Medicare Select definition
Examples of Medicare Select in a sentence
Medicare Select plans offer beneficiaries thebenefits of a Medicare supplement plan at a lower price.
Unlike a standard Medicare supplement plan, Medicare Select requires insured members to use a network hospital to receive their full benefits.
While insured members must use a network hospital for inpatient services, insured members value this option because they can seek services from the physician of their choice and retain full Medicare benefits.Plans vary by state and not all states offer Medicare Select plans.
Full refund of premiums (minus claims paid, if any) if policies are returned within 30 days of plan issuanceFor more information on Medicare supplement insurance, please review “Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare.”https://www.medicare.gov/Pubs/pdf/02110- Medicare-Medigap-guide.pdf Did you know?Some states offer Medicare Select plans for Plans G and N.
Premiums for these plans typically go up as a person ages.If an individual enrolls in a Medicare Supplement Insurance Plan within six months of turning 65, and has enrolled in Medicare Part A and Part B, they have a guaranteed right to purchase any Medicare Supplement Insurance Plan sold in their state and cannot be turned down or charged more because of a pre-existing condition.Do Medicare Supplement Insurance Plans Use Network Providers?In some states, Medicare Select plans are available.
These plans require members to use Medicare Select network hospitals fornon-emergency care, or be on the hook for some expenses.
A Medicare Select policy or certificate shall provide payment for full coverage under the policy for covered services that are not available through network providers.
Medicare Select policies and certificates shall provide for continuation of coverage in the event the Secretary of Health and Human Services determines that Medicare Select policies and certificates issued pursuant to this section should be discontinued due to either the failure of the Medicare Select Program to be reauthorized under law or its substantial amendment.
A Medicare Select issuer shall have and use procedures for hearing complaints and resolving written grievances from the subscribers.
A Medicare Select issuer shall make full and fair disclosure in writing of the provisions, restrictions, and limitations of the Medicare Select policy or certificate to each applicant.