What is a Medicare Supplement (Medigap)?
A Medicare Supplement Insurance (Medigap) policy is an insurance policy that helps fill “gaps” in Original Medicare and is sold by private companies.
Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. Medigap policies can help pay for some of the costs that Original Medicare doesn’t, like copayments, coinsurance, and deductibles.
Some Medigap policies also cover certain benefits Original Medicare doesn’t cover, like emergency foreign travel expenses. Medigap policies don’t cover your share of the costs under other types of health coverage, including Medicare Advantage Plans, stand-alone Medicare drug plans, employer/
union group health coverage, Medicaid, or TRICARE.
If you have Original Medicare and a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then, your Medigap policy pays its share. Medicare doesn’t pay any of the costs of buying a Medigap policy.
A Medigap policy is different from a Medicare Advantage Plan because those plans are another way to get your Part A and Part B benefits, while a Medigap policy only helps pay for the costs that Original Medicare doesn’t cover. Insurance companies generally can’t sell you a Medigap policy if you
have coverage through a Medicare Advantage Plan or Medicaid.
All Medigap policies must follow federal and state laws designed to protect you, and policies must be clearly identified as “Medicare Supplement Insurance.” Medigap policies are standardized, and in most states are named by letters, Plans A-N. Each standardized Medigap policy under the same plan letter must offer the same basic benefits, no matter which insurance company sells it.
Feel good about your choices
A Medicare Supplement Insurance policy has no restrictive networks, you can visit the physicians of your choice, and you have the freedom when choosing a healthcare provider, including specialist and specialty hospitals. With automatic claims filing by most providers, you have less things to worry about.
Take care of yourself
A Medicare Supplement insurance policy helps you manage and budget your health care expenses with predictability and stability. Unexpected medical expenses can put your savings at risk. A Medicare Supplement insurance policy may offer financial security by helping you pay some of the out-of-pocket costs for Medicare-approved services and works hand-in-hand with Medicare to provide more insurance coverage.
What’s great about the plans?
30 days free look
Return any policy for any reason within 30 days after receipt for a full refund of all premiums paid
12-month rate guarantee
No rate increase for the first 12 months, as long as the premiums are paid on time
No worries of reduced benefits or canceled coverage for the life of the policy, as long as the premiums are paid on time.
Freedom to choose your doctors
You control and choose the physicians who you trust for your care.
Go direct to your doctors
You can go directly to the physicians and specialist you choose without pre-certifications and pre-approvals.
Benefits stay the same
You always know what your benefits are with this standardized plan…no surprises or re-evaluations year-after-year.
You are not restricted to use a network of health care providers. If you move, your coverage goes with you.
Medicare Supplement Insurance Plans
|Most Popular||2nd Most Popular|
|Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used)||100%||100%||100%||100%||100%||100%||100%||100%||100%||100%|
|Medicare Part B coinsurance or copayment||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Blood (first 3 pints)||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Part A Hospice Care coinsurance or copayment||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Skilled Nursing facility care coinsurance||100%||100%||100%||100%||50%||75%||100%||100%|
|Part A Deductible||100%||100%||100%||100%||100%||50%||75%||50%||100%|
|Part B Deductible||100%||100%|
|Part B Excess Charges||100%||100%|
|Foreign travel emergency ($50,000 Lifetime benefit)||80%||80%||80%||80%||80%||80%|
|OOP limit $6,220||OOP limit $3,110|
- *Plans F and G also offer a high-deductible plan in some states (Plan F isn’t available to people new to Medicare on or after January 1, 2020.) If you get the high-deductible option, you must pay for Medicarecovered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2,370 in 2021 before your policy pays anything, and you must also pay a separate deductible ($250 per year) for foreign
travel emergency services.
- **Plans K and L show how much they’ll pay for approved services before you meet your out-of-pocket yearly limit and your Part B deductible ($203 in 2021). After you meet these amounts, the plan will pay 100% of your costs for approved services for the rest of the calendar year
- *** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits
and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.