Medigap Plans Comparison Chart
As of 2020 New Enrollees to Medicare Part A & B will not have as many plans to choose from. Those of you who have the most comprehensive plan will be grandfathered-in.
TOP SELLING PLAN “WHEN EXPLAINED” – Medigap Plan F (High Deductible) is the same as the OLD F PLAN but you pay the deductible, making it the least expensive plan based on monthly premium. The other are as follows:
Medigap Plan G
Medigap Plan G seems to be the most popular plan as it has the most benefit coverage of the plans. It was very similar to the most popular plan but you had to pay your Part B deductible.
Medigap Plan N
Medigap Plan N pays for 100% of the Part B coinsurance, except for copayments of up to $20 for certain office visits and up to a $50 for emergency room visits that do not result in an inpatient admission
Medigap Plan L
Plan L is a bit odd, you do save some money but for the benefits you lose it would seem in most cases the plans above are better for the money ay the 25% could really ad up.
Medigap Plan K
You see a large reduction in premium, along with benefit max. You will see several reductions in skilled nursing,blod,hospice…..
Medigap Plan D
Do not get this confused with MEDICARE PART D, which is the Medicare Drug Program purchased separately from the Medigap Plans.
Medigap Plan C
Don’t confuse this with MEDICARE PART C or MEDICARE ADVANTAGE which is a separate plan and it has an open enrollment period.
Prescription Medicare Part D aka Prescription Drugs.
Medicare Prescription Drugs
If you purchase a Medigap Plan you will want to look at purchasing a PART D or PRESCRIPTION DRUG plan to help cover your prescription expenses not typically included in a Medigap Plan!
Many people get confused during this process, and that is why we have a team of professional agents ready to help you navigate the confusing Medicare system. It is very important, so if you have any questions please call.
The list is changing every year with new private insurance companies coming in and out of the market offering Medigap Plans. Not All Companies are taking new customers and they are not all in every state. THis list is comprised of both Medicare Insurance Companies and Marketing Brands like AARP.
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Enjoy Medicare Supplement “medigap plan” enrollment anytime.
If you’re currently enrolled in Original Medicare, you can apply for a Medicare Supplement Insurance plan at any time.
Medigap Plans are in all 50 states but not offered by all carriers in all 50 states and for those on medicare disability the list is shorter..
Medigap Plans are in all 50 states but not offered by all carriers in all 50 states.
These are the states where the ammount of carries are about 75% of the “BIG STATES” and also represent the most agents who carry non-residents licenses selling in the “LARGE LIST”
These states have not only fewer agents and carriers they may have reduced agents servicing the state making it a bit harder to find quality agents.
NY (Because of the rules)
Get your questions answered!
Frequently asked Medigap questions
For Medicare parts A and B, you will usually must pay monthly premiums, and deductibles, copays, and coinsurance. You also pay the full cost of any services that Medicare doesn’t cover.
Premiums are amounts you pay to keep your Medicare coverage. Most people don’t have to pay a Part A premium, but everyone must pay the Part B premium. The premium amounts may change each year in January.A deductible is the amount you must pay for medical expenses before Medicare begins to pay.A copayment is a set dollar amount you usually have to pay each time you see a doctor or go to the hospital.Coinsurance is the percentage of the cost of a service that you pay after Medicare pays its portion of the cost. This means that if Medicare pays for 80% of the cost of a service, you’ll pay the remaining 20%.
Most long-term care. Medicare only pays for medically necessary care provided in a nursing home.Custodial care, if it’s the only kind of care you need. Custodial care can include help with walking, getting in and out of bed, dressing, bathing, toileting, shopping, eating, and taking medicine.More than 100 days of skilled nursing home care during a benefit period following a hospital stay. The Medicare Part A benefit period begins the first day you receive a Medicare-covered service and ends when you have been out of the hospital or a skilled nursing home for 60 days in a row.Homemaker services.Private-duty nursing care.Most dental care and dentures.Health care while traveling outside the United States, except under limited circumstances.Cosmetic surgery and routine foot care.Routine eye care, eyeglasses (except after cataract surgery), and hearing aids.
It’s best to buy Medicare supplement insurance during your six-month open enrollment period. Your open enrollment period begins when you enroll in Medicare Part B at age 65 or older. During this time, companies can’t refuse to sell you a policy because of your health history or condition. If you wait until after your open enrollment period, you might not be able to buy a policy if you have a preexisting condition.
Note: Your Medicare supplement policy is renewed automatically each year to ensure you have continuous coverage. If you drop your Medicare supplement policy, you may not be able to get it back, or you might not be able to buy a new policy.
The 10 Medicare supplement plans (plans A, B, C, D, F, G, K, L, M, and N) provide these benefits:
Hospitalization:Pays your daily copayments for hospitalization expenses from the 61st through the 90th day of the Medicare benefit period.Pays the Medicare Part A copayments for any hospital confinement beyond the 90th day in a benefit period, up to an additional 60 days during your lifetime. (These are your inpatient reserve days. You may use these days when you require more than 90 days in the hospital during a benefit period. When you use a reserve day, it is subtracted from your lifetime total and can’t be used again.)Pays the Medicare Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.Pays the skilled nursing facility care coinsurance.Hospice: Pays the copayment for outpatient pain medications and the coinsurance for inpatient respite care. Plans K and L pay this cost at a different rate. You must meet Medicare’s requirements, including getting a doctor’s certification of terminal illness.Medical expenses: After you’ve met your Part B deductible, pays your portion of the 20%Part B coinsurance for doctor bills, hospital or home health care, and some other Medicare-eligible expenses. Plans K, L, and N require you to pay part of the 20% Part B coinsurance.Blood: Pays for the first three pints of blood each year under Medicare parts A and B.
Plans B, C, D, F, G, and N pay the entire Part A deductible. Plans K, L, and M pay a percentage of the Part A deductible. Out-of-pocket limits apply to plans K and L.Plan N requires a $20 copayment for most office visits and $50 for emergency room visits.Plans C and F pay the Part B deductible.Plans C, D, F, G, M, and N pay for skilled nursing facility care copayments from the 21st day through the 100th day in a benefit period for post-hospital skilled nursing facility care eligible under Medicare Part A. This is not custodial care. Plans K and L pay a portion of the cost until you meet the annual out-of-pocket limits. The plan will then pay 100%.Plans C, D, F, G, M and N pay for emergency care while traveling outside the United States. They pay 80% of the charges that Medicare would pay if you were in the United States. Care must begin during your first 60 days outside the United States. The calendar year deductible is $250. The lifetime maximum benefit is $50,000.Plans F and G pay Medicare Part B excess doctor charges that Medicare doesn’t pay. They pay 100% of the excess fees, which are limited to 15% above the Medicare-approved amount.