Generally referred to as the Medigap J supplements plan, the Medicare J supplement plan assures certain costs that are not insured by the Medicare program. Plan J is no available anymore. Meanwhile, the plan will remain valid for persons who joined the program as at June 1, 2010. Also, there is also a separate yearly deductible of approximately $250.
What is covered in Plan J?
Like all Medicare Advantage or Medigap insurance policies, Plan J protects some plan gaps in Medicare A & B plans, and this include:
- at home recovery
- Attention through qualified service facilities.
- Emergency assistance for trips abroad.
- Excess Commissions Part B / costs
- Medicare Coinsurance (i.e. Part B)
- Part A & B deductibles
- Up to $150 in preventive care that Medicare does not guarantee
What the policy does not guarantee:
Unfortunately, there are some health conditions that are not insured under Plan J (that is, according to the Centers for Medicare and Medicaid Services); and include the following:
- dental care
- Long-term care in the nursing home.
- nursing care
- eye care
The bottom line is the elimination of Plan J because of the need to improve the entire Medicare insurance infrastructure.
Deleting by default:
It has often been said that plan J has been withdrawn from the plan due to the fact that there were 2 similar to the plan F. The plan F often considered as the most comprehensive of all Medicare Advantage plans/Medigap benefits. The two particular benefits that separates Plan J from Plan F include at-home recovery and preventive care. These two insurance plans were canceled by the Centers for Medicare and Medicaid Services for lack of use. Therefore, Plan J has been eliminated because of this duplication.
Other considerations: It is important to note that plan holders existing in J Plan who are not affected by the above conditions are subject to the so-called “closed block assets”, which means that after the expiration date of June 1 will not be offered new contracts There are some speculations that insurance rates for the J plan will rise as a result of the factors mentioned above. While this is useful to some persons, its implication on current recipients has not yet been seen.
It is a good idea for anyone with a J plan to evaluate Medigap’s current plans and compare the rewards and benefits with what they are currently paying. You will be amazed to discover that you will be saving money and also enjoy benefit similar to those of Plan J. Each insurance agency establishes a commission they can agree to pay a consultant or agent to recommend their product. Insurance companies pay agents for their services, so you never have to pay an agent for your services. The other way of thinking is that you pay this agent for your services as clients, so you are thinking of more than you will earn for each sale.