Medicare Select is a type of Medigap policy that requires members to use specific hospitals and, in some cases, specific doctors (except in an emergency) to be eligible for full benefits. Medicare SELECT plans limit you to a network of specific doctors, specialists and hospitals. If you go to a healthcare provider or hospital that is out of network, your coverage won't pay unless it's an emergency. I emailed your advisor with your attached documents requesting a contract or benefit summary document that would support 20% coverage for any Medicare-approved process.
MedicareFAQ proved to be very helpful in finding the best option and the subsequent low premium for my secondary Medicare coverage. This is in contrast to regular Medigap plans, which will cover some or all of the patient's Original Medicare out-of-pocket costs, as long as the patient turns to a provider who has not been excluded from Medicare (very few providers nationwide have opted out). You'll also have to pay all other costs that aren't covered by your Original Medicare or Medicare Advantage plan. And now he's trying to cover all the additional costs that Medicare doesn't cover while still paying a monthly Medicare SELECT premium.
I feel like a Medicare Select plan has been stolen from me because the only major insurance company in Alabama (95% of doctors) has only Advantage or Select Supplement plans with exclusions. If in the first 12 months of coverage, you decide that standard Medigap is more suitable than a SELECT plan, you can change it without worrying about the subscription. Medicare Part C is called the Medicare Advantage Plan, which is a private plan that covers the same costs as Medicare Parts A and B and also includes dental, ophthalmic, and sometimes prescription drugs. Once you make that decision, you can explore all of the add-on plans, including Medicare SELECT.
Again, what SELECT differs is who can get coverage without having to pay all deductibles and additional costs. From there, you can find out what coverage rates they offer and whether it would be worth getting a SELECT plan or a regular Medigap plan. But members should be aware that, in most non-emergency circumstances, they will not receive any benefits from the policy if they use an out-of-network provider (in other words, the policy will not cover their out-of-pocket Medicare expenses). These add-on plans pay for things like copays, deductibles, hospice care, medical emergencies while traveling, and doctor's fees that exceed the amounts paid by Medicare.
Enrolled in a Medicare Advantage plan, which works completely differently than a Medicare supplement plan, such as Plan G. On the other hand, Medicare SELECT adds another option for those who don't have an income large enough to pay another large monthly premium, but who still need help covering costs, not normally covered for parts A and B because of the frequency with which they use the services. We'll also look at the history of Medicare SELECT and take a closer look at what it is, where you can get it, and how to enroll in it.