Medigap - Answer-private Medicare supplement insurance plans to help cover the out-of-pocket costs that remained for Medicare recipients. Commonly referred to as Medigap Plans,
these private supplement plans were designed to help cover the costs associated with the 'gaps' in the Original Medica...
Medigap - Medicare Supplement
Insurance (Lesson 24.6) Exam
Questions and Answers
Medigap - Answer-private Medicare supplement insurance plans to help cover the out-
of-pocket costs that remained for Medicare recipients. Commonly referred to as
Medigap Plans,
these private supplement plans were designed to help cover the costs associated with
the 'gaps' in the Original Medicare coverage.
Federal and State Regulation - Answer-Medigap regulation through the Omnibus
Budget Reconciliation Act (OBRA) of 1990 and the states began regulating the private
Medicare supplement market.
National Association of Insurance Commissioners (NAIC) developed a standardized
model in which the states regulate the private Medigap market.
Medigap Eligibility and Enrollment - Answer-All Medigap insurers are required to offer a
one-time, 6-month enrollment period after turning age 65 for individuals who have
already enrolled in Medicare Part B that guarantees an enrollee the right to purchase
any part of a Medicare supplement insurance policy
not compatible with Medicare Advantage
Types of Standardized Medigap Plans - Answer-Each of the 10 standardized plans
includes fundamental benefits found in Plan A, with additional benefits attached to the
remaining plans: B, C, D, F, G, M and N
All plans must supplement both Part A and Part B of Medicare and automatically adjust
benefits to reflect statutory changes in Medicare
Plan A Coverage
The fundamental or 'core' benefits found in Plan A include the following: - Answer-
Medicare Part A copayments for the 61st through the 90th day of hospitalization in each
benefit period
Medicare Part A copayments for each of the 60 nonrenewable lifetime impatient hospital
reserve days
Medicare Part A hospital coinsurance costs up to an additional 365 days after Medicare
benefits have been exhausted
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