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Module 1, Lesson F: Other Insurance
and Ways To Pay Health Care Costs

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Medigap Policies

PhotoDoris informs Samuel that Medigap is another option available to him. She explains that she has some information sheets on Medigap and suggests that they review them together. Referring to page 1 of her information sheets, Doris and Samuel review the following:

Basic Information

A Medigap (Medicare Supplement Insurance) policy is a health insurance policy sold by private insurance companies to fill gaps in Original Medicare Plan coverage. Medigap policies must follow federal and state laws. These laws protect persons with Medicare. The front of the Medigap policy must clearly identify it as "Medicare Supplement Insurance."

In all states except Massachusetts, Minnesota, and Wisconsin, a Medigap policy must be 1 of 12 standardized plans, labeled A through L so they can be easily compared. Each policy has a different set of benefits. A few of the standardized policies (e.g. K and L) have a high-deductible option. In addition, any standardized policy may be sold as a Medicare SELECT policy. Medicare SELECT policies usually cost less because persons with Medicare must use specific hospitals and, in some cases, doctors to get the insurance benefits. In an emergency, persons with Medicare may use any doctor or hospital.

To learn more about Medigap, go to pages 2 and 3 of Doris' information sheets by selecting the buttons below.

Page 2Page 3

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Last Updated 11/02/2004