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Medicare: A Complete Guide To Understand Medigap Plan C

Medicare is the federal health insurance program for people 65 years of age and older and those with specific disabilities. It has two parts: Part A (hospital insurance) and Part…

July 14, 2022

Written by Gary Martin

Medicare is the federal health insurance program for people 65 years of age and older and those with specific disabilities. It has two parts: Part A (hospital insurance) and Part B (medical insurance). You can also enroll in Part D (prescription drug coverage) or a Medigap plan (supplemental insurance).

A Medigap plan is a type of supplemental insurance that can help cover some of the costs not covered by basic medical insurance. Medigap plans are standardized by the federal government but offered by private insurance companies. There are ten different types of Medigap plans, each with its benefits. One of those plans is Plan C.

If you don’t know what Plan C consists of, don’t worry. In this blog post,  we’ll help you have a better understanding of Medigap Plan C. We’ll explore what it covers, its main benefits, how to enroll in this type of Medigap plan, and more. Continue reading.

What Is Medigap Plan C And What Does It Cover?

Medigap Plan C is a supplemental health insurance policy that covers a wide range of benefits not covered by Original Medicare, including hospice care, coinsurance, and deductibles. In addition, Plan C also provides some coverage for foreign travel emergency care. Here’s a more detailed look at what Plan C covers:

  • Hospice Care: This benefit helps cover the cost of hospice care, which can be a great relief for both the patient and their family.
  • Coinsurance: This benefit helps cover the cost of any coinsurance that the patient may incur while on Medicaid.
  • Deductibles: This benefit helps cover the cost of any deductibles that the patient may incur while on Medicaid.
  • Foreign Travel Emergency Care: This benefit helps cover the cost of any emergency care that the patient may need while traveling abroad.
  • It also covers more common supplemental needs like blood transfusions and private duty nursing

What Does Medigap Plan C Not Cover?

There are a few things that Plan C doesn’t cover. These include:

  • Dental care
  • Vision care
  • Hearing aids
  • Custodial care
  • Home health care
  • Acupuncture

If you need coverage for any of these things, you’ll likely need to supplement your Plan C with another plan. You can add a rider to your existing health insurance policy for dental and vision coverage. For hearing aid coverage, you may be able to purchase a standalone policy. For custodial and home health care, you may need to purchase a long-term care policy. 

The supplemental health insurance Plan C also doesn’t cover prescription drugs. You’ll need to purchase a separate prescription drug plan if you want coverage for your medications.

Benefits of Medigap Plan C

One of the main benefits of having a Plan C is that it provides relief knowing that you’ll be covered in almost any situation. With this type of coverage, you can enjoy your retirement without worrying about how you’ll pay for medical expenses. 

  • Plan C covers 100% of the Medicaid Part B coinsurance. If you have a $100 medical bill, Medicaid will cover 80% of the costs, and your Plan C will cover the remaining 20%.
  • Plan C also covers your first 3 pints of blood each year and 50% of skilled nursing facility costs.
  • Another benefit of Plan C is that it covers 100% of the Medicare Part A deductible. It can be a huge saving for those who have to pay out of pocket for their deductibles.
  • Lastly, this plan also provides a foreign travel emergency benefit which can be highly beneficial if you travel outside of the United States.

Overall, the supplemental health insurance plan C is an excellent option for those looking for comprehensive coverage and who want to save money on their medical bills.

Drawbacks of Medigap Plan C

One of the most significant disadvantages of Plan C is that it doesn’t cover prescription drugs. It can be a big issue for people who take medication regularly, as it can add up to a lot of money over time. If you are on medication and are considering signing up for Plan C, factor the cost of your prescription drugs into your overall budget. 

Another downside of Plan C is that it has high out-of-pocket costs. You’ll have to pay more out of pocket when you use your benefits than with other plans. If you need to use your benefits often, this could cost you more in the long run. Another potential drawback of Plan C is that not all doctors and hospitals may accept it. While most providers accept Medicaid supplemental insurance, some do not. Beneficiaries should check with their desired providers to see if they accept Plan C before enrolling.

Plan C has high premiums and deductibles. It can make it difficult to afford the care you need. Finally, Plan C does not cover long-term care. If you need to go into a nursing home or assisted living facility, you’ll have to pay for it. It can be costly, so make sure you’re prepared to pay for long-term care if you sign up for Plan C.

Things To Consider When Choosing Medicaid Plan C

If you consider buying Plan C, you should know that this type of coverage is only available to people 65 years of age or older. It’s also important to know that you get Medigap plans from a private insurance company.

This plan only covers one person. If you’re married or have a partner, you must purchase 2 separate policies. Plan C has a higher premium than some other supplemental plans. However, the higher premium may be worth it if you need extra coverage for your medical expenses.

To qualify for Medicaid Plan C, you must first be enrolled in Medicare Part A and Part B. If you aren’t enrolled in both of these parts of Medicare, you won’t be able to purchase Medigap Plan C. 

How To Enroll In Medicaid Plan C?

If you aren’t yet enrolled in Medicare Part A and Part B, you can do so by visiting the Social Security Administration website. Once you’re enrolled in Medicare, you can begin to research supplemental health insurance Medigap options.

You can sign up to Plan C through a private insurance company. You can also enroll in Medigap Plan C through the federal government’s website, Once you have decided how you’d like to enroll in Medigap Plan C, the next step is to choose a plan that best suits your needs. There are various Medigap plans available, so it is essential to compare plans and find one that covers the benefits you need at a price you can afford.

When To Enroll In Medicaid Plan C?

Once you’ve found a Medigap Plan C that meets your needs, the next step is to enroll. You can enroll in a Medigap plan during one of 2 enrollment periods: your Initial Enrollment Period or during the Special Enrollment Period.

Open Enrollment Period

Once you’re enrolled in Medicaid, you have a 6-month window to enroll in a Medigap plan without medical underwriting. You can only enroll in a Medigap plan during your 6-month Open Enrollment Period. It is when you first become eligible for Medicare Part B. Even if you have pre-existing health conditions, you can still enroll in Plan C without being denied coverage or higher premiums.

If you miss your Open Enrollment Period, you may still be able to enroll in a Medigap plan outside of this period if you have what’s called a “guaranteed issue” right.

Outside Of The Open Enrollment Period

A “guaranteed issue” right allows you to enroll in a Medigap plan outside of your Open Enrollment Period under certain circumstances, such as losing your health coverage. If you have a “guaranteed issue” right, you can enroll in any Medigap plan available in your state, regardless of your health status. However, you may have to pay a higher premium for the plan. 

Is Medigap Plan A The Best Option For You And Your Family? 

The easiest way to answer this question is to take some time to consider your requirements. Make a list of the features that are most important to you in a health insurance policy. Compare that list to the coverage provided by Medigap Plan C. If Medigap Plan C covers the majority of your needs, it may be a viable option. Every individual’s scenario is unique. When it comes to health insurance, there’s no such thing as a one-size-fits-all solution.

Nesso Senior Benefits – Helping You Find Your Ideal Health Insurance Plan

At Nesso Senior Benefits, we can help you compare plans and find the best option for your needs. We’re qualified insurance advisors committed to assisting our clients in selecting the best plan for them. We make sure that our clients get all of the information they need about their Medicare insurance so they can make intelligent health decisions. Contact Nesso Group if you have any queries regarding Medigap Plan C. We’re always willing to help.

Plus, we’re not like every other Connecticut Medicare advice company. We’re part of the Nesso Group, and our mission is to assist people and businesses succeed in a variety of fields, including accounting, tax, insurance, law, and many more. When you team up with us, you can be assured that you’ll be in good hands.


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