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Medicare Supplement Plans in Vermont

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What is Medicare Supplement in Vermont?

Medicare Supplement in Vermont is a way for Medicare beneficiaries to get extra coverage for copayments, coinsurance, and deductibles not covered by Original Medicare. Original Medicare has no out-of-pocket maximum, meaning you could face potentially devastating health care costs without a Medicare Supplement plan. Medicare Supplement plans are offered by private insurance companies approved by Medicare. Medicare Supplement plans in Vermont work alongside Original Medicare and are not stand-alone plans.

What kinds of costs do Medicare Supplement plans pay?

Different Medicare Supplement plans in Vermont pay different kinds of copayments, coinsurance and deductibles. A copayment is a set dollar amount you have to pay when you receive health care services, for example $15. Coinsurance, is a percentage, for example 20% that you generally pay for Medicare Part B services. A deductible is the amount you pay before your health insurance begins to pay. A Medicare Supplement plan in Vermont may cover:

  • Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
  • Part B coinsurance or copayment
  • First three pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B deductible
  • Part B excess charge
  • Foreign travel up to plan limits

Things Medicare Supplement in Vermont generally doesn’t cover:

  • Prescription drugs
  • Routine dental
  • Routine vision
  • Routine hearing

Medicare Supplement insurance plans in Vermont are categorized by a letter (A, B, C, D F, G, K, L, M, N). Plans with the same letter offer the same basic benefits. However, the cost of these plans can vary based on the company offering the plan and the location of the plan.

How do I sign up for Medicare Supplement in Vermont?

According to the Centers for Medicare and Medicaid Services, over 126,000 Medicare beneficiaries in Vermont are enrolled in Original Medicare (Part A and Part B). Potentially all of these beneficiaries are eligible to enroll in a Medicare Supplement plan. However, if you have Medicare Advantage in Vermont, you generally cannot enroll in a Medicare Supplement plan.

The best time to enroll in Medicare Supplement plan in Vermont may be during your Medicare Supplement Open Enrollment Period. During your Open Enrollment Period, you can enroll in any Medicare Supplement plan and not worry about being turned down based on any pre-existing conditions.* Your Open Enrollment Period begins on the first day of the month that you’re both enrolled in Medicare Part B and age 65 or older and it lasts for six months.

You can type your zip code into the form on this page to see a list of Medicare Supplement insurance plans in your area. To speak with one of eHealth’s licensed insurance agents, just contact eHealth.

*Pre-existing conditions are generally health conditions that existed before the start of a policy. They may limit coverage, be excluded from coverage, or even prevent you from being approved for a policy; however, the exact definition and relevant limitations or exclusions of coverage will vary with each plan, so check a specific plan’s official plan documents to understand how that plan handles pre-existing conditions.

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