Medicare Supplemental Plans (Medigap)

WHAT IS MEDIGAP?

If you're worried about Medicare costs, a Medigap health insurance policy (also known as Medigap supplementary insurance or a Medicare supplemental plan) can assist cover the "gap" between what Original Medicare (Medicare Parts A and B) pays and what you pay out of pocket.


Private insurance providers can provide you with a Medicare Supplement coverage. A Medicare Supplement Plan is only available if you already have Original Medicare. Medigap insurance covers Medicare Part A (hospital insurance) and Part B (medical insurance), but not Medicare Part C (Medicare Advantage plans), Medicare Part D (prescription drug plans), or any other private health insurance, Medicaid, Veterans Administration benefits, or TRICARE.


Because Medigap insurance are regulated by state and federal rules, all coverage choices provide the same benefits regardless of insurer. The pricing, who administers the plan, and which of the ten alternatives the insurer chooses to provide will be the main distinctions. Choose a reputable health insurer and shop around for the best deals.

What Are the Benefits of Medicare Supplement Plans?

  • Coverage of most out-of-pocket costs not covered under Medicare Part A and Part B, with the amount of coverage depending on the plan selected.
  • Coverage of coinsurance or copayments for Medicare Part B.
  • Coverage of Medicare Part A coinsurance costs for another 356 days after your Medicare benefits run out.
  • Coverage of Part A coinsurance or copayments for hospice care.
  • Portable coverage that allows you to take your Medigap plan anywhere in the United States.
  • You can go to any doctor who accepts Medicare patients.
  • You do not need a referral to see a specialist.
  • You will have guaranteed coverage for life as long as you pay your premiums.

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What Does Medicare Supplemental Plans Cover?

Costs of Medicare Supplemental Plans

While the coverage in Medicare Supplement insurance plans is standardized, the costs are not. Different insurers may charge different premiums for the same lettered plan.

Insurers may set their premiums in three different ways, resulting in different prices for monthly premiums.


Community No-Age-Rated

Plans have the same monthly premiums, regardless of you your age.

Issue-Age-Rated

Plans that base monthly premiums on your age when you first enroll, meaning the younger you are when you enroll, the cheaper your premiums will be.

Attained-Age-Rated

Monthly premiums are based on your age when you first enrolled, but they go up as you get older.

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Frequently Asked Questions About Medicare Supplemental Plans

  • Who is eligible for Medicare Supplement?

    Once you are 65 or older and enrolled in a Medicare Part B plan, you can get a Medicare Supplement insurance policy. Medicare Supplement plans are also available to you if you’re younger than age 65 and eligible for Medicare due to disability.

  • What's the difference between Medigap and Medicare Advantage?

    Both Medicare Advantage and Medigap plans are sold by private insurers, but there are significant differences. Medigap insurance is supplemental and fills gaps by covering out-of-pocket expenditures connected with Original Medicare, whereas Medicare Advantage plans replace Original Medicare and often give extra coverage. You can pick between the two, but you cannot have both a Medigap coverage and a Medicare Advantage plan.

  • What if I still don't know which plan to pick? Can you walk me through it?

    Yes!  We understand that this process may be difficult for many people.  Before choosing a plan, give us a call so that we can go over all of the options to make sure you are making the best choice that will help you the most while also helping you save money as well.  We are here to help you!

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