Medicare Supplement Plans (Medigap)
Medicare Supplement plans were created to supplement, or compliment, Original Medicare. Medicare covers 80% of your medical expenses. Medicare Supplemental plans fill in the gap between Medicare’s payments and the actual amount billed. These gaps include co-pays, deductibles, and coinsurance. With ten policy options, the best one for you depends on the level of coverage you need. We’ll review the eligibility guidelines, enrollment guidelines, coverage comparison, plan options, additional resources and how to apply.
Medicare Supplement Plans Eligibility Guidelines
To be eligible for a Medicare Supplement plan, you must be at least 65 years of age and enrolled in Medicare Part B. In some states, plans are only available to those over the age of 65, other states allow those qualifying for Medicare due to disability to apply at any age. If you qualify, don’t wait to enroll. Upon your enrollment in Medicare Part B, your Open Enrollment Period begins for a supplement plan. Sign up for Medicare Supplemental insurance during your Open Enrollment Period, this window only occurs once and cannot be extended or changed.
Medicare Supplement Insurance Open Enrollment Period
The first day of the month your Medicare Part B becomes effective, you have a six month period to purchase a Medicare Supplement insurance plan. If you’re over the age of 65 and don’t enroll in Medicare Part B, your Open Enrollment Period doesn’t start until you do enroll in Part B and it becomes effective. During this window, you cannot be turned down because of your age or charged a higher rate due to pre-existing conditions. If you miss your OEP, you’ll need to meet the private plan’s current underwriting standards and may be charged a higher rate.
Medicare Supplements Coverage Comparisons
Medicare Supplements coverage to supplement your Medicare is dependent on the letter plan you choose. These plans are standardized by the government, the benefits are going to be the same per letter plan regardless of the carrier. The only difference is the cost, it’s up to the carrier to decide how much they want to charge for each letter plan. Each letter plan includes the basic benefits, starting with Plan A, and adds additional benefits or levels of coverage. This way, everyone can get the individual healthcare benefits they need to cover their out of pocket medical costs not covered by Original Medicare. It’s important to note that these plans only cover one individual. If your spouse needs coverage, they’ll be required to purchase a separate policy. To view our Medicare Supplement plans chart, click here.
Medicare Supplemental Plan Options
Medicare Supplements options include Plan A, B, C, D, F, G, K, L, M, N, and a high-deductible Plan F.
- Plan A helps fill in the gaps with co-payments, deductibles, and coinsurance.
- Plan B will cover virtually all hospitalization costs. This plan will also cover skilled nursing facility costs as well as hospice care deductibles.
- Plan C is one of the most extensive plans and covers almost every cost. The only exceptions are Part B excessive costs, hospitalization after 365 days, and skilled nursing care after 101 days.
- Plan D is extensive as well and covers everything except hospitalization after 365 days and skilled nursing care after 101 days. It also doesn’t cover Part B deductibles.
- Plan F is considered to be one of the most popular available plans, as it covers the Part B deductibles as well as the services covered in Plan D.
- High-deductible Plan F covers basic benefits, such as Part A and B coinsurance and some hospital benefits. While it’s the lowest cost plan, it may not be the best option for those in need of extensive coverage.
- Plan G is very popular, as it covers many of the Part B deductibles. However, it may not cover hospitalization or skilled nursing care.
- Plan K pays half of the Part B deductibles and coinsurance for hospitalization and skilled nursing care. Me has an out-of-pocket maximum, allowing participants to better plan their expenses.
- Plan M provides extensive coverage but only covers half of your Part A deductible for hospitalization.
- Plan N has extremely low premiums and covers skilled nursing care for the first 100 days and hospitalization for the first 365 days. There are higher deductibles and co-payments for other services.
Plans G, K, L, M, and N tend to have lower premiums but higher out-of-pocket costs.
Our Additional Resources Available to You
We have a variety of resources that are available to you. Our FAQ pages answer top frequently asked questions about Medicare & supplements to Medicare. We also have a blog we update regularly to keep you well informed and up to date with the latest healthcare news. Don’t go anywhere without watching our senior agent education videos where our experienced Medicare Supplement agents talk about the different supplemental Medicare insurance options available. You can also check out our agent review page here.
Apply for Medicare Supplemental Health Insurance Online
Plans vary by state, so talk to an expert who can help you find affordable Medicare Supplement insurance plans in your area. Our representatives will help you sign up for coverage as soon as possible. Simply call our licensed representatives so we can provide an estimate. The screening questions are simple and will help us ensure that you receive the right plan for your needs. You can apply for Medicare Supplemental health insurance online by clicking here!