

Medigap policies pay most, if not all, Medicare coinsurance amounts and may provide coverage for Medicare's deductibles. Some of the 10 standard plans pay for services not covered by Medicare such as outpatient prescription drugs, preventive screening, and emergency medical care while traveling outside the United States.

Another Medicare supplemental health insurance product called Medicare SELECT and is permitted to be sold by insurance companies or managed care plans throughout the country. Medicare SELECT is the same as standard Medigap insurance in nearly all respects. If you buy a Medicare SELECT policy, you are buying one of the standard Medigap plans.

The only difference between Medicare SELECT and standard Medigap supplemental insurance is that you must use specific hospitals, and in some cases specific doctors, except in an emergency, in order to be eligible for full benefits. Medicare SELECT policies generally have lower premiums because of this requirement.

Supected violations of the laws governing the marketing and sales of Medigap and other types of insurance policies should generally be reported to your State Insurance Department. If you believe you have been a victim of Medigap fraud, you can call the federal toll-free number for registering such complaints. The number is 1-800-638-6833, or TTY/TDD 1-800-820-1202 for the hearing or speech impaired.

Click below for some tips on shoppoing for Medicare Supplements/Medigap coverage.

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