Types of Medigap Pricing Methods

When choosing a Medicare Supplement, or Medigap, plan, you’re probably concerned about cost. There are 10 Medigap plans available through private insurers, and each has a standard set of benefits no matter which insurance company you choose. As you would expect, the plans with the most benefits tend to cost more.

But many people don’t realize that insurance companies may charge different amounts for the exact same plan. The pricing method in your Medigap policy helps determine the monthly premium you will pay now, and whether your premiums will increase as you get older.

Pricing Methods for Medigap (Medicare Supplement) Policies

There are three types of Medigap pricing methods:

  • Community Rated
  • Issue Age Rated
  • Attained Age Rated

It’s important to understand pricing before you buy a policy. Some policies seem like a good deal, but the premiums will go up as you age. This can potentially leave you struggling to pay premiums in your later years, when your health is failing and it is hard to qualify for other coverage. Here are the basic features of each type of Medigap pricing.

Types of Medigap Pricing Methods

Community Rated Medigap Plans: Everyone Pays the Same Amount

With community-rated Medigap pricing (also known as “no-age-rated” pricing), everyone pays the same rate for a policy. Age simply doesn’t matter. For example, if you buy a community rated Medigap policy at age 72, you’ll pay the same rate as someone who is buying coverage at age 65. Your premium will not go up as you get older, but it might increase because of inflation or other factors.

Issue-Age-Rated Medigap Plans: Premiums Based on Your Age When Your Bought Your Policy

Issue age rated Medigap pricing (also known as “Entry-Age-Rated” pricing), bases your premium on the age you were when you first bought your policy. The older you are when you get your policy, the more you’ll pay. Under this pricing model, a person who buys a policy at age 72 will pay a higher monthly premium than a person who buys the same policy at age 65.

Once your premium has been set, however, it will not increase because of your age. Inflation or other factors might still make your premium go up over time.

Attained-Age-Rated Medigap: Higher Premiums as You Get Older

Attained-Age-Rated Medigap pricing always calculates your premium based on your current age (the age you have “attained”), no matter how long you have had your policy. This means that when you first buy your policy, your premium will be based on your current age, with older people paying more. A person buying a policy at age 72 will pay more than a person who buys the same policy at age 65.

Because premiums are based on your current age, they go up each year as you get older. For example, a policy that cost $120 a month when you bought it at age 65 might be $165 a month by the time you are 72. An attained age rated policy can be the lowest-price option when you are 65, but as you get older it may become the most expensive type of plan. And like the other two pricing models, attained age premiums can go up because of inflation or other factors.

Attained Age Rated Medicare Supplements usually start increasing around your 68th birthday, somewhere between 1.5%-5% per year. However, some plans can increase their rates twice per year. 

Issue-Age vs Community Rated Medigap Policies

Many of our clients ask us if they should get an issue age or community rated Medigap policy. Neither of these pricing methods will increase your premium as you age, but they still can increase due to other factors. Factors such as discounts, high deductibles and guaranteed issue right can affect the price of your policy. 

Other Important Information

Aside from understanding the different types of Medicare Supplement pricing methods, it’s important to understand when and what the different types of Medicare Enrollment Periods are. There’s enrollment periods for Original Medicare, Medigap, Medicare Advantage and Prescription Drug Plans. It’s also important to understand Medicare Supplements guaranteed issue rules and guidelines. Once you’ve become educated on the types of enrollment periods and what guaranteed issue is, you come compare the 2018 top Medicare Supplement insurance plans here.

Find Prices on Medicare Supplements Online

At MedicareFAQ, we research top insurers to find you the best Medigap policy for your needs and your budget. We explain your choices and answer your questions, so you understand the pricing methods and other features of all the policies you are considering – before you make a decision. Give us a call for more information on the different types of pricing methods carriers use to determine your premiums. answer your questions

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