Medicare Supplements

Medicare Supplements

If you have fairly frequent doctor or hospital visits, you already know there are gaps in Original Medicare coverage. Medicare Supplement Insurance, also referred to as Medigap, is insurance that helps fill these “gaps” in Original Medicare (Medicare Part A and Medicare Part B). 

Medicare Supplements are sold by private companies and can help pay for health care costs like deductibles, copayments, and coinsurance. Some Medicare Supplement policies also cover things like medical care when you travel outside the United States. 

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How Do Medicare Supplements Work?

Medicare Supplement plans supplement your Original Medicare benefits. When you buy a Medicare Supplement policy, you pay your private insurer a monthly premium in addition to the monthly Part B premium you pay.

With a Medicare Supplement plan, Medicare pays its share of your covered health care costs. Then, your Medicare Supplement policy pays its share. You pay the remainder.

Who is Eligible for Medicare Supplements?

You’re eligible for a Medicare Supplement policy if you have Original Medicare (Medicare Part A and Part B). If you have a Medicare Advantage plan (Medicare Part C), you can’t get a Medicare Supplement plan unless you’re switching back to Original Medicare.

What Do Medicare Supplements Cover?

There are many different Medicare Supplement plans that cover a variety of different things. However, no Medicare Supplement plans offer prescription drug coverage – you’ll need Medicare Part D for that coverage. Supplements also generally don’t cover:

  • Vision
  • Dental
  • Hearing aids
  • Private-duty nursing
  • Long-term care

The following are available Medicare Supplement, or Medigap, plans:

  • Medigap Plan A
  • Medigap Plan B
  • Medigap Plan C
  • Medigap Plan D 
  • Medigap Plan F
  • Medigap Plan G
  • Medigap Plan K 
  • Medigap Plan L
  • Medigap Plan M
  • Medigap Plan N

Medigap Plan A covers Medicare Part A coinsurance payments, Medicare Part B copayment or coinsurance, the first three pints of blood used in a medical procedure, and Part A hospice care coinsurance expense or copayment.

Medigap Plan B is a Medicare Supplement plan that covers everything Medigap Plan A covers, plus your Medicare Part A deductible.

Medigap Plan C covers everything Medigap Plan B covers, plus skilled nursing facility care and your Part B deductible. 80% of foreign travel emergency medical care costs are also covered.

Medigap Plan D covers Medicare Part A coinsurance payments, Medicare Part B copayment or coinsurance, the first three pints of blood used in a medical procedure, Part A hospice care coinsurance expense or copayment, skilled nursing facility care, and your Part A deductible as well as 80% of foreign travel emergency medical care costs. 

Medigap Plan F is the most comprehensive and popular Medicare Supplement Plan It covers both Medicare deductibles and all copays and coinsurance, so you don’t have any out-of-pocket expenses. 

Medigap Plan G is a Medicare Supplement plan that offers the most substantial coverage available outside of Medigap Plan F. It’s the second most popular Medicare Supplement Plan, covering everything Plan F covers except your Medicare Part B deductible. 

Medigap Plan K is one of the less substantial Medicare Supplement plans, covering your Part A coinsurance and hospital costs, 50% of the cost of Medicare Part B copayment or coinsurance, 50% of the cost of the first three pints of blood used in a medical procedure, 50% of the cost of Part A hospice care coinsurance expense or copayment, 50% of skilled nursing facility care, and 50% of your Part A deductible. 

Medigap Plan L covers your Part A coinsurance and hospital costs, 75% of the cost of Medicare Part B copayment or coinsurance, 75% of the cost of the first three pints of blood used in a medical procedure, 75% of the cost of Part A hospice care coinsurance expense or copayment, 75% of skilled nursing facility care, and 75% of your Part A deductible. 

Medigap Plan M covers Medicare Part A coinsurance payments, Medicare Part B copayment or coinsurance, the first three pints of blood used in a medical procedure, Part A hospice care coinsurance expense or copayment, skilled nursing facility care, and 50% of your Part A deductible as well as 80% of foreign travel emergency medical care costs. 

Medigap Plan N is a popular Medicare Supplement plan that is less comprehensive than plans F and G but more comprehensive than plans A and B. 

How Much Do Medicare Supplements Cost?

Medicare Supplement plans are priced or “rated” in three different ways: community-rated, issue-age-rated, and attained-age-rated:

  • Community-rated plans (also known as no age-rated plans) charge the same monthly premium to everyone, regardless of age. 
  • Issue-age-rated plans (also known as entry age-rated plans) charge premiums based on the age you are when you buy the plan. The younger you buy, the less they cost and they will not go up as you age.
  • Attained-age-rated plans charge premiums based on your current age. Thus, the premiums go up as you get older.

All plan premiums are subject to increase based on inflation and other factors. Some insurance companies also offer discounts (such as discounts for women, for non-smokers, for paying yearly, etc.).

As you consider different Medicare Supplement plans with different companies, make sure you consider the type of rating used as it could save you money (or cost you more).

Could a Medicare Supplement Plan Be Right For You?

Senior Health Solutions can help you make the right choice for you and your specific needs. As your trusted Medicare advisors located in Opelika, AL, we have years of experience helping people make health care decisions that give them peace of mind. Give us a call at (866) 445-5215 today.

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