Answer 3: B
Every Medicare Advantage plan has a yearly maximum out-of-pocket amount for covered Part A and Part B services. Once you reach it, the plan pays for covered in-network care for the rest of the year. Plans set their own limit, up to a cap Medicare sets each year, so the number differs from plan to plan.
Original Medicare on its own has no yearly limit. That is why many people with Original Medicare buy a Medigap policy or have retiree coverage. When you compare plans, look at the maximum out-of-pocket amount, not just the monthly premium.
Question 4 of 6
You leave Medicare Advantage for Original Medicare. Can a Medigap insurer ask about your health before selling you a policy?
- A. Never; Medigap must always accept you
- B. Only if you are under 65
- C. Often yes, unless you have a guaranteed issue right or live in a state with extra protections
- D. Only if you smoke