Medigap


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Medigap

(mĕd′ĭ-găp′)
n.
Private health insurance designed to supplement the coverage provided under governmental programs such as Medicare.

Medigap

[med′igap]
a health insurance policy sold by a private insurance company to fill gaps in coverage of a person's original Medicare plan.

Medigap

A generic term for employer-sponsored, individually purchased health insurance that supplements Medicare reimbursement for medical services. As Medicare pays physicians for services according to its own fee schedule, regardless of what the physician charges, a patient may be required to pay the physician the difference between Medicare’s reimbursable charge and the physician’s fee; Medigap is meant to fill this gap in reimbursement so that the Medicare beneficiary is not liable for the difference.

medigap

Managed Care A generic term for employer-sponsored, individually purchased health insurance that supplements monies reimbursed by Medicare for medical services
References in periodicals archive ?
Several hundred industry leaders all gather at the only conference that is 100-percent Medigap focused," Slome explains.
Lobbyists and aides have said negotiators discussed requiring Medigap beneficiaries to pay $250 out of pocket, which proponents say would discourage people from unneeded medical expenses.
Medigap Plan F with Original Medicare and a Medicare drug plan
The fact that the lion's share of our clients opt for the more traditional and significantly more expensive Medigap plans goes to show that not all beneficiaries make their decisions based on price.
Supplemental insurance was defined hierarchically with the following categories: current employer-sponsored insurance (ESI) coverage, Medicaid coverage, retiree ESI coverage (also including private managed care, other private coverage, and TRICARE), Medicare managed care, Medigap coverage, and no supplemental coverage.
Caution: It is important to underscore that Medicare Advantage plans and Medigap insurance policies are mutually exclusive.
Medicare Advantage programs generally are priced lower than the monthly premiums for Medicare plus a Medigap plan.
Despite the importance of supplemental insurance to Medicare beneficiaries, little is known about the premiums charged for individual Medigap coverage.
All Medigap policies received one or two stars, indicating Medicare HMOs usually provide better value to consumers.
Pharmaceutical medigap policies are prohibited in the new law after January 1, 2006.
8 million with Medigap insurance would lose that coverage too.
Using the 5%-of-disposable-income threshold, most seniors would not buy Medigap insurance, because costs of those policies can easily exceed the 5% limit.