“Should I keep using Original Medicare… or do I need a supplemental plan to avoid surprises?” The same question repeats every year for millions of users in our country… The answer, of course, depends on each user’s wallet (that’s the way our system work, unfortunally). Medicare is designed to cover part of basic medical expenses (80%), but not all of them. That’s probably where doubts, fears… and unexpected bills begin.
It’s almost been treated as absolute truth that “if you don’t get supplemental insurance, you’re unprotected.” Is that really the case… or have insurers built a business around that fear? Let’s take a look.
What Original Medicare covers
Original Medicare includes Part A (hospitalization) and Part B (medical services), many important things, yes, but it leaves out other equally necessary ones: dental care, glasses, hearing aids… and when it comes to copays and deductibles, the numbers can rise fast, especially if someone needs frequent medical attention. And you also know that the older we get, the more services we need.
That’s where supplemental insurance (Medigap) comes in. These private policies promise to cover the “gaps” left by Medicare. The problem is they’re not cheap, monthly premiums exceed $150… and not everyone ends up getting their money’s worth…
Insurers and confusion
The health insurance market very complicated for our older adults. Forms, technical terms, difficult comparisons, and a widespread feeling that “more coverage is always better”. But sometimes, it is not.
That’s where insurers take advantage, using fear!! Medical bills that drain your savings, expensive treatments, emergencies in the middle of the night… But they rarely say clearly that not everyone needs an extra plan.
When it might make sense to get a supplemental plan
We don’t want to demonize Medigap because for some people, it can be a lifesaver. Those with chronic illnesses, frequent treatments, or little financial margin for unexpected expenses appreciate having that safety net.
…And when it can be an unnecessary expense
People who only visit the doctor occasionally and don’t have immune-related illnesses could save hundreds of dollars with Original Medicare. Some even set aside a small emergency fund to cover copays if needed, and that’s it.
More clarity, fewer puzzles
The issue is that the U.S. healthcare system forces people to act like insurance experts when they’re not. It exploits the fear of older adults so they pay more for “just in case,” when they could be saving that money for other things.
Logically, the process should be clear, simple, and transparent… so older people can make informed decisions without feeling like they’re gambling with their health. But until that happens, retirees will remain caught between the fear of being underinsured and the fear of overpaying.
A personal decision…
The question isn’t whether supplemental insurance is good or bad. What matters is whether it’s necessary for you. Do you want an extra layer of security? Go for it. Do you prefer not to have it? That’s fine too. This decision is so personal that it’s important to make it calmly, otherwise the only winners will be the insurance companies.
- Does Original Medicare cover all medical expenses?
No. Original Medicare (Parts A and B) covers about 80% of medical costs.
- What is Medigap?
It’s private insurance that helps cover costs Original Medicare doesn’t cover.
- Who should get Medigap?
Those with chronic illnesses, serious past health issues, or without other insurance or sufficient savings.
- Is Medigap better than Medicare Advantage?
It depends. Medigap offers more freedom because you can see any doctor in the U.S. who accepts Medicare.
Medicare Advantage (Part C) is usually cheaper but with more restrictions.