FAQs
Do state rules impact Medigap policies?
Yes—states like Massachusetts, Minnesota, and Wisconsin have additional coverage standards and different rules for Medigap policies.
Does a Final Expense insurance policy build cash value?
Yes. Because it’s a type of whole-life insurance, final expense policies typically build cash value over time that can be borrowed against.
Does a Term Life insurance policy build cash value?
No—standard term life doesn’t accumulate cash value or offer a return on premiums.
Does Marketplace insurance cover dental and vision?
Dental coverage is included in some Marketplace health plans (especially for children). For adults, it’s often available as a standalone plan. Vision coverage for adults is not required but may be included or available separately.
Does Medicare or Medicaid cover long-term care?
Medicare typically covers only short-term skilled nursing (up to 100 days). Medicaid covers long-term care only after you’ve spent down your assets—eligibility varies by state .
Does Medigap cover prescription drugs?
No—Medigap policies sold after 2005 don’t include drug coverage. You’ll need a separate Part D drug plan.
Does Medigap cover travel outside the U.S.?
Many plans (like C, F, G, and N) include foreign travel emergency coverage, paying up to a specified limit abroad.
Does Medigap have an out-of-pocket limit?
No. Medigap doesn’t set an annual cap—instead, it covers cost-sharing per service. This differs from Medicare Advantage, which has an OOP maximum .
Does my health insurance or Medicare cover me internationally?
Original Medicare (Parts A & B) generally doesn’t cover care outside the U.S., with only rare exceptions. Some Medigap plans (C, D, F, G, M, N) include foreign travel emergency (typically 80% after a $250 deductible, up to $50,000 lifetime, and usually for the first 60 days of a trip). Some Medicare Advantage plans may offer limited worldwide emergency benefits—check your plan. Travel medical insurance is still recommended.
Does STD/LTD cover mental health or pregnancy?
Yes—most STD and LTD plans include pregnancy recovery, mental health issues, elective surgeries, and common illnesses like cancer or heart conditions.
Does travel insurance cover flight delays and extra expenses?
Yes—trip delay benefits can reimburse lodging, meals, ground transport, and rebooking after delays that meet the policy’s hour threshold and covered reasons.
How affordable are hospital/medical indemnity plans?
Hospital indemnity premiums are generally low—frequently $10–$30/month—depending on coverage level, selected benefits, and whether dependents are added.
How and when do I pay for my ACA plan coverage?
You pay the insurance company directly, not the Marketplace. Your coverage won’t begin until the first premium is paid.
How are accident insurance benefits paid?
Benefits are paid directly to you and can be used however you choose—medical bills, rent, everyday expenses—without any restrictions .
How are MA networks determined?
MA plans typically use HMO or PPO networks. HMO plans restrict you to in-network providers; PPOs allow out-of-network access at higher cost.