Medicare Supplement Plans in Vermont (Medigap)

When you have Original Medicare alone and visit the doctor, there can be charges left over, leaving you to pay out-of-pocket. Medicare Supplement plans in Vermont cover these charges through benefits offered by private insurance companies. Also known as Medigap, your coverage can help you pay for various medical expenses, and there are 12 plans available. Availability can vary from location to location.

The Medigap plans Vermont residents choose will depend on that individual’s healthcare needs. Everyone is different, and many options are available to reflect different coverage needs among beneficiaries. Additionally, Medicare Advantage plans and Medicare Part D may also benefit you as viable coverage options. Learn more about Vermont Medigap plans and your options for staying covered against rising healthcare costs.

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Best Medicare Supplement Plans in Vermont

There are many different Medicare Supplement Plans in Vermont, and determining the best one can feel daunting. But it doesn’t have to, as the best option you can find will vary from person to person. Remember, different healthcare needs will mean different plans fit better with each individual.

To identify the best plan for you, you’ll need to take stock of your healthcare needs and find a Medigap plan capable of fulfilling those needs while keeping your costs as low as possible.

Residents of the Green Mountain State have plenty of options available, but plans are the same from carrier to carrier. The difference lies in the amount you pay, as private insurance companies can charge differing rates for Medicare Supplemental plans in Vermont.

Of the 12 Medigap plans Vermont residents can choose from, three stand apart from the rest as most popular. These are Medigap Plan F, Plan G, and Plan N.

Medicare Supplement Plan F in Vermont delivers a complete form of coverage. Your Original Medicare (Medicare Part A and Part B) deductibles, coinsurances, and copayments are paid for by the plan.

These days, Medigap Plan F hasn’t gone away. However, you’ll need to be eligible for Medicare before January 1, 2020, to be capable of enrolling.

Due to these restrictions, Medicare Supplement Plan G has become a crowd favorite. You still have to pay for your Medicare Part B deductible, but other than that, your Medigap Plan G coverage offers the same benefits as Plan F.

The last of the three is Medicare Supplement Plan N. This plan is excellent for those looking to lower their monthly premiums but understands that you’ll be responsible for your copayments at the doctor or an Emergency Room. You’ll also need to cover your Part B deductible.

Unlike many other states, Vermont bans Medicare Part B excess charges that can occur when providers refuse to accept Medicare Assignment. Although this is rare throughout the U.S., it’s not even a consideration in VT.

Looking at your healthcare needs will go a long way in determining which Medicare Supplement Plans in Vermont are best for you. Medigap Plan N is an excellent choice if you’re looking to save on premiums. However, if having more benefits is essential, Medigap Plan G or Plan F, if you are eligible, might be a better fit.

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The Cost of Medicare Supplement Plans in Vermont

Figuring out the best Medigap plans in Vermont for your needs will entail looking at costs, of course. It’s important to understand how insurance companies determine your premiums. Many factors go into these figures but the biggest are your age, gender, tobacco usage, and the amount of coverage you enroll in.

While nothing is absolute, men will pay more than women, smokers will pay more than non-smoking individuals, people with more benefits pay more, and finally, costs can rise with age as well.

To compare Medicare Supplement plans in Vermont easily, we’ve created a chart assessing the average cost of monthly premiums for both a 65-year-old male and female and a 75-year-old male and female. In this scenario, everyone lives in the same ZIP Code and abstains from tobacco usage:

  Female, No Tobacco, Vermont ZIP Code 04401  
Medigap Plan Monthly Premium Age 65 Monthly Premium Age 75
Medicare Supplement Plan F $165-$378* $165-$378*
Medicare Supplement Plan G $145-$343 $145-$343
Medicare Supplement Plan N $124-$209 $124-$209
  Male, No Tobacco, Vermont ZIP Code 04401  
Medigap Plan Monthly Premium Age 65 Monthly Premium Age 75
Medicare Supplement Plan F $165-$378* $165-$378*
Medicare Supplement Plan G $145-$343 $145-$343
Medicare Supplement Plan N $124-$209 $124-$209

* If on Medicare before 01/01/2020

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You’ll notice when you compare Medigap plans in Vermont that the premiums are the same regardless of age. This is because premiums in VT are Community-Rated, meaning the price of coverage is the same within the same plan regardless of age. However, it’s still important to sign up as soon as you are able to.

When you first turn eligible, either through disability or when turning 65, you can enroll using your Medigap Open Enrollment Period.

If you don’t sign up during your Medigap Open Enrollment Period, your Special Enrollment Period allows you to enroll without being denied because of health questions during qualifying circumstances.

During this period, you are given Guarantee Issue rights, meaning you have a guarantee to receive coverage regardless of previous or current medical conditions. This is a six-month period, and you can enroll while avoiding answering health questions.

However, those who don’t sign up during these periods can still apply for a Medicare Supplement plan at any time, but you’ll have to pass underwriting before obtaining coverage.

Medicare Eligibility in Vermont Under 65

The state of Vermont requires that all insurance carriers provide at least one plan to those disabled and under 65. However, many find that Medicare Supplement plans for disabled people tend to cost much more.

Even though Vermont has Guarantee Issue rights and is a Community-Rated state, a Medicare Advantage plan may be a better alternative. Speaking with a licensed Medicare agent can help beneficiaries under 65 find the best benefits for their needs.

Vermont Medicare Supplement Companies

Finding cheap Medicare Supplemental Insurance plans in Vermont through private insurance carriers is possible. Always remember to assess your healthcare needs and enroll with a company that has the right features and plan that keep you covered and fit your budget. These are some of the top options of carriers available to Vermonters:

  • Aetna offers a 30-day look period for your benefits.
  • Bankers Fidelity is known to avoid large premium increases while offering plenty of plan options.
  • Blue Cross Blue Shield (BCBS) of Vermont offers a range of great discounts.
  • Capitol Life
  • Cigna offers a pre-enroll feature for seniors to join 90 days before their effective date.
  • GPM, or Government Personnel Mutual, has a great selection of Medigap plans available.
  • Humana offers a SilverSneakers membership and access to the Go360 Wellness program.
  • Lumico Life Insurance won’t hit you with a large price increase as they are known for consistent pricing.
  • Manhattan Life helps you keep premium costs low with its household discount.
  • Mutual of Omaha clients can enjoy discounts reaching as much as 12% off depending on the state they are in.
  • National General knows timing is everything and provides immediate coverage, starting the day after you enroll.
  • United American has high-deductible Medicare Supplement plans that deliver benefits while keeping monthly premiums lower.
  • UnitedHealthcare also provides the ever-popular SilverSneakers memberships to those who enroll.

Finding the right carrier for you starts with speaking to a licensed Medicare agent to cut down on the noise and select the right carrier for you.

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Alternative Medicare Coverage Options for Vermont

A Medicare Supplement plan in Vermont may work for many, but there are other options available for those that may do better without a Medigap plan. Here are alternative options to consider when searching for more coverage than simply Original Medicare on its own:

  • Medicare Advantage (Medicare Part C) is great at providing benefits and saving on premiums, but beneficiaries need to consider that plan restrictions apply as well as out-of-pocket costs. You also can’t have both a Medigap plan and a Medicare Advantage plan at the same time, so it’s important to stay informed before choosing.
  • Medicare Part D plans focus on covering the costs that come with prescription drugs. Because there are so many medications out there, it’s important to ensure yours is included. You can do so before enrolling by checking your plan’s formulary, which lists which drugs it covers.
  • In addition to Medicare coverage, ancillary policies can help you cover the cost of care for your dental, vision, and hearing needs.

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How to Apply for Medicare in Vermont

The Medigap plans Vermont residents have available may feel overwhelming as there are so many considerations. Your healthcare is important and finding the right benefits affects your medical experience. We’re here to help you find the best option available for your needs.

Take all of the guesswork and stress out of shopping for Medicare Supplement plans in Vermont by calling us at the number above or filling out an online rate form!

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Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.


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