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Medicare Supplement Plans in New York


Summary: Medicare Supplement plans are a popular option among Medicare beneficiaries in New York. There are several carriers that offer top plans in the state. Estimated Read Time: 8 min

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Medigap plans in New York (also known as Medicare Supplements) help reduce your out-of-pocket costs after Original Medicare (Part A and Part B) pays its portion of coverage. Unlike many other states, Medigap plans in New York allow year-round open enrollment. You’ll never need to answer underwriting health questions to enroll in coverage.

While the plan options are the same as in most other states, those on Medicare in New York have several extra perks. In this guide, we discuss these perks and how to find the best Medicare Supplement plan in New York.

Medigap Plans in New York for 2023

Medigap plans in New York are the same standardized Medicare Supplement plans available in most states nationwide. Ten lettered plan options are available, plus high deductible versions of two of these plans.

By enrolling in a Medigap plan, you receive coverage for the costs Original Medicare leaves behind. Thus, you will have much lower – if any – out-of-pocket costs.

The most highly enrolled Medicare Supplement plans in New York are Medigap Plan F, Plan G, and Plan N. These plans are popular among seniors because of their low out-of-pocket expenses and optimal coverage.

Medicare Supplement Plan F New York

In New York, Medicare Supplement Plan F is a popular plan that provides comprehensive coverage for Medicare beneficiaries. However, as of January 1, 2020, Medicare enrollees who are newly eligible are no longer able to enroll in Plan F. Those who were enrolled prior to January 1, 2020, may continue to be enrolled in Plan F.

The benefits of Medigap Plan F in New York are standardized, meaning that all insurance companies must offer the same basic benefits. However, the premiums for Plan F can vary among insurance companies. It is important to shop around and compare prices to find the best value for your needs.

Medicare Supplement Plan G New York

Medicare Supplement Plan G is a popular plan in New York and throughout the United States. Medigap Plan G provides comprehensive coverage for Medicare beneficiaries and is considered one of the most cost-effective options for those who want comprehensive coverage.

Medigap Plan G in NY is like Plan F, but it does not cover the Medicare Part B deductible. So, once you cover the deductible out-of-pocket, Medigap Plan G covers all the remaining Medicare-approved expenses for the rest of the year.

In New York, the benefits of Plan G are standardized, yet premiums may vary between carriers.

Medicare Supplement Plan N New York

Medicare Supplement Plan N is a popular plan in New York that offers low monthly premiums and comprehensive coverage for those who require basic care throughout the year. New York Medigap Plan N provides coverage for many of the same services as the more comprehensive plans but requires the beneficiary to pay certain out-of-pocket costs.

In New York, the benefits of Plan N are standardized. You must cover the Medicare Part B deductible. Then, once you meet the deductible, you are responsible for copayments at the doctor’s office and emergency room. Plus, if applicable, you may be responsible for paying Medicare Part B excess charges if your physician does not accept Medicare assignment.

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Medicare Supplement Eligibility in New York

Medicare Supplement plans in New York are available to anyone enrolled in Original Medicare (Medicare Part A and Part B). While there is still a Medicare Supplement Open Enrollment period in NY when you first become eligible for Original Medicare, it is not as necessary as it may be in other states. This is because, in New York, your health never affects your eligibility or monthly premium for Medigap.

However, your age may affect your costs. Thus, enrolling early is the best time to enroll in a Medicare Supplement plan.

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Compare Medigap Plans in NY

Medigap Plans in NY are community-rated. This means that your monthly premium will not be affected by your age, health, or gender. Your monthly premium will be based on when you enroll in a Medicare Supplement plan.

The chart below shows a premium breakdown for Medigap plans in New York.

Female, No Tobacco, New York ZIP Code 10014
Medigap Plan Monthly Premium Age 65 Monthly Premium Age 75
Medicare Supplement Plan F $318-$730* $318-$730*
Medicare Supplement Plan G $278-672 $278-672
Medicare Supplement Plan N $206-$440 $206-$440
Male, No Tobacco, New York ZIP Code 10014
Medigap Plan Monthly Premium Age 65 Monthly Premium Age 75
Medicare Supplement Plan F $318-$730* $318-$730*
Medicare Supplement Plan G $278-672 $278-672
Medicare Supplement Plan N $206-$440 $206-$440

* If on Medicare before 01/01/020

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Medicare Supplement Plans NY Carriers

There are many insurance companies that offer Medicare Supplement plans in New York. Here are some of the most popular carriers:

It is important to note that not all carriers may offer all Medicare Supplement plans, and the premiums and benefits can vary among carriers. It is important to shop around and compare prices and benefits among different carriers to find the best value for your needs.

You can contact a licensed insurance agent or visit the official Medicare website for more information about Medicare Supplement plan carriers in New York.

Does New York Offer Medigap Plans for Those Under 65?

Not all states require insurance companies to provide Medicare Supplement plans to those on disability under age 65. However, in New York, if you are under 65 and on Medicare due to a qualifying disability, you have access to Medicare Supplement plans.

However, keep in mind that your costs can be much higher than those over 65. Carriers tend to hike up premium prices for those under 65 due to their disability liability. Unfortunately, although benefits are standardized, premium prices are not.

Because of the price increase, many of those on Medicare due to disability opt for a Medicare Advantage plan until they turn 65 and can switch to Medigap for more extensive health coverage.

New York Medicare Supplement Rating Method

In New York, Medicare Supplement plans are subject to community rating. Community rating means that insurance companies charge the same premium to all beneficiaries of a Medigap policy, regardless of their age, gender, health status, or other factors. This is in contrast to other rating systems, such as “issue age” or “attained age,” where premiums are based on the age of the beneficiary at the time of enrollment and increase as the beneficiary gets older.

Under New York’s community rating method, all beneficiaries of a particular Medigap policy must be charged the same premium, regardless of their age or health status. This means that younger and healthier beneficiaries may end up paying more than they would under an issue age or attained age rating system, while older and sicker beneficiaries may end up paying less.

However, each carrier has the freedom to choose their own prices. So, choosing the right carrier is extremely important in New York.

Overall, community rating is intended to promote fairness and accessibility in the Medigap market by ensuring that all beneficiaries have access to the same coverage at the same price, regardless of their individual circumstances.

Medicare Enrollment New York

New York has a year-round Medicare Supplement Enrollment Period for all seniors. So, you can apply for a Medigap plan at any time of the year without needing to answer any health questions. However, Medicare Supplement premiums tend to be higher in New York than in most other states.

At any time, New Yorkers can enroll in a Medicare Supplement plan, and insurance companies cannot deny coverage. While plans may include a pre-existing condition waiting period, it generally only applies if you did not have creditable coverage in the last 63 days. However, if you did have creditable coverage, the waiting period could be waived.

This perk allows Medigap policyholders in New York to change plans when their health needs change.

Does New York State Allow Excess Charges?

New York is one of the few states that does not allow Medicare Part B excess charges. Regardless of which carrier you decide to go with, the letter plan benefits will be the same. New York residents need not worry if a Medigap plan does not cover excess charges because they will not apply when they receive care in their state.

Additional Medicare Coverage Options in New York

Besides Medigap plans, Medicare beneficiaries in New York have several options for additional coverage. If you are looking for an all-in-one plan, Medicare Part C (Medicare Advantage) may be right for you. On the other hand, you will want to shop for Medicare Part D plans for stand-alone prescription drug coverage.

Medicare Advantage plans help with additional benefits that Original Medicare does not cover. Be aware, however, that you cannot have a Medicare Advantage plan at the same time you have Medigap coverage. Yet, you can buy ancillary plans for dental, vision, and hearing benefits to pair with your Original Medicare and Medigap. If you are interested in wellness programs and gym benefits, some Medicare Supplement plans include these as well.

Medicare Part D plans offer prescription drug coverage to seniors. Medicare Supplement plans do not include prescription drug coverage. However, unlike Medicare Advantage plans, you can pair Medicare Part D coverage with your Original Medicare and Medigap.

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How to Apply for a Medigap Plan in New York

Medigap plans in NY can help you cover the unexpected costs that Original Medicare leaves. Medicare Supplement monthly premiums depend on the carrier. Thus, it is essential to select the company in your area offering the lowest rates for the most coverage.

At MedicareFAQ, it is our job to help you find the best supplemental insurance for you. Call us at the number above or fill out an online rate form today to learn about rates for Medigap plans in New York!

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Sources:

MedicareFAQ is dedicated to providing you with authentic and trustworthy Medicare information. We have strict sourcing guidelines and work diligently to serve our readers with accurate and up-to-date content.

  1. Health Insurance Assistance Medicare, NYC.gov. Accessed April 2022.
    https://www1.nyc.gov/site/dfta/services/health-insurance-assistance.page
  2. Supplement plans, NY Department Family Services. Accessed April 2022.
    https://www.dfs.ny.gov/consumers/health_insurance/supplement_plans_rates

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4 thoughts on “Medicare Supplement Plans in New York

  1. I turn 65 in Sept. 2022. I am planning on obtaining a Med-Advantage plan and then switching to High Deductible Plan G.

    Am I correct in the following: In NYS, at ANY TIME during one’s first 12 months in a Med-Advantage plan (after they have just become eligible for Medicare), one can switch to a Med Gap plan and a stand alone Prescription plan? And underwriting would not be necessary?

    1. Hi Geralyn, you are talking about the Trial Right for Medicare Advantage plans. You are correct. If you enroll in a Medicare Advantage plan for the first time, you have 12 months to enroll in a Medicare Supplement plan with no health questions. Once the 12-month period is over, you will have to have a valid dis enrollment period to return to Original Medicare and enroll in a Medicare Supplement plan. Luckily, in New York state, you never have to answer underwriting health questions to enroll in a Medicare Supplement plan.

  2. 1-I live in New York, can I switch at a later date, from managed Medicare to traditional Medicare (with a supplement plan) without paying more than if I signed up initially with traditional Medicare plus supplement?
    2-Is medical underwriting going to be in effect eventually in NY?
    3-Will people be grandfathered in and not be subjected to medical underwriting increases if it goes into effect at a later date when I may want to switch to traditional Medicare plan plus supplement?

    1. Susan, thank you for reaching out! We are glad to help with all of your Medicare questions.

      1. You can switch during a Medicare Advantage enrollment period to a Medigap plan. This will come at a higher cost than if you initially enrolled in Original Medicare and a supplement as the costs for new enrollees are constantly changing.

      2. At this time, there is no legislation in place for Medical Underwriting in New York.

      3. There is no way to answer this question unless legislation were to be passed that implemented medical underwriting in New York State. Again, there is no news of this happening.

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