What term describes private policies that cover healthcare services not covered by Medicare Part A or Part B?

Prepare for the Healthcare Finance Exam. Use flashcards and multiple-choice questions, each with hints and explanations. Get ready for your exam!

Multiple Choice

What term describes private policies that cover healthcare services not covered by Medicare Part A or Part B?

Explanation:
Supplemental private insurance that helps pay the costs Original Medicare doesn’t cover is Medigap. Medigap policies are sold by private companies to fill the gaps in what Part A and Part B pay—things like deductibles, coinsurance, and copayments—reducing your out-of-pocket bills when you have Original Medicare. They are designed to work alongside Medicare, not replace it, and they do not include prescription drug coverage (you’d need a separate Part D plan for drugs). Medicare Advantage (Part C) is a separate private option that combines A and B and may add extra benefits, but it isn’t the same as Medigap.

Supplemental private insurance that helps pay the costs Original Medicare doesn’t cover is Medigap. Medigap policies are sold by private companies to fill the gaps in what Part A and Part B pay—things like deductibles, coinsurance, and copayments—reducing your out-of-pocket bills when you have Original Medicare. They are designed to work alongside Medicare, not replace it, and they do not include prescription drug coverage (you’d need a separate Part D plan for drugs). Medicare Advantage (Part C) is a separate private option that combines A and B and may add extra benefits, but it isn’t the same as Medigap.

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