Common Mistakes and Misconceptions to Avoid
Navigating the world of senior healthcare can be tricky, and it’s easy to get confused by all the different terms and rules. Here are four common mistakes and misunderstandings we see people make when it comes to Medigap. Avoiding them can save you a lot of time, money, and stress.
Mistake 1: Confusing Medigap with Medicare Advantage
This is by far the most common point of confusion. Medigap and Medicare Advantage (also called Part C) are two completely different things. A Medigap policy works with Original Medicare, paying for costs that Medicare doesn’t cover. It gives you the freedom to see any doctor or visit any hospital in the country that accepts Medicare. A Medicare Advantage plan is an alternative way to get your Medicare benefits. It replaces Original Medicare, and you are typically required to use doctors and hospitals within the plan’s specific network. You cannot have both a Medigap policy and a Medicare Advantage Plan at the same time.
Mistake 2: Missing the Medigap Open Enrollment Period
We’ve said it before, but it’s worth repeating because it’s so critical. Many people don’t realize how important their 6-month Medigap Open Enrollment Period is. They might delay choosing a plan, thinking they can just get one later when they need it. This can be a costly mistake. If you apply for Medigap after this initial window closes, insurance companies can use medical underwriting. This means they can look at your health history, charge you a much higher premium, or even deny you coverage altogether. Don’t put this decision off.
Mistake 3: Choosing a Plan Based Only on the Lowest Premium
It’s always tempting to go with the cheapest option, but this can backfire. While a low premium is great, it’s not the only factor to consider. For example, a Plan N will almost always have a lower premium than a Plan G, but are you comfortable with the copayments you might have to pay? You should also research the insurance company itself. Look for a company with a strong financial rating and a history of stable, predictable rate increases. A company that offers a rock-bottom price today might have very steep rate hikes in the future.
Mistake 4: Believing You Can Easily Switch Medigap Plans Later
Some people think they can start with one plan and then switch to another one down the road if their needs change. While this is sometimes possible, it’s not always easy. Just like when you miss your initial enrollment period, switching plans usually requires you to go through medical underwriting. If your health has declined since you first bought your policy, you may not be approved for a new plan, or the cost could be prohibitive. It’s best to choose the plan that you believe will serve you well for the long term from the very beginning. For help understanding all your options, you can look for government assistance programs at Benefits.gov.
