We know that making sense of Original Medicare as well as Maine Medicare Supplemental insurance plans can be confusing. To help you understand your options fully, we’ll start with brief explanations of the different types of Medicare.
- Medicare Part A – Hospital Insurance: Helps cover costs for inpatient care in hospitals, skilled nursing facilities and hospice.
- Medicare Part B – Medical Insurance: Helps cover costs for some preventative care services, doctors’ services and outpatient hospital care.
- Medicare Part C – Medicare Advantage: Similar to HMOs or PPOs, Part C includes health plans run by Medicare-approved private insurance companies.
- These plans include Parts A and B coverage, plus typically offer prescription drug coverage (Part D).
- Medicare Part D – Prescription Drug Coverage: Drug coverage options run by Medicare-approved private insurance companies.
- Medicare Supplement insurance: Covers some expenses not covered by Medicare. You must have Medicare Parts A and B in order to enroll.
- This isn’t available to Medicare Advantage (Part C) policyholders, you must disenroll prior to your supplement plan effective date.
Maine Medicare Supplement plans add additional benefits to your Original Medicare coverage. It helps you cover the gap in expenses between what Medicare covers and what you’re required to pay.
Supplements do NOT cover:
- Long-term care
- Vision care or eyeglasses
- Dental care
- Hearing aids
- Private nursing arrangements
State of Maine Medicare Supplement Facts:
- State of Maine Medicare Supplements require you to pay a monthly premium for your policy in addition to your premium for your Original Medicare coverage.
- You’ll need to purchase separate policies for each person who would like coverage, policies cover only one person.
- Prescription Drug Coverage is not available through a supplement insurance policy, you’ll need to apply for a stand alone Medicare Part D plan to use as additional coverage.
- You cannot have Medicare Advantage AND Maine Medicare Supplement insurance. If you already have Medicare Advantage, make sure you can disenroll in your plan before your supplement policy begins.
- Your supplement policy is guaranteed renewable and can’t be terminated as long as you pay your premiums on time. Any new or existing health problems will not affect your current policy either as long as you enrolled during your OEP.