Idaho Medicare Supplement plans assist people with paying for items not covered by their Original Medicare benefits. When a person first enrolls in Medicare, they often are surprised to find that Medicare doesn’t pay for everything.
Original Medicare has deductibles, coinsurance, and copays you are held responsible for. Without help, these costs can get expensive, and you could be out thousands of dollars by the end of the year.
An Idaho Medicare Supplement, also called Idaho Medigap, is designed to prevent you from extreme financial exposure in the event of a serious health condition. There are 10 Idaho Medicare supplements to choose from, and each one covers a certain set of items.
For example, all Medicare supplements cover the 20% outpatient coinsurance that you would normally owe, but not all of them cover the Medicare Part A hospital deductible in full.
Some carriers in Idaho have issue-age plans. This means your base rate is set at the age you are when you buy the policy. For example, you will pay less when you buy the policy at 65 than if you buy at age 68 or 70. All Idaho Medicare supplement plans will usually still have annual rate increases for inflation though.
Some companies also offer attained-age Medicare supplement policies in Idaho. We can quote both types to see which one offers you the better value.
Idaho Medicare Supplement Plan F
A Plan F Medicare Supplement is the most comprehensive of the various Idaho Medicare supplement plans. This plan covers all of the gaps in Medicare.
If you have a hospital stay, you will not have to worry about the deductible, because this plan will pay for it. Likewise, if you have open heart surgery, your Plan F Idaho Medigap policy will also pay for the 20% coinsurance that you would normally be responsible for under Part B. It is a first-dollar coverage plan.
Plan F will be discontinued for new Medicare enrollees as of 2020. If you enroll in Plan F before 2020, you can keep it. Medigap plans G and N are good alternatives if Plan F isn’t available to you.
It’s important to remember that there are some things Medicare simply doesn’t cover, such as dental and vision benefits. Your Idaho Medicare supplement does not provide any benefit for these either. Medicare supplements can only pay after Medicare first approves the claim and pays its share.
However, our agency can help you with individual dental and vision plans.
Medicare Supplement for People Under 65 in Idaho
Effective January 1st, 2018, the Idaho Department of Insurance amended its rule regarding Medicare supplement insurance for people under 65. All insurance companies that offer Medigap plans are required to offer those plans to eligible individuals of ALL ages enrolled in Part B. This includes beneficiaries under age 65.
However, sometimes premiums for people under 65 can be much more expensive than for people age 65 or over. If you find that to be the case, you might consider an Idaho Medicare Advantage plans.
Idaho Medicare Advantage Plans
Congress created Medicare Advantage plans as an alternative to Original Medicare + Medigap. Advantage plans typically have lower premiums than Medigap plans, but you agree to some restrictions. For instance, Medicare Advantage plans in Idaho have networks of providers from whom you will seek your care. When you use your network, the providers will bill your Medicare Advantage plan instead of Medicare itself.
Medicare Advantage plans in Idaho are usually either HMO or PPO network-style plans. You must be enrolled in both Medicare Parts A and B and live in the plan service area to be eligible. Therefore, you must also pay your Part B premium.
These plans have only one health question about End-Stage Renal Disease. Anyone else can join during their initial enrollment window or the annual election period that happens every fall.
Though Idaho Medicare Advantage plans have lower premiums than Idaho Medicare supplements, you will pay for services as you go. You can typically expect to pay a copay for each medical service, include doctor visits, lab-work, ambulance ride, surgeries and more.
These plans sometimes offer minor ancillary benefits like vision exams for a small copay. It’s important though to always check that your doctor is in the network before enrolling. Our team can help you research which Medicare Advantage plans in Idaho feel right to you.
Common Questions About Idaho Medicare:
Here are the most frequently asked questions we get about Medicare Supplement plans in Idaho.
Certainly not. However, if you don’t enroll in a Medigap plan or Medicare Advantage plan, your out-of-pocket costs will not be protected as Original Medicare has no cap to how much you can spend each year.
Yes. However, Plan F is only available to those who became Medicare-eligible before 2020. If you become eligible for Medicare in 2020 or later, then the most comprehensive Medigap plan available to you is Plan G.
You can use your Idaho Medicare Supplement plan anywhere in the country. As long as the office or hospital accepts Medicare, they must accept your Medicare Supplement plan as well.
Get Help with your Idaho Medicare Needs
Choosing your Medicare supplemental coverage can often be overwhelming. There is a lot of confusing information out there. Fortunately, the licensed agents here at Boomer Benefits have lots of experience in working with different Medicare options. We can help you identify the policy that best meets your individual needs and budget.