Before we can understand how the NC Medicare policy works, we need to know what it is first. NC Medicare supplement policy is a health insurance sold by private insurance companies that supplements services or benefits that are not covered by the Original Medicare Plan. It literally fills-in the "gaps" left by the main health insurance plan. The NC Medicare plan will pay for certain benefits and services that the Medicare Plan doesn't cover; it also shares in the over-all, covered health care costs and expenses. Generally speaking, a NC Medicare Plan is identified as a Medicare Supplement Insurance. Several NC Medicare plans are available to cater to different needs.
The Center for Medicare and Medicaid Services (CMS) has standardized NC Medicare plans to 12 different packets and labelled them A up to N. These plans are sold by private Insurance Companies, at different rates depending on the coverage and combined benefits. Since a NC Medicare plan is a private insurance, and not sponsored by the government, the policies, terms and conditions vary from state to state. Some States, such as Wisconsin, Minnesota and Massachusetts require additional coverage from the set standards. Drug coverage may or may not be included with NC Medicare Plans because of the Medicare Part D prescription drug coverage.
To be an eligible Medicare plan beneficiary, the individual is required to be enrolled in Medicare Part A and Part B. In most cases, medical screening is not required, but if deemed necessary the Insurance Company may ask for a Physician's certificate and medical screening. A Medicare plan is not compatible with private Medicare coverage like the Medicare advantage plan.
It is very important to note that a NC Medicare policy doesn't cover long-term health care including care in a nursing home, vision care and eyeglasses, hearing-aids, dental care and private-duty nursing. For costs and payments, NC Medicare beneficiaries pay a separate monthly premium depending on the plan to the private insurance company on top of the Medicare Part B monthly premium. Each NC Medicare policy only covers one person, for married couples, each spouse must purchase a separate NC Medicare policy. A beneficiary can opt to cancel or renew his policy depending on certain conditions. As a standard rule, a NC Medicare policy cannot be cancelled or revoked by the insurance company for as long as the beneficiary is still paying the monthly premium