Medicare Supplement Plans in Oklahoma
Last Updated : 05/28/20194 min read
An out-of-pocket maximum is a reassuring thing where health insurance is considered. This means that no matter how serious or expensive your illness is, you will generally not pay more than a specified amount before your plan begins to cover all your covered costs.
Original Medicare, the government health program for people 65 and over and certain people with disabilities, has no out-of-pocket maximum.
That means that if you face extensive hospitalization or repeated doctor visits and lab tests, you could face thousands of dollars of medical bills.
Medicare Supplement plans in Oklahoma help cover some of Medicare’s out-of-pocket costs, including copayments, coinsurance, and deductibles. Medicare Supplement Plans K and L also have out-of-pocket maximums.
About 573,000 people in Oklahoma are enrolled in Original Medicare (Part A and Part B), according to the Centers for Medicare and Medicaid Services (CMS). If you’re one of those people enrolled in Original Medicare, you may be eligible for Medicare Supplement in Oklahoma. Medicare Supplement works with Original Medicare but cannot be used together with a Medicare Advantage plan.
What does Medicare Supplement in Oklahoma cover?
There are up to 10 Medicare Supplement plans in Oklahoma with different levels of coverage. The plans are labeled A, B, C, D, F, G, K, L, M and N.
All Medicare Supplement plans in Oklahoma cover Medicare Part A coinsurance and hospital costs up to additional 365 days after Medicare benefits are exhausted.
Medicare Part A has 60 “lifetime reserve days” for hospital inpatient costs. After you’ve used up those lifetime reserve days, you could pay 100% of your hospital inpatient costs out-of-pocket without a Medicare Supplement plan in Oklahoma.
All Medicare Supplement plans in Oklahoma also pay at least 50% of the Medicare Part B coinsurance or copayment. Most Medicare Supplement plans cover this at 100%. The Medicare Part B coinsurance is generally 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment. For example, if you have a Medicare-covered powered wheelchair that costs $1,500, you may be responsible for 20% of this cost, or $300. A Medicare Supplement plan in Oklahoma may cover the full $300.
In addition, Medicare Supplement plans in Oklahoma may cover:
- First three pints of blood needed for a blood transfusion
- Hospice care coinsurance or copayment
- Skilled nursing facility care coinsurance
- Part A deductible
- Part B deductible
- Part B excess charges
- Foreign travel up to plan limits
This Medicare Supplement comparison chart will help you compare the different types of Medicare Supplement plans in Oklahoma.
When can I enroll in Medicare Supplement in Oklahoma?
Medicare Supplement plans in Oklahoma are allowed to use medical underwriting when evaluating applications for coverage. Medicare underwriters consider your health problems and the potential cost to insure you before granting you coverage.
If you are 65 or older, you may be immune to medical underwriting for a time when you first enroll in Medicare Part B. For six months after you are both 65 and older and enrolled in Medicare Part B, you will be granted a Medicare Supplement Open Enrollment Period. During this period private insurance companies cannot use medical underwriting when assessing your application.
Medicare beneficiaries under 65 are generally not given an Open Enrollment Period. In fact, the federal government does not require private insurance companies to sell any Medicare Supplement plans to people under 65. However, in Oklahoma, private insurance companies are required to sell at least one type of Medicare Supplement policy to people under 65. If you’re under 65, you may not get the plan you want or you may have to pay more for coverage.
How much does Medicare Supplement in Oklahoma cost?
Most Medicare Supplement plans in Oklahoma come with a monthly premium, which is an amount you pay to have the plan whether you use it not. The amount of this premium can vary depending on the plan and on the company offering the plan.
To begin comparing prices of Medicare Supplement plans in Oklahoma, enter your zip code on this page.
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