• Medigap – Who Is Eligible

    For many people, clearing emergency medical bills can be a challenge. However, medical insurance can lessen this burden considerably. While Medicare does cover many healthcare costs, it does provide a total solution. If you opt for Medicare Plan Coverage, you will still have to pay co-insurance and deductible costs. This is why private insurance companies got together and came up with Medigap. In simple terms, this health insurance solution takes care of some of the costs not paid by both Medicare Part A and Medicare Part B.

    Medigap Insurance Eligibility Requirements

    It is important to note that Medigap is not a substitute for Medicare. To be eligible for Medigap, one must own both parts A and B of Medicare. Other eligibility requirements may vary across the states. In America, it is not mandatory for people under 65 to buy Medigap healthcare insurance. However, 29 states allow insurance companies to sell the policies to people under the age of 65 years. While the majority of senior citizens can access Medicare, the number of them that would be eligible for Medigap is much smaller. To start with, people under Medicare Advantage Plan are not eligible for Medigap. The same is true for senior citizens covered by Medicare and employer health plans as well. Lastly, no one with the Original Medicare and a Medicare select plan qualifies for Medigap.

    • Who Can Buy Medigap Insurance?

    Anyone who meets the eligibility requirements can purchase Medigap policy. Many insurance companies provide senior citizens with a trial period after turning 65. During the 12 months trial period, one can opt out of the policy if he or she is not happy with the plan. In addition, individuals over the age of 65 who would like to buy a Medigap policy can do so. Medicarerights.org has more information on how to get health care for people with disabilities.

    • Am I Eligible if I’m under age 65?

    For many people, this is a legitimate question. According to Federal law, insurance companies do not have to provide Medigap policies to individuals under 65. Only some 29 states do not have age limits as long as one is eligible. If you are under 65, consult your insurance provider before buying a Medigap Policy.

    • What if I am age 65 or over?

    If you happen to be over the age of 65, you can purchase a Medigap policy. However, you will have to satisfy the eligibility requirements first. In fact, your insurance company will sell you a Medigap policy during Medicare enrollment. Even if you have existing medical conditions, your insurer cannot undertake medical underwriting. The chance to get Medigap without underwriting lasts for 6 months after turning 65. If you fail to buy Medigap during this period, it is impossible to get Medigap without underwriting.

    • Am I eligible if I have Medicare Advantage Plan?

    As long as you have a Medicare Advantage Plan, you are not eligible for Medigap. However, this does not mean that you cannot buy Medigap while under Medicare part C. You can still buy a Medigap Policy if you have ‘trial rights’. During the trial period, you can buy a Medigap policy before reverting to your Original Medicare.

    • Am I eligible if I have coverage through Medicaid?

    For individuals with Medicaid, it is illegal to buy a Medigap policy. If you have Medicaid Coverage, that is enough. Medigap policies take care of some of the medical bills not paid by the Original Medicare Plan. With that in mind, it is advisable to clear any doubts with your health insurer. Your health insurer will give you proper advice on eligibility requirements and the type of coverage you require.

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