Medicare Supplement Plans in Maine

Pamela Cannaday by Pamela Cannaday | Licensed since 2011
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This article was updated on: 10/12/2018

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Health-care costs are on many people’s minds these days. If you’re on Medicare in Maine, it may be worth your while to learn about Medicare Supplement plans. From Portland to Penobscot Bay to Presque Isle, Medicare Supplement plans in Maine might pay some of your Medicare Part A and Part B out-of-pocket expenses.

How might Medicare Supplement plans in Maine help me?

Medicare Supplement plans in Maine are available from private health insurance companies. Here’s some background information.

When you’re enrolled in Original Medicare (Part A and Part B), you can usually expect to pay coinsurance or copayments when you get medical services. You generally have to pay a Part B deductible for some medical services, and a Part A deductible if you’re a hospital inpatient.

Even when you have Medicare, you might notice money slipping from your wallet if you:

  • Have many doctor visits
  • Have many lab tests
  • Have to stay in the hospital or a skilled nursing facility from time to time
  • Use certain medical equipment or supplies frequently

To help with Original Medicare’s out-of-pocket costs, read on to discover how Medicare Supplement plans in Maine might be useful.

What do Medicare Supplement plans in Maine cover?

There are certain standard Medicare benefits that Medicare Supplement plans in Maine may cover. And there are 10 standardized Medicare Supplement plans, named with letters (such as Medicare Supplement Plan D). Each lettered plan may cover a subset of the standard Medicare benefits. For example, one lettered plan might cover 100% of a certain benefit and not cover a different benefit, while a plan with a different lettered name may cover 75% of certain benefits and 0% of certain other benefits.

Each of the 10 standard Medicare Supplement plans in Maine (Plan A through Plan N) generally pays for:

  • Medicare Part B copayment or coinsurance amounts for doctor visits and other Part B covered medical services. Most standardized Medicare Supplement plans in Maine typically pay 100% of these costs. Some plans pay part of the amount, such as 50% or 75%. (With Medicare Supplement Plan N, you might pay up to $20 for certain office visits and up to $50 for emergency room visits.)
  • Hospice care coinsurance or copayment under Medicare Part A. Most Medicare Supplement plans pay 100% of this cost, but one plan pays 50% and one pays 75%.
  • Medicare-approved hospital services for another year (365 days) after Medicare benefits are used up
  • The first three pints of blood if you need it as an inpatient or outpatient. Most standardized Medicare Supplement plans in Maine may pay 100% of these costs. Some plans pay a certain fraction of the cost, such as 50% or 75%.

Besides the benefits listed above, certain Medicare Supplement plans in Maine might cover:

  • Skilled nursing facility coinsurance
  • The Medicare Part A deductible
  • The Medicare Part B deductible
  • Limited emergency medical services during travel outside the United States (80% of approved costs, up to plan limits)
  • Part B excess charges, if applicable (the amount above the Medicare-approved cost that a doctor is legally allowed to charge)

This may not be a complete list of benefits.

How do you know which Medicare Supplement plans in Maine include which benefits?

Here’s a convenient way to compare the different standard Medicare Supplement plans. Check out this comparison chart and think about which benefits are the most important to you, and which Medicare Supplement plan includes those benefits.

Medicare Supplement plans in Maine: when may be a good time to buy one?

You can apply for a Medicare Supplement plan in Maine anytime, as long as you’re enrolled in Medicare Part A and Part B. But it may be best to apply during your Medicare Supplement Open Enrollment Period (OEP). It begins the month that you’re both age 65 or over, and enrolled in Medicare Part B (some people delay enrollment in Part B). This period lasts just six months, so you might want to make sure you don’t miss it if you want to buy a Medicare Supplement plan.

Why the rush? For many people, it might not matter too much when you apply. But if you have a health condition, or expect that you might have one later on, here’s a tip. If you buy a Medicare Supplement plan in Maine during your OEP, your acceptance into a plan is generally guaranteed. The insurance company can’t reject you, or charge a higher premium, because of your health problems. After the OEP, it may be harder or more expensive to buy a Medicare Supplement plan. However, in some cases you might still have guaranteed-issue rights to a plan even after your OEP.

Do you have questions about Medicare Supplement insurance plans? You can:

  • Display a list of plans in your area. Just click the Find Plans or Compare Plans buttons on this page.
  • Set up a phone call with me or ask me to email you customized information – to do either of these, follow the links below.

The product and service descriptions, if any, provided on these Medicare.com Web pages are not intended to constitute offers to sell or solicitations in connection with any product or service. All products are not available in all areas and are subject to applicable laws, rules, and regulations.

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