CALL (207) 544-4119
MPM #14661908 | Maine License PRR168748
CALL (207) 544-4119
NPN #14661908 | Maine License PRR168748
Health Insurance pays the doctors, hospitals, and surgeons – Who pays you?
Are you worried about high deductibles?
Loss of income because of illness or accident?
High co-pays for Emergency Room, hospital stays, and skilled nursing facilities?
Looking to supplement your primary – Medicare or U65 insurance?
Are you looking to supplement Original Medicare with a a Medicare Supplement (Medigap) policy?
What are supplements?
Supplemental health insurance is any policy that you have in addition to your main health insurance. These policies provide an extra level of coverage to help consumers with out-of-pocket costs and/or additional benefits that aren’t covered by their primary health insurance.
Are supplements expensive?
Supplemental policies are less expensive than qualified health insurance plans because they aren’t comprehensive medical plans. These policies often have limitations and caps on benefits, may ask medical questions, and can deny coverage for pre-existing conditions.
Who buys supplemental coverage and why?
As major medical qualified health insurance plans have risen in cost, supplements have become a popular option. For example – Policy holders may opt for a lower cost policy with a higher deductible, and then add a supplement policy to help mitigate the deductible, maximum out-of-pocket costs with supplemental policies. The most popular supplements are accident policies and critical illness policies.
Supplemental policies are also a good way to protect your income if an illness or an accident affects your ability to work. Accidents and illness don’t only affect the wage earner, they have an impact on the entire family. Thinking through the unexpected, unthinkable, scenarios makes sense when putting together a total health protection package.
Others may elect to not have a qualified health plan, and instead, have supplemental coverage only. This is risky. Supplemental policy applications will require applicants to sign an attestation acknowledging that they know this is not a qualified health plan. If a qualified health plan isn’t in the budget, some coverage is better than no coverage – and that’s what supplements as a stand-alone policy offer.
There are many types of supplemental plans that offer benefits in a variety of ways.
Add on benefits:
Dental and Vision are the most common add on benefits that people include in their health insurance package.
Fixed Indemnity Benefits:
These policies look and feel like regular health insurance. They will pay a facility or a provider a fixed dollar amount for certain events. For example: a fixed dollar amount for a stay in a hospital; ER visit; Ambulance ride; diagnostic exam – etc.
Lump Sum Supplemental insurance:
These policies will pay a one-time lump sum payment if you get diagnosed with a critical illness, such as cancer.
Accident Supplement Insurance:
These policies pay when you have an accident – at work, at home, or at play. There are a variety of accidental policies.
Disability Insurance:
These policies protect your income. There are accident only disability policies as well as accident and illness.
With Medicare Supplement (Medigap policies), your primary insurance is Original Medicare. Medicare Supplements are standardized plans that fill the holes in Original Medicare Part A and Part B. Medicare Supplements do not include Prescription Drug coverage (See RX Drug section)
Depending on which Medigap plan you purchase (Plans run from A – N), these various plans fill in the many holes of Original Medicare Part A and Part B. Each of the letter’s designated to these Medigap Plans are standardized – no matter which insurance company you choose to provide your gap benefits, an A plan’s coverage is exactly the same. The only difference is the monthly premium that you pay for this plan.
When you have a Medicare Supplement Plan, you can go to any doctor who accepts Medicare. There is no network. You will present the provider with your Original Medicare card plus your Medigap card because Medicare will pay first, and your Medi-Gap plan will fill in the gaps that you choose to have covered based on the plan letter chosen for your coverage.
Complete the form below for a no-cost, no pressure consultation.
Dental/vision coverage available
Phone: (207) 544-4119 | Email: karen@vachonagency.com
MPM #14661908 | Maine License PRR168748
Address: 327 Ocean House Road Ste 5 Cape Elizabeth, ME 04107
Hours: Monday to Friday: 9am - 5pm | Saturday and Sunday: Closed
Disclaimer: Currently, we represent seven organizations which offer 65 products in your area. You can always contact
Medicare.gov,
1–800–MEDICARE, or your local State Health Insurance Program for help with plan choices.
Phone: (207) 544-4119 | Email: karen@vachonagency.com
NPN #14661908 | Maine License PRR168748
Address: 327 Ocean House Road Ste 5 Cape Elizabeth, ME 04107
Hours: Monday to Friday: 9am - 5pm | Saturday and Sunday: Closed
Disclaimer: Currently, we represent seven organizations which offer 65 products in your area. You can always contact Medicare.gov, 1–800–MEDICARE, or your local State Health Insurance Program for help with plan choices.
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