Medicare Supplement Plan D

What is Medicare Supplement Plan D?

Medicare SupplementMedicare Supplements are additional insurance policies that Medicare beneficiaries can purchase to cover the gaps in their Original Medicare (Medicare Part A and Medicare Part B) health insurance coverage. Plan D is one of the ten standardized Medigap plans, which is also known as Medicare Plan D or Medigap Plan D. It is often confused with Medicare Part DMedicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each..., which is your prescription drug coverage. A good way to remember the difference is that only Medicare has parts. Private insurance options are described as plans.

To remove any confusion, we’ll call it Medicare Supplement Plan D or Medigap Plan D.

What Does Medicare Supplement Plan D Cover?

Medicare is not full-coverage healthcare. In fact, there are nine coverage gaps baked into the Original MedicareOriginal Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage.. Generally speaking, Medicare pays about 80% of your major medical costs and you pay the other 20% out-of-pocket. To help with your 20% share, you can buy a Medigap plan.

To fully understand what Medicare Supplement Plan D covers, let’s first look at the nine gaps in Medicare. They include:

1. Medicare Part AMedicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. CoinsuranceCoinsurance is a percentage of the total you are required to pay for a medical service.  & Hospital Costs
2. Medicare Part A Skilled Nursing Facility Coinsurance
3. Medicare Part A Deductible
4. Medicare Part A HospiceHospice is a special way of caring for people who are terminally ill. Hospice care involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Care Coinsurance or Copayment
5. Medicare Part BMedicare Part B is medical coverage for people with Original Medicare benefits. It covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Part B pays 80 percent of most medically necessary healthcare services. Deductible (annual)
6. Medicare Part B Coinsurance or Copayment
7. Medicare Part B Excess ChargesA Medicare Part B excess charge is the difference between a health care provider’s actual charge and Medicare’s approved amount for payment.
8. Blood (first 3 pints)
9. Foreign Travel Emergency

In Original Medicare, your coverage is divided into two different parts. Part A is your hospital coverage and Part B covers medical services. The deductiblesA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share., copaymentsA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service., coinsurance, and other costs listed above are what you pay when you use your Medicare benefits.

Medigap Plan D offers excellent hospital coverage, but it leaves you to pay the annual Medicare Part B deductible and Part B excess charges. However, it does pay your Part B coinsurance when you see a doctor, have lab tests done, or use other outpatient medical services.  It also covers your first three pints of blood, and it offers foreign travel emergency coverage (with a 20% copayment).

Is Medicare Plan D a Good Plan?

As long as you understand that your annual Part B deductible ($198 per year at the 2020 rate) and excess charges are coming out of your pocket, Medigap Plan D is a great plan. However, if you’re open to the idea of paying a little bit more out of your own pocket, there is another plan with similar coverage that can save you a lot of money on your premiumsA premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. . It’s Plan N.

Just like Medigap Plan D, Plan N does not pay you Part B deductible or your excess charges. Where you save money with Plan N is by also paying a small copay (up to $20) when you see your doctor or use the emergency room (up to $50). Other than that, the two plans are identical.

Plan D works well for people with a chronic health condition, but see doctors that accept Medicare-assignment (no excess charges).  Plan N works well for people with no chronic health issues who manage their good health through annual preventative health visits, which are covered 100% by Medicare.

Need to speak with a professional? Are you ready to see the prices? Call 1-855-728-0510 (TTY 711) and speak with a licensed HealthCompare insurance agent. There’s no obligation, and they offer more plan options than any other national agency.