AHIP Medicare Supplement (Medigap) Plans 3

Question 1

What is a Medicare SELECT plan?

Accepted Answer

A type of Medigap policy that requires use of specific network providers to receive full benefits

Answer

Medicare SELECT is a type of Medigap policy that requires beneficiaries to use a specific network of hospitals and providers to receive full benefits, typically offered at lower premiums.

Question 2

What is the 'free-look' period for a newly purchased Medigap policy?

Accepted Answer

30 days from the date of policy delivery, with a full premium refund

Answer

Medigap policies include a 30-day free-look period during which a beneficiary can return the policy for a full refund if dissatisfied.

Question 3

Which Medigap plans include coverage for foreign travel emergency care?

Accepted Answer

Plans C, D, F, G, M, and N cover foreign travel emergency care up to plan limits

Answer

Medigap Plans C, D, F, G, M, and N cover foreign travel emergency care, generally at 80% after a $250 deductible, up to a $50,000 lifetime limit.

Question 4

If a Medicare beneficiary has a Medigap policy and receives Medicare-covered services, in what order do the payers pay?

Accepted Answer

Medicare pays first as the primary payer, then the Medigap insurer pays the remaining covered costs

Answer

Medicare is always the primary payer and pays first; the Medigap policy then pays its share of the remaining covered costs.

Question 5

A beneficiary wants to leave their Medicare Advantage plan and enroll in Original Medicare plus a Medigap plan outside of a guaranteed issue period. What should they know?

Accepted Answer

They may face medical underwriting, and insurers may deny coverage or charge higher premiums

Answer

Outside of guaranteed issue periods, insurers may apply medical underwriting when a beneficiary switches from Medicare Advantage to Medigap, potentially resulting in denial or higher premiums.

AHIP - America's Health Insurance Plans Practice Test

AHIP - America's Health Insurance Plans Practice Test

AHIP Medicare Supplement (Medigap) Plans 3