Using The Medicare Website To Better Understand Original Medicare Insurance
Many individuals want to understand how Original Medicare insures a health problem, service, treatment, etc. Fortunately for me, as an agent and for you as a Medicare recipient, you can easily do a search on the Medicare.gov website.
For example, I will examine how Original Medicare insures kidney dialysis. I go to Medicare.gov first. On the start page, you will see a search box. Here you can enter the service for which you want more information. Once you enter kidney dialysis, I click “OK” and in a few seconds you will see a list of services, with dialysis services and consumables first. I click on the link to get a detailed summary of the protection. It manages outpatient and inpatient care, support services, home dialysis training, equipment and supplies, as well as some home dialysis medications insured by Original Medicare.
In addition to a list of what is insured, it is a brief mention of what is not. Medicare does not support home-based treatment, no salary during self-dialysis, accommodation during treatment, and concentrates of red blood cells for dialysis, except they are part and parcel of the medical service. The page then says how much Medicare pays for the offer insure, which in this case seems to be an split of 80/20 for almost everything. Take time to visit the following site for information on a 2020 medicare advantage plan http://www.medicareadvantageplans2020.org
This is where health care supplements apply to help you pay for your expenses. As you can see, with Original Medicare, in addition to a supplement, your insurance will be very wide. Medicare.gov also explains parts A and B. There is a link to “What Part A insures” and a link to “What Part B insures”. I love the Medicare website, I think it’s done so well and I encourage you to explore it further!
As I have already mentioned with kidney dialysis, the Medigap guidelines fill gaps in Original Medicare insurance for various services and treatments. For instance, Medicare pays for the first 60 days of hospitalization (i.e. there is a deductible to pay before paying for anything else), however from days 61 to 90, you will pay co insurance each day, which is $304 per day.
All of Medigap’s policies insure this donut hole in the hospital, and that’s good news, as the insurance will deteriorate if you stay in the hospital longer. Days 91 to 150 include a daily co insurance of $ 608. A Medigap policy will insure that and you will not have to worry about these gaps in Medicare insurance. In fact, the Medicare Supplement Health Insurance will insure up to 365 days more, which will help the initial Medicare insurance!
Kindly note: In recent years, stories have been reported about inpatient labeling as outpatients rather than inpatients, to make sure you know how you are classified. This is yet another vital factor that determines whether Medicare insures the bills; the way you are tagged can decide whether Medicare will pay. Now, Part A will be paid if you are labeled as stationary and Part B will pay if you are outpatient.