Compare Medigap Plans


We can help you compare Medigap Plans and rates in your area.

To keep it simple, Medicare Part A (Hospital expenses) and Part B (Medical expenses) only covers 80% of your hospital and medical related expenses. Medigap plans, also known as Medicare Supplement insurance, pay the Part A and Part B 20% co-insurance, plus the Medicare deductibles, that Medicare doesn’t pay (depending on the Medigap plan, see chart below). Plans are identified by letters A-N, which makes it easy to compare Medigap plans.

Medigap plans are standardized, which means whatever plan you’re looking at… the benefits of that plan are exactly the same with every insurance company that sells that plan. However, insurance companies can charge different rates for the same exact plan. All Medigap policies though, must follow federal and state laws designed to protect you, and must be clearly identified as “Medicare Supplement Insurance.” Insurance companies like United Health AARP or Mutual of Omaha, can only sell you a “standardized” Medigap plan.

There are only 11 Medigap plans that you can purchase in the country, which makes it easier to compare Medigap plans. All policies offer the same basic benefits but some offer additional benefits, so you can choose which one meets your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different way.

Each insurance company decides which Medigap policies it wants to sell, although state laws might affect which ones they offer. Insurance companies that sell Medigap policies:

  • Don’t have to offer every Medigap plan
  • Must offer Medigap Plan A if they offer any Medigap policy
  • Must also offer Plan C or Plan F if they offer any plan

More information on Medigap

  • Medigap is health insurance sold by private insurance companies to fill gaps in Original Medicare coverage.
  • Medigap helps pay all, or a portion, of Part A and Part B coinsurance, co-payments, and/or deductibles when Original Medicare determines that a benefit is medically necessary. Some Medigap plans also cover benefits not covered by Original Medicare.
  • Medigap policies are available in standardized benefit plans, identified by the letters A – N (different plans are offered in Massachusetts, Minnesota, and Wisconsin).
  • Turning age 65 and signing up for Part B triggers a six-month Medigap open enrollment period when Medigap plans must be issued, regardless of any pre-existing conditions, called a guaranteed issue right. In limited circumstances, leaving a Medicare Advantage plan will trigger a guarantee issue opportunity. Some states have guarantee issue for Medicare beneficiaries under age 65.

Compare Medigap Plans

Note: The Medigap policy covers coinsurance only after you’ve paid the deductible (unless the Medigap policy also pays the deductible).

Let’s compare Medigap Plans side-by-side. The chart below shows basic information about the different benefits Medigap policies cover.

Yes = the plan covers 100% of this benefit

No = the policy doesn’t cover that benefit

% = the plan covers that percentage of this benefit

N/A = not applicable

 

Medigap Benefits Medigap Plans
A B C D F* G K L M N
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Part B coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes***
Blood (first 3 pints) Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Part A hospice care coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled nursing facility care coinsurance No No Yes Yes Yes Yes 50% 75% Yes Yes
Part A deductible No Yes Yes Yes Yes Yes 50% 75% 50% Yes
Part B deductible No No Yes No Yes No No No No No
Part B excess charges No No No No Yes Yes No No No No
Foreign travel exchange (up to plan limits) No No Yes Yes Yes Yes No No Yes Yes
Out-of-pocket limit** N/A N/A N/A N/A N/A N/A  $5,120 $2,560 N/A N/A

* Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,200 in 2017 ($2,180 in 2016) before your Medigap plan pays anything.

** After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($183 for 2017), the Medigap plan pays 100% of covered services for the rest of the calendar year.

*** Plan N pays 100% of the Part B coinsurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that don’t result in inpatient admission.

If you live in Massachusetts, Minnesota, or Wisconsin, Medigap policies are standardized in a different way.

Are you ready to compare Medigap plans, as well as get rates  on plans in your area? For example Plan F or Plan G? Then, please click the link below.

 

 

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2017 Medicare Parts A & B Premiums and Deductibles Announced

Today, the Centers for Medicare & Medicaid Services (CMS) announced the 2017 premiums and deductibles for the Medicare inpatient hospital (Part A) and physician and outpatient hospital services (Part B) programs.

 

Part A Premiums/Deductibles

Monthly premium: Medicare Part A covers 80% of inpatient hospital, skilled nursing facility, and some home health care services. About 99 percent of Medicare beneficiaries do not pay a Part A premium since they have at least 40 quarters of Medicare-covered employment. If you buy Part A, you’ll pay up to $413 each month in 2017.

  • Home health care
    • $0 for home health care services.
    • 20% of the Medicare-approved amount for durable medical equipment.
  • Hospice care
    • $0 for hospice care.
    • You may need to pay a copayment of no more than $5 for each prescription drug and other similar products for pain relief and symptom control while you’re at home. In the rare case your drug isn’t covered by the hospice benefit, your hospice provider should contact your Medicare drug plan to see if it’s covered under Part D.
    • You may need to pay 5% of the Medicare-approved amount for inpatient respite care.
    • Medicare doesn’t cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).
  • Hospital inpatient stay
    • $1,316 deductible for each benefit period.
    • Days 1–60: $0 coinsurance for each benefit period.
    • Days 61–90: $329 coinsurance per day of each benefit period.
    • Days 91 and beyond: $658 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime).
    • Beyond lifetime reserve days: all costs.
    Note:

    You pay for private-duty nursing, a television, or a phone in your room. You pay for a private room unless it’s medically necessary.

  • Mental health inpatient stay
    • $1,316 deductible for each benefit period.
    • Days 1–60: $0 coinsurance per day of each benefit period.
    • Days 61–90: $329 coinsurance per day of each benefit period.
    • Days 91 and beyond: $658 coinsurance per each “lifetime reserve day” after day 90 for each benefit period (up to 60 days over your lifetime).
    • Beyond lifetime reserve days: all costs.
    • 20% of the Medicare-approved amount for mental health services you get from doctors and other providers while you’re a hospital inpatient.
    Note:

    There’s no limit to the number of benefit periods you can have when you get mental health care in a general hospital. You can also have multiple benefit periods when you get care in a psychiatric hospital. Remember, there’s a lifetime limit of 190 days.

  • Skilled nursing facility stay
    • Days 1–20: $0 for each benefit period.
    • Days 21–100: $164.50 coinsurance per day of each benefit period.
    • Days 101 and beyond: all costs.

 

Part B Premiums/Deductibles

Monthly premium: Medicare Part B covers 80% of most doctor services (including most doctor services while you’re a hospital inpatient), outpatient visits and durable medical equipment.

The standard Part B premium amount in 2017 is $134 (or higher depending on your income). However, most people who get Social Security benefits pay less than this amount. This is because the Part B premium increased more than the cost-of-living increase for 2017 Social Security benefits. If you pay your Part B premium through your monthly Social Security benefit, you’ll pay less ($109 on average). Social Security will tell you the exact amount you’ll pay for Part B in 2017. You’ll pay the standard premium amount if:

  • You enroll in Part B for the first time in 2017.
  • You don’t get Social Security benefits.
  • You’re directly billed for your Part B premiums.
  • You have Medicare and Medicaid, and Medicaid pays your premiums. (Your state will pay the standard premium amount of $134.)
  • Your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount. If so, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.

 

If you’re in 1 of these 5 groups, here’s what you’ll pay:

If your yearly income in 2015 (for what you pay in 2017) was You pay each month (in 2017)
File individual tax return File joint tax return File married & separate tax return
$85,000 or less $170,000 or less $85,000 or less $134
above $85,000 up to $107,000 above $170,000 up to $214,000 Not applicable $187.50
above $107,000 up to $160,000 above $214,000 up to $320,000 Not applicable $267.90
above $160,000 up to $214,000 above $320,000 up to $428,000 above $85,000 and up to $129,000 $348.30
above $214,000 above $428,000 above $129,000 $428.60
  • Late enrollment penalty:

In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll have to pay this penalty for as long as you have Part B. Your monthly premium for Part B may go up 10% for each full 12-month period that you could have had Part B, but didn’t sign up for it. Also, you may have to wait until the General Enrollment Period (from January 1 to March 31) to enroll in Part B. Coverage will start July 1 of that year.

 

Part B costs if you have Original Medicare

  • Part B annual deductible:You pay $183 per year for your Part B deductible. After your deductible is met, you typically pay 20% of the Medicare-approved amount for these:
    • Most doctor services (including most doctor services while you’re a hospital inpatient)
    • Outpatient therapy
    • Durable medical equipment
  • Clinical laboratory services:

You pay $0 for Medicare-approved services.

  • Home health services:
    • $0 for home health care services.
    • 20% of the Medicare-approved amount for durable medical equipment.
  • Medical and other services:

You pay 20% of the Medicare-approved amount for most doctor services (including most doctor services while you’re a hospital inpatient), outpatient therapy, and durable medical equipment.

Note:

In 2017, there may be limits on physical therapy, occupational therapy, and speech language pathology services. If so, there may be exceptions to these limits.

  • Outpatient mental health services:
    • You pay nothing for your yearly depression screening if your doctor or health care provider accepts assignment.
    • 20% of the Medicare-approved amount for visits to a doctor or other health care provider to diagnose or treat your condition. The Part B deductible applies.
    • If you get your services in a hospital outpatient clinic or hospital outpatient department, you may have to pay an additional copayment or coinsurance amount to the hospital.
  • Partial hospitalization mental health services:

You pay a percentage of the Medicare-approved amount for each service you get from a doctor or certain other qualified mental health professionals if your health care professional accepts assignment. You also pay coinsurance for each day of partial hospitalization services provided in a hospital outpatient setting or community mental health center, and the Part B deductible applies.

  • Outpatient hospital services:
    • You generally pay 20% of the Medicare-approved amount for the doctor or other health care provider’s services, and the Part B deductible applies.
    • For all other services, you also generally pay a copayment for each service you get in an outpatient hospital setting. You may pay more for services you get in a hospital outpatient setting than you would pay for the same care in a doctor’s office.
    • For some screenings and preventive services, coinsurance, copayments, and the Part B deductible don’t apply (so you pay nothing).

     

Are you ready to compare Medigap plans, as well as get rates  on plans in your area? For example Plan F or Plan G? Then, please click the link below.

Chad Cason

Owner/Agent

I’m Chad Cason, owner of Buy Best Medigap, which is a subsidiary of Lifelong Insurance. I specialize in helping people with their Medicare, Medigap and Medicare Advantage decisions. I really do care about people and helping them make the best decisions.

As an independent health and life insurance broker, I’m not tied to any one carrier. Instead, I’m free to walk you through any of the major reputable carriers in your area and help you make the right decision for your individual circumstances. Let us help you compare Medigap plans today, click below now!

 

 

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