Healthplan Gap

Healthplan Supplement Plan 

Healthplan Supplements or are Healthplan Advantage plans that are designed to fill in the “gaps” in original Healthplan.  They are also sold by private companies and they work to “supplement” original Healthplan.

 Original Healthplan will not pay for all your covered healthcare services and supplies but a Healthplan Supplement plan can help cover your out of pocket expenses associated with original Healthplan like copayments, coinsurance, and deductibles.  Additionally, some Healthplan Supplement plans will cover additional benefits that are not covered by original Healthplan. 

Healthplan Supplement plans do not include drug coverage so you if you would like to have prescription drug coverage then you will need to add on a stand-alone drug plan as well.

Who is Eligible to Join a Healthplan Supplement Plan?

In order to enroll into a Healthplan Supplement plan, a Healthplan beneficiary needs to be entitled to Part A and enrolled in Part B of original Healthplan. You must purchase a Healthplan Supplement plan from a company that’s licensed in your state to sell Healthplan Supplement plans.  Healthplan Supplement plans with have different “guaranteed issue” periods during your eligibility for Healthplan depending on the plan and the state that you live in.  If you try to enroll in a Healthplan Supplement plan outside of one of these “guaranteed issue” periods you will need to pass through medical underwriting, and you could be denied for the plan.

How Much does a Healthplan Supplement Plan Cost?

The Cost of your Healthplan Supplement plan could vary significantly depending on several factors including your age, your zip code, or your health status, the type of plan you choose and whether or not you qualify for guaranteed issue.  The most popular plans will have a higher monthly premium but cover more of the gaps in original Healthplan and provide the beneficiary with more predictable out of pocket expenses.

Healthplan Supplement plans do not have a network of doctors so you may utilize your care from any doctor who accepts Healthplan without a referral or prior authorization.  Initially Healthplan will pay its share and then your Healthplan Supplement plan will pay its share.  Now you may be eligible to early enrollment discounts or lower premiums if you bundle your supplement plan with your spouse.  It is critically important to understand how your supplement plan is rated as well as any discounts that you may be eligible for in order to find that plan that fits your needs and budget.

For more information on Healthplan Supplement Plans please call 1-800-939-7901

Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below. By submitting this information you acknowledge a licensed insurance agent may contact you by phone, email or mail to discuss Medicare Advantage Plans, Medicare Supplement Insurance or Prescription Drug Plans.