Hospital Services that Medicare Doesn’t Cover

Traditional Medicare that consists of Part A & Part B Medicare, does not cover the expenses of a private nursing facility, personal stuff (such as toothpaste), or private rooms (unless they’re considered to be medically essential).




Part A Medicare normally covers drugs prescribed to the patient during their in-patient stay in the hospital. Part B Medicare provides limited coverage to prescription drugs.


For outpatient stay, Medicare won’t typically cover the prescription medications which a person can take on their own or self-administer. You might get such medications covered via Part D Medicare Prescription Coverage or Medicare Advantage Plan that covers prescription medications.


Hospital Services: Benefits & Costs


It is possible that the various costs for hospital care for instance copayments, deductibles, & coinsurance might change on a yearly basis. Medicare Supplement plans are ideal if you want to cover these additional charges to minimize your out of pocket costs on health care.


Under Part A of the Original Medicare Plan, your costs for in-patient stay in the hospital comprising:


1-time hospital deductible, excluding coinsurance, for the initial 60 days of each benefit term.

Coinsurance charges for every lifetime reserve day.

Daily coinsurance charges from the 61st day to the 90th day during each benefit term.

All the expenses for each day once you have utilized all the life-time reserve days.

Part A Medicare plan can cover up-to 190 days if you need in-patient psychiatric stay in the hospital.


For Part B Medicare:


Typically, you can expect to pay twenty percent of the amount approved by your Medicare for the majority of the doctor services you get during your stay in the hospital as an outpatient or inpatient.

Outpatient hospital services require you to make a copayment for every outpatient hospital facility.

Copayment might vary for every service, however, they’ll never exceed the hospital deductible for Medicare Part A.

In a few cases, the final copayment for all outpatient hospital services that are covered may surpass the inpatient deductible.

Find a 2019 supplement plan at to avoid the high cost of medical bills

As mentioned previously, Medicare Supplemental Plans can greatly help you reduce the costs you would be required to pay during your hospital stay as an inpatient or outpatient. For more info, be sure to consult with an experienced agent who can guide you the right way.

Medicare Supplemental Insurance gives you better coverage

A Medicare Supplementary Plan is an insurance policy, also called Medigap which bridges the gap between the conventional Medicare coverage for Part A and Part B. This coverage helps to cover part of the expenses which the original medical plan does not have. If you have applied for the original Medicare plan and you have enrolled for a Medigap plan, Medicare and Medigap policy will separately pay for their share of the healthcare costs.

A Medigap plan must be clearly marked on the insurance cover and referred to as “Medicare Supplemental Insurance”. A plan from A to L consists of several additional and fundamental benefits.

Choose the right plan for you:

Comparing medical plans is a must, as the costs can vary. The benefit you will obtain from any Medicare insurance plan A to plan L is exactly the same thing for any provider or vendor. A Medicare Supplement Insurance Company decides which Medigap policies to support or sell.

The policies should comply with state and federal laws that protect you. To purchase a Medigap plan, you need Medicare Part A and Medicare Part B.

Purchase of a Medigap plan:

When purchasing Medicare Supplementary Insurance, you must first decide whether a Medigap plan is best for you to support the original Medicare coverage you have. Suppliers have set their monthly premiums. How companies set their prices depends on how much they will pay now and in the future.

Before you buy the policy, you should consider these factors. There are three ways a vendor determines their premium charge:

Attain-age rated: As a person gets older, the prices increase automatically.

Community-rated – Regardless of a person’s age, the cost of plan remains the same.

Issue/Age-rated – The fees refer to the age of the person at the time of purchase.

Types of policies:

There are twelve plans that help a person pay most of the expenses that the original Medicare plan does not cover. Supplemental plans marked A to L offer different benefits and fill gaps at different costs. There are insurers offering high options for deductibles –these are Medicare Supplementary Plans F and J.

As an insurance plan, Medigap is unique in that it provides additional security if your original Medicare plan is not enough to cover your medical expenses. There are cases where these costs can swell to a point that exceeds your expectations. With this supplemental plan you can be sure that you are insured for any expenses you have incurred for your medical care.

One of the biggest misconceptions concerns the “pre-approved” amount of Medicare.  Get a quote at

Medicare pays only 80 percent of a standardized amount for procedures. That does not stop doctors from demanding more; it only shifts the burden of payment on the patient. Doctors can continue to charge their regular fee, Medicare can continue to pay their standard payment and it is up to you to achieve those goals.

Getting the right information is critical to getting the most out of Medicare, and Medicare Supplement insurance is key to bridging the gaps in Medicare coverage.


Saving Money on Medicare Supplement Plans: The Ultimate Guide

Saving Money on 2020 Medicare Supplement Plans: The Ultimate Guide

You might already know that there are several Medicare supplement plans available, all made for different kinds of individuals with different kinds of needs. Some cover some expenses, while others cover for other expenses. Based on what´s being covered, you might feel like you have made the right decision and already chosen a Medicare supplement plan that is best for you. Did you know that there are tips and tricks on how to save money on Medicare supplement plans too? Here is all that you need to know!

Best Medicare Supplement Plans 2020You might be allured by the fact that a certain supplement plan has a lower premium rate. However, this is the first thing you need to closely pay attention too. Some supplement plans offer a lower premium rate and might seem more affordable; however, they will have high co-payments. If you are a healthy human being, this would save you money, because having to pay for a co-payment might not happen as often. However, some health conditions cannot really be predicted and even the healthiest person can need health care, all of a sudden. This is why low premium rates should only impress with you with caution. What might seem cheaper, can cost you more in the long-run.

Another important factor you need to know, is that a Medicare supplement changes with time. What might have been the best affordable option once, might not be the best option now. There are more and more health insurance companies, offering new kinds of plans with different kinds of premium rates. Some make the mistaking of always sticking to one particular plan. However, especially with the new year coming, professionals strongly advice on looking at other options and checking each year whether the plan you are already enrolled to is also the best one for you.

Also, make sure to check the network each year! Networks change too! A health care provider that might have been within the Medicare coverage range and that might not have charged you any excess charges, can begin to charge these in the coming year! Making sure is only a phone call away, so it is always better to be certain, before having to pay for excess charges that could have easily been avoided.

Choose wisely during your Medicare open enrollment period. This is one of the most important tips that can save you a lot of money on Medicare supplement plans. During open enrollment period, you have six months to choose any supplement plan that you want, at a lower cost. This is because during this time, the health insurance company will not be able to look at your medical conditions and base the price upon it. If you miss your chance and decide to enroll to a Medicare supplement plan later, you might get a premium rate that is much, much higher, leaving you paying a monthly premium rate that you could have avoided. Timing is everything when it comes to Medicare!




Medigap policies sold years ago weren’t allowed to include prescription drug coverage. If you want prescription drug coverage, you can join a Medicare Prescription Drug Plan (Part D) offered by private companies approved by Medicare. But Medicare Supplement Plans for 2019 come with a variety of choices. Private insurance companies offer Medicare supplement coverage, but the types of coverage offered are standardized. Every Medigap policy is required to abide by certain federal and state laws. However, you can choose a specific Medigap policy that suits your needs. These plans are identified with a letter system (Plan A, Plan B, Plan C, etc.). Any insurer who offers a plan under any of those categories must provide the standard level of coverage defined for that category.

Plans typically cover coinsurance or copayments that you must pay under your Medicare coverage. Other benefits will vary depending on the type of plan you choose. The plan you select may or may not cover: Hospice care, Skilled nursing facility care, Deductibles for services otherwise covered by Part A or Part B, Foreign travel

You can decide on the type of coverage that is appropriate for your needs. Typically, the more comprehensive the coverage, the higher the premiums will be. If you are looking for a Medicare supplement plan, shop around to understand if you have access to plans that may include long-term care coverage, hearing aids and vision or dental care.

Compare carefully as you can consider Medigap policies from a variety of providers in your state (the types of plans offered in each state can differ). Pricing may also vary. Insurance companies can base premiums in one of three ways: Community rated, meaning premiums aren’t based on age. Issue-age rated, where premiums remain steady (and generally lower) if you first buy the policy at a younger age. Attained-age rated, where premiums are lower when you first buy the policy, but will rise as you grow older. Be sure you understand the pricing structure of the policy you are considering. If policies you are comparing use different pricing structures, a policy that might cost you less today could be more expensive down the road as there are a number of variables that can affect premiums. Also be sure to understand exactly how your policy works, what it covers, and how premiums might change in the future. You can also visit for more information and a free, helpful booklet titled “Choosing a Medigap Policy.”



Perhaps one should always ask about information concerning buying policies once you decide upon one, how to change policies should the necessity or desire arise, when the best time to buy is and why it is important the make the purchase in the first place. Everyone talks about Medicare like they understand the ins and outs, but in reality most people go with the flow without understanding a whole lot about it. By educating yourself now, you will be that much more informed when the big changes occur this coming year.

If you are approaching age 65, you will soon become Medicare-eligible, and you have a few decisions to make. For starters, Medicare Supplement Plans for 2019 presents some. If you aren’t yet collecting Social Security, you should apply for “original” Medicare around your 65th birthday (from three months prior to or after the month of your 65th birthday). Original Medicare includes Part A (hospital insurance), which generally is available at no cost, and Part B (medical insurance), which typically requires a monthly premium of $100 per person (more if your income is beyond certain threshold levels). Drug coverage is provided through Medicare Part D, which is applied for during the same time period but separately from Original Medicare.

Yet Medicare doesn’t cover all of the costs of healthcare in retirement. Given that most people are likely to need more medical care as they grow older, it makes sense to consider adding a Medicare Supplement policy, sometimes referred to as “Medigap.”

Medicare supplement plans

Private insurance companies sell these policies. Their purpose is to cover expenses that aren’t paid for by traditional Medicare, including copayments, coinsurance, deductibles and medical services outside of the U.S. You can only buy a Medigap policy if you enroll in Part A and Part B. If you plan to buy a Medigap policy, you should do it during your initial open enrollment period. This begins on the first day of the month you are at least age 65 and enrolled in Medicare Part B. You have a six-month window from that point to choose any Medigap policy you want regardless of pre-existing conditions*. Insurance companies must charge you a standardized rate and cannot reject you due to your medical condition provided you enroll during this six month window. In addition, they must renew your coverage each year regardless of your health status. This year would be a good time to learn.



Quick, easy and efficient Humana Medicare Advantage Plans

Humana medicare advantage has really become popular alongside original medicare plan due to its amazing perks and benefits. This supplement plan from Humana is there to meet all the necessary state and federal regulations.



Features and benefits


Quick, easy and efficient Humana Medicare Advantage Plans is likely to come with some exciting features and benefits in order to cater to the recipients’ various health requirements and needs. If you avail this plan, you are supposed to get the benefits of selecting a doctor or hospital of your choice. On the other hand, unlike original medicare plan, you are not required to get the referral from your doctor to avail all the benefits and advantages. Moreover, the rates of this plan are dependent on various factors like age, gender and location of the recipients.

Humana Medicare Advantage Plans 2019

More on the plan


  • Humana advantage plan is likely to vary as per the state you live in. This plan basically for A, B, C, F, L as well as for high deductible K and F are provided in the United States of America. Each company which is licensed to sell the Medicare supplement plan is required to make the Plan A available. Moreover, they also offer all the basic benefits for the plans A to J.


  • Some of the benefits of this advantage plan is there to include the insurance plan coverage for around one year after the Medical benefits of Part A ends. On the other hand, the medical benefits that are not generally covered by Part B such as the co-payments for the hospital outpatient service are covered by Humana advantage plan. Moreover, emergency care expenses during foreign trip are also covered by the Part C insurance plan.


  • Moreover, Part C is also likely to cover the expenses for the coinsurance for the impatient care at some skilled nursing facility. Humana medicare advantage plans are also there to include the prescription and vision discounts programs. In case of prescription, average saving is 20% more than the medicine is covered. Smoking cessation, hair loss, weight losses are known to be some of the prescriptions available for the Humana supplement members.


  • If you want to avail Humana advantage plan, then you better do some extensive research on this insurance plan. Explore all the necessary and important details about it. In spite of all the benefits, there are some disadvantages of this plan are also there. Know about these disadvantages for your convenience. Once you know enough about this plan, then you can go for this insurance plan.

Medicare and Medicare Supplement: Separateness

Once a person enrolls in Medicare then by default, he or she gets two choices one is to opt for Original Medicare Parts A and B along with prescription drug part D (and sometimes Medigap) and the other option is to choose Part C known more commonly as Part C. Therefore, the question arises that which one to choose among Medicare Supplement vs. Medicare.

It is essential to take the two types (Original health insurance and health insurance benefit) into account while making comparison. The medical security Supplement has a lot types such as HMO and PPO, and these types are bound to provide same benefits, which are offered in Original medical security.

Need for Medigap

The need for Medigap is felt when some person wants to cover his or her Original Medicare’s Part A and B costs. However, you should always remember that you cannot have both the Medicare Advantage and Medicare supplement plans in 2019 at the same time.


The costs, premiums, out-of-pocket costs, etc. everything differs between these plans. Following are some of the major differences between default Medicare and Medicare Supplement.

  • In Original health insurance, you have to pay the Part B premiums, deductibles, and coinsurances. However, in HMO (health insurance Supplement) or PPO plans one has to pay Medicare premiums and plan premiums along with the plan’s own copays and deductibles.
  • Original health insurance allows you to visit any doctor or hospital facility whereas Medicare Supplement HMO plans bounds you to visit only in-network service providers. However, PPO plans allow to visit out-of-network service providers but at higher costs.
  • Both Original health insurance and health insurance Supplement allows its members to visit any of emergency care in whole country.
  • In Original health insurance you can avail drug coverage via Part D plan, but in health insurance Supplement, you have to plan which comes with drug coverage (known as MA-PD).
  • There is no maximum limit on out-of-pocket costs in Original medical security, but in medical security Supplement, there is in every plan.
  • In Original medical security you do not need a referral to see a specialist, but in Supplement HMO plan there is need of referral to see a specialist. However, PPO plan does not require you to have a referral, but in turn; it charges higher payments for seeing a specialist.

Therefore, you can take all of facts mentioned above into account and then can make a clear and strong decision regarding health insurance.

SNP and HMO-POS plans of Medicare Advantage

The studies have shown that in the recent years almost half of the enrollees of the Original health insurance have migrated towards the Part C Plans or more commonly known as the health insurance Advantage plans. Aetna is a private insurance providing company which provides Aetna Medicare Advantage plans. You can enroll yourself in the Medicare Advantage plans if you fulfill requirements which are mentioned in “Eligibility criteria”.


Many people will enroll in Medicare Advantage plans in 2019 to help pay deductibles and expenses in Medicare.Fulfillment of following requirements is necessary for a person to enroll himself or herself in the health insurance Advantage plans:

  • The person should already have Medicare Part A and Part B coverage thus pays Part B premium it also (Original Medicare).
  • It is also important that the person should live in an area where provider offers Medicare Advantage scheme because otherwise you will not be able to get the required services.
  • Person should not suffer from End-Stage Renal Disease (Exceptions are offered for some people upon request).

Aetna Medicare Advantage HMO-POS plans

It is a subcategory of Health Maintenance Organization plans, and “pos” term denotes point-of-service. These schemes, unlike HMO plans, offer their members to avail some of healthcare services outside plan provider’s network. However, out-of-pocket costs will increase if you opt for this version. Just as HMO plan you will still need to have a primary care doctor. This scheme is not chosen by a lot of people due to its higher copays and out-of-pocket costs instead majority of the people tend to go for the HMO.

Aetna Medicare Advantage SNP plan

SNP or Special Needs Plan is considered to be plan with most restrictions. It is plan which is offered to people with only certain abilities.  people who can enroll in this plan include:

  • People with chronic conditions such as Diabetes, and End-Stage Renal Disease.
  • Those that live in mental or healthcare institutions permanently.
  • Or people who have both Medicaid and Medicare coverage (dual-eligible).

SNP plan is one of those plans which offer Prescription Drug coverage to its members. Moreover, following characteristics are also possessed by a Medicare Advantage scheme:

  • Just like HMO plan you are required to have a primary care doctor for overlooking your health.
  • Furthermore, referrals are also required to visit specialists.
  • As already discussed SNP plan offers drug coverage.

Therefore,  Medicare Advantage plans are designed to provide coverage for almost all  people whether they are healthy individuals, disabled ones, or  people who are in need.


Problems and goodness of Medicare Supplement Plans

A lot has been said about Medicare Supplement Plans 2016 that these plans are not perfect but what is the reason behind that? Well, one of the reasons is that a Medicare Supplement plan can turn out to be more expensive than a usual Original Medicare. Cost of a plan increases due to many things such as the terms and conditions of a plan, facilities, and products. The thing about the Original Medicare which is liked by most of the people is that in the Original Medicare you can visit any healthcare facility in the whole country whereas Medicare Supplement plans which usually operate in the form of HMO and PPO plans restrict you to only certain network of service providers and doctors. Even though this network of service providers is huge still if you are one of those who travel a lot, then there is a possibility that you will find yourself far away from the service provider.

Many people will enroll in Medicare supplement plans for 2019 to help pay deductibles and expenses in Medicare.

Good things

Comparing different Medicare Supplement plans is also very tiresome because of different costs, coverage, and their fee design. Medicare has introduced system of giving a rating to different Medicare Supplement plans, higher the rating better is plan and its quality, therefore, you should opt for that plan which has higher star-rating (maximum star rating is five and minimum is zero). Star-rating is awarded to health insurance Supplement plans on basis of customer service that how much better they are treating their customers and quality of serving members who have chronic conditions. If you want to see that what is star-rating of your current plan or of plan in which you wish to enroll then you can use health insurance Plan Finder which is available at Medicare website. One of best things that you should know about five-star-rated plans is that they allow members to make switching at almost any moment of year which starts from December 8 of current year to November 8 of next year.

Some information

People who wish to take benefit from health insurance Supplement plans and they are not yet enrolled in health insurance Part A and Part B as they did not sign up for it when they first became eligible then they can do it each year from 1st of January to 31st of March. This shows that how much versatility these schemes have in terms of giving chance to different people so that they can get benefit as well.

What Do AARP Medicare supplement Plans Pay for?

Medicare is the most normally taken health protection plan. It is directed by the government. It was setup to help the general population when they motivate matured to shoulder their therapeutic costs. Everybody 65 or more is qualified to enlist to this policy. Individuals beneath 65, however experiencing incapacity and end-arrange renal disappointment requiring kidney transplantation or dialysis are additionally qualified to take this policy. The AARP Medicare supplement Plans for 2019
is separated into Part A, Part B, Part C and Part D. They are also called Hospital Insurance, Medical Insurance, Medicare Insurance and Prescription Drug Coverage. Every one of these plans offer different advantages and pay for different costs.


The Medicare Health Insurance Part An accommodates in-understanding care in hospitals, for talented nursing administrations, hospice care and home healthcare administrations. It additionally covers blood for transfusion barring three pints each logbook year. Larger part of individuals deciding on this plan won’t be required to pay the premium as their life partner or they themselves would have paid Medicare charges amid their work period. Be that as it may, the installment of co-protection and deductible charges is necessary for everybody. Medicare does not pay for long haul treatment or hospitalization. It will give great scope to 60 days of hospitalization. If the hospitalization still proceeds following 60 days, at that point it will give lesser scope. Lastly, if the hospitalization outperforms 150 days, Medicare quits giving scope. Other than that, Medicare will likewise give 100 % front of the affirmed sum for remain at any gifted nursing office for 20 days. Indeed, even here the scope is debilitated after the initial 20 days of remain. Furthermore, Medicare totally quits giving spread after the expiry of 100 days. The Part A plan gives cover to semi-private rooms, anesthesia and consistent nursing administrations, working and recuperation room cost, recovery administrations, serious care, lab tests, x-beams and medications.


The Part B covers doctor’s administrations, restorative supplies and medicinal strong types of gear. Here, Medicare pays 80 % of the affirmed sum for outpatient hospital costs, doctor’s charges and restorative costs. It additionally gives scope to doctor’s administrations, indicative tests, medicinal and surgical administrations, radiology and pathology, outpatient and crisis room treatment, radiation medications, dysfunctional behavior and emergency vehicle transportation. What’s more, it gives scope to specific tests like; diabetes, colorectal disease and prostate malignancy. Different administrations secured under this plan are mammograms, bone mass estimation, cardiovascular screening and glaucoma. Not at all like the Part A plan, everybody enlisted to this plan must pay the premium. Undoubtedly, there is no special case for the installment of deductibles and co-protection.


Part C is known as The Medicare Advantage. It covers everything that the first Medicare covers. In any case, the preferred standpoint is that it might offer them at a lower cost with additional administrations. It additionally enables qualified individuals to enlist to HMO, PSO, PFFS, PPO and MSA. It offers a few plans, each offering different advantages and expenses. Part D gives scope to individuals independent of their salary, health conditions, and professionally prescribed medication use. The P D Ps cover just outpatient drugs for individuals not having any medication scope.