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Guide to Health Insurance (Medicare)

  • WHAT MEDICARE PAYS AND DOESN'T PAY
  • 10 STANDARD MEDIGAP INSURANCE PLANS
  • YOUR RIGHT TO MEDIGAP INSURANCE
  • TIPS ON SHOPPING FOR PRIVATE HEALTH INSURANCE
Developed jointly by the National Association of Insurance Commissioners and the Health Care Financing Administration of the U.S. Department of Health and Human Services. Publication No. HCFA-02110

NOTICE

Listed in the back of this booklet are the addresses and telephone numbers of each of the state agencies on aging and the state insurance departments. They are available to assist you with any questions you may have about private insurance to supplement Medicare.

Suspected violations of the laws governing the marketing of insurance policies should generally be reported to your state insurance department since states are responsible for the regulation of insurance within their boundaries. There are, however, federal penalties for certain violations concerning Medicare supplement insurance ("Medigap") policies. It is, for example, a federal offense for an insurance agent to indicate that he or she represents the Medicare program or any other federal agency in order to sell a policy. It is also illegal for an insurance company or agent to sell you a policy that duplicates coverage you already have. The federal toll-free telephone number for filing complaints is:
1-800-638-6833

CONTENTS

DEFINITIONS OF SOME MEDICARE TERMS
SOME BASIC THINGS YOU SHOULD KNOW
WHAT IS MEDICARE?
MEDICARE HOSPITAL INSURANCE (PART A)
MEDICARE MEDICAL INSURANCE (PART B)
TYPES OF PRIVATE HEALTH INSURANCE
TIPS ON SHOPPING FOR HEALTH INSURANCE
INSURANCE POLICY CHECK-LIST
STATE INSURANCE DEPARTMENTS AND AGENCIES ON AGING