Your Online Resource for Medicare Insurance: Guiding you along the maze of Medicare

Medicare Supplement Exclusions

Since Medicare coverage does not pay 100% of the medical bills of a beneficiary, the unpaid portion of the bills such as your Medicare deductible, coinsurance and copayments are referred to as “gaps”, and the beneficiary is responsible for paying these unpaid amounts. Since these gaps can involve large amounts of money, Insurance Companies saw an opportunity to offer a policy to cover these risks. These policies are referred to as Medigap Insurance and/or Medicare Supplement Insurance.

Medigap Insurance basically supplements the coverage provided by Medicare. As of June 1, 2010, there are eleven Medicare Supplement Insurance Plans with Plan F offering the best Medicare coverage. If a person is willing to accept some of the risk not covered by Medicare there is a good variety of plans to choose from that offer less coverage at a lower premium. Each plan can be viewed here to determine what is not covered by each particular plan.

Items and services Medicare and Medicare Supplement Insurance Plans don’t cover include, but aren’t limited to:

  • Skilled nursing facility after 100 days.
  • Routine dental care and dentures
  • Cosmetic surgery and acupuncture
  • Hearing aids and exams for fitting hearing aids