If you are nearing age 65, you might be thinking about Medicare. Medicare can be confusing to people because of the different parts. In addition to Medicare Parts A, B, C, and D, there is also a type of policy called Medicare Select. This policy is a Medigap policy that keeps your coverage within a specific network of hospitals and doctors. Since a Medicare Select plan negotiates the rates for services with the network, it helps to keep medical costs lower. At Elder Care Direction, we can explain Medicare and Medicare Select plans to help you make an informed decision.
What to think about with Medicare Select plans
Medicare Select plans may charge lower premiums. However, there are some things that you should know before you choose a Medicare Select plan. Medicare Select plans will only cover your treatment at providers within your network. If you receive treatment at a facility or hospital that is out of the network, your Medicare Select supplemental insurance will not pay for the gaps in the amount that Medicare pays for your treatment. Except for emergencies, you should only seek care from within your network.
If you have a Select plan, you will need to ask your primary care doctor for a referral to specialists or for treatment at a hospital in your network. These plans work like a managed care plan or HMO, and they are only available in specific areas. Before you enroll in a Medicare Select plan, you should make certain that your preferred doctor and hospital are in the plan’s network.
How do Medicare Select plans differ from other types of Medicare supplements?
You cannot find Medicare Select plans everywhere. Insurance companies determine the areas where these types of plans will be available. Since these policies use networks, the monthly premiums may be lower than other types of Medicare supplements. Other than these differences, Medicare Select plans work the same way as other supplements.
How do you enroll in Medicare Select?
The way in which you enroll in a Medicare Select plan is the same as how you enroll in another Medicare supplement. You should enroll when you are in your open enrollment period for supplement plans. The enrollment period starts on the effective date of Medicare Part B and lasts for six months. During this time period, the insurance company will not be allowed to deny you for pre-existing health conditions.
Get help from Elder Care Direction
Elder Care Direction is dedicated to helping older adults and their families with navigating the many different issues that seniors might face. We have helped many people to understand Medicare and can assist you in reviewing your options. We can discuss Medicare Select plans and other supplemental plans that are available so that you can make a better choice. Fill out our online contact form today to learn more about the help we can offer to you.