Medicare Does Not Cover You Outside the United States

You can get Travel Insurance that fills in the gaps in your Medicare / Medigap Policies C, D, E, F, G, H, I & J

The Original Medicare Plan does not cover health care when you travel outside the United States, except for some emergency situations in Mexico and Canada. Go here to learn about your options for getting coverage.

In rare cases, Medicare can pay for inpatient hospital services that you get in Canada or Mexico. Medicare can pay only if:

1. You are in the United States when a medical emergency occurs and the Canadian or Mexican hospital is closer than the nearest U.S. hospital that can treat the emergency.
2. You are traveling through Canada without unreasonable delay by the most direct route between Alaska and another state when a medical emergency occurs and the Canadian hospital is closer than the nearest U.S. hospital that can treat the emergency.
3. You live in the United States and the Canadian or Mexican hospital is closer to your home than the nearest U.S. hospital that can treat your medical condition, regardless of whether an emergency exists.

First lets start off with the basics of what is Medicare and what does it cover Covers:

Here’s the Official US Gov’t Medicare website’s Q and A

Medicare is the health insurance program for people over the age of 65. People under the age of 65 can qualify for the Medicare program with certain disabilities, and any age with End-Stage Renal Disease (ESRD -permanent kidney failure requiring dialysis or a kidney transplant).

Medicare has four parts

• Part A (Hospital Insurance) – Helps cover inpatient care in hospitals, skilled nursing facilities, hospice care, and some limited home health care.In 2011 you have a one time deductible of $1024.
• Part B (Medical Insurance) – Helps cover medically necessary services such as your doctor’s services, outpatient care, and other approved medical services not covered under Part A.- In 2011 you have a one time deductible of $135
• Part C (Medicare Advantage Plans) – Medicare Advantage Plans are a replacement of your original Medicare Part A & Part B. Medicare pays private health insurance companies to “Manage” your health care. Many of the Advantage plans come in the form of a HMO or PPO. These programs are required to provide the same coverage that the original Medicare Part A & Part B provide. Some plans even have coverage for Part D which you will read about next.
• Part D (Medicare prescription drug coverage) – Helps cover prescription drug costs. If you are in the original Medicare program you may purchase a Part D plan from private insurers to help reduce your cost further. If you are enrolled in Medicare Part C, depending on which type of plan you have, may or may not allow you to purchase Part D. Check with your agent or call Medicare to verify your options.

What is a Medicare supplement policy?

A Medicare supplement policy is a health insurance plan sold by a private insurance company to fill the gaps in coverage from the original Medicare Part A & Part B. Sometimes called a Medigap policy. These plans will help you pay your share of the costs (coinsurance, co-payments, or deductibles) associated with Medicare-covered services.*You will need to qualify for Medicare Part A and Part B from above.

There are different Medicare supplement policies

Insurance companies can sell you only a “standardized” Medicare supplement policy. These policies are identified by letters (Plans A through L). Plans F and J also come in a high-deductible version. By law each type of Medicare supplement policy offers the same basic benefits, no matter which insurance company sells it. For example Plan D with company 1 has the exact same coverage as Plan D with company 2. The only difference between Medigap policies sold by different insurance companies is the cost.

What doesn’t a Medicare supplement policy cover?

They don’t cover long-term care (like care in a nursing home), vision or dental care, hearing aids, eyeglasses, and private-duty nursing. Please see www.medicare.gov for information on approved services.

Any new Medicare supplement policy issued today is guaranteed renewable

This means the insurance company can not cancel your policy as long as you pay the premium.

Prescription Drug Coverage

Although some Medicare supplement policies sold in the past covered prescription drugs, no new Medicare supplement policies are allowed to include prescription drug coverage as of 2005. If you want prescription drug coverage, you may want to join a Medicare Prescription Drug Plan (Part D) offered by private companies approved by Medicare.

When is the Best Time to buy a Medicare Supplement Policy?

Open Enrollment is the period that lasts for 6 months and begins on the first day of the month in which you are both age 65 or older and enrolled in Medicare Part B. During this period, an insurance company can’t use medical underwriting. They can’t refuse to sell you any Medicare supplement policy it sells. They generally can’t make you wait for coverage to start. Finally, they can’t charge you more for a Medicare supplement policy because of you health problems.

Click here to learn about your options for getting coverage.

MedicareTravelinsurance.com is a division of TripInsuranceStore.com

Protect Yourself and Travel with Peace of Mind

	Since Jan. 2005
Easily Contact MedicareTravelinsurance.com via email: steve@tripinsurancestore.com

TripInsuranceStore.com
401 NW Whitlock Drive
Lee's Summit, MO 64081
Local: 507-214-3854
Toll free (US & Canada): 1-888-407-3854

Office hours: (Eastern Time Zone)
Monday - Friday: 8:45 am - 9:30 pm
Saturday: We're here during the day
Sunday: We're here in the afternoon
- We'll call you back if we miss your call

We have multiple phone lines so you will reach Deanna, Becky, Tony & Steve live. Call back if our lines are busy. If you get our voicemail, leave a message - we return all calls promptly.

Save at Amazon.com

Recommend this page

All Our Related Websites: