When the time comes and you are eligible for Medicare there are different options to help control your out of pocket expenses for health care which are the costs that the Original Medicare doesn’t cover. Horizon Blue Cross Blue Shield for New Jersey does offer different choices for affordable health care plans to help meet the needs of different budgets and health care needs.
There are 6 choices of Horizon Contemporary Medigap plans offered by Horizon Blue Cross Blue Shield for New Jersey; A, C, F, G, K & N. A different level of insurance coverage is provided with each of these standardized plans at different costs for each.
This is provided that you live in New Jersey as a resident and age of 65 or over and have Original Medicare Part A and Part B. Then you cannot be turned down as long as you meet these requirements for eligibility.
Medigap Plans, these are also referred to as a Medicare supplemental insurance that you can get form Horizon Blue Cross Blue Shield New Jersey help pay much of costs that are not going to be paid for by Medicare like co-insurances, co-payments, and or deductibles.
Any insurance company that that sells Medicare Plans must also off Plan A. This is the most basic policy that covers the parts of Medicare Part A and Part B which the government doesn’t pay.
Plan C will cover all that Medicare approves going up to the approved amount of the payment. So there are only 2 cases where Plan C will not cover what’s left of your medical charges after Medicare pays its share of the bill. First case is when Medicare did not approve the charge at all. The second case is when the healthcare provider has charged more than the amount Medicare approved. This is due to Plan C not covering Medicare’s Part B Excess Charges.
The most popular of all supplement plans is Plan F. It will offer a comprehensive coverage for everything that the Original Medicare won’t cover provided the charge is approved. No co pays or deductibles as well as no out of pocket costs using Plan F. Basically if Medicare Part A & B only pay a penny on doctor or hospital charges then Plan F policy will cover the difference.
Plan G will have almost the same amount of coverage as the Plan F. Difference being with Part B deductible. After the annual deductible for Medicare Part B has been met, the plan covers the coinsurance amount of medical services approved by Medicare. Generally, this would be 20 percent of the approved amount.
Plan K will cover the cost sharing of Part B preventive services, then Part A hospital co-insurance. This features additional 365 days for hospital coverage. Plan K will also cover 50 percent of Part A & B blood deductibles or the Part B co-insurance, skilled nursing facilities co-insurance, and cost sharing that is associated with hospice benefits, as well as Part A hospital deductibles.
Plan N benefits are similar to Plan D only it features a co-payment for doctor visits an emergency room visits. The co-pays are applied after the annual deductible has been met.
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