Medicare Supplement (Medi-Gap) Plans

 You can get help with some of the out-of-pocket costs not paid for by Original Medicare (Parts A & B) with a Medicare Supplement insurance plan (Medigap). Plan options with predictable out-of-pocket expenses that put the control of and planning for future medical expenses right where it belongs: with you.
 

Medicare Supplement insurance plans are standardized by the federal government and labeled with a letter, A through N, for example. Try not to be confused by the letter designations used by Original Medicare (Part A and Part B) and the letter designations also used by supplement plan types. Remember, supplements are sold and administered by private insurance companies who also chose to use letter designations when identifying there plan types. Origninal Medicare (Part A & Part B) are run by the Federal government. Confusing, right? Don't worry we're here to help!

Plans A & B

Medicare Supplement Plan A offers just the Basic Benefits, while Plan B covers Basic Benefits plus a benefit for the Medicare Part A deductible, which could be one of the largest out-of-pocket expenses if you need to spend time in a hospital.

These plans offer the most supplemental coverage, paying many of your out-of-pocket costs for Medicare-approved services. These plans generally have higher monthly premiums but lower out-of-pocket costs.

*Only applicants who were first eligible for Medicare before 2020 may purchase plans C and/or F.

Plans K & L are cost sharing plans with lower monthly premiums. They pay a percentage of the coinsurance instead of the full amount, and you are responsible for the rest. Once the out-of-pocket limit is reached, these plans pay 100% of covered services for the rest of the calendar year.

Plan N covers Medicare Part B coinsurance, but you pay copayments for covered doctor office and emergency room visits in exchange for a mid-level premium.

 Medicare Supplement insurance plans work with Original Medicare (Parts A & B) to help with out-of-pocket costs not covered by Parts A and B. The following are also true about Medicare Supplement insurance plans:
 

• Predictable costs help you stay ahead of unexpected out-of-pocket expenses.
• No network restrictions mean you can see any doctor who accepts Medicare patients.
• You don't need a referral to see a specialist.
• Coverage goes with you anywhere you travel in the U.S.
• There is a range of plans available to fit your health needs and budget goals.
• Purchasing a Medigap plan and a Medicare Part D prescription drug plan could give you more complete coverage.
• Guaranteed coverage for life† means your plan can't be canceled.

† As long as you pay your premiums when due and you do not make any material misrepresentation when you apply for this plan.

Medicare Supplement plans work alongside your Original Medicare coverage to help cover some of the costs you would otherwise have to pay on your own. These plans, also known as "Medigap", are standardized plans. Each plan has a letter assigned to it, and offers the same basic benefits. The basic benefit structure for each plan is the same, no matter which insurance company is selling it to you. Note: The letters assigned to Medicare Supplement plans are not the same things as the parts of Medicare. For example, Medicare Supplement Plan A is not the same as Medicare Part A (hospital insurance).

The primary goal of a Medicare Supplement insurance (Medigap) plan is to help cover some of the out-of-pocket costs of Original Medicare (Parts A & B).  As a general rule, the more comprehensive the coverage, the higher the premium, however, premiums will also vary by insurance company, and premium amounts can change yearly.

All you have to do is answer a few simple questions and get a personalized list of plans based on what’s important to you.

Original Medicare doesn't pay for everything. When you have a Medigap plan to work with Original Medicare it can help with some of the following costs that you would have to pay on your own:
 

• About 20% in out-of-pocket expenses not paid by Medicare Part B for doctor and outpatient medical expenses (after the annual deductible is met—$233 in 2022).
• Part A coinsurance, and most plans include a benefit for the Part A deductible (which could be one of the largest out-of-pocket expenses if you need to spend time in a hospital.)
• Hospital coverage up to an additional 365 days after Medicare benefits are used up.
• Part A hospice/respite care coinsurance or copayment.

The best time to enroll in a Medicare Supplement plan is during your Medicare Supplement Open Enrollment period, we call this your "sweet-spot", because your acceptance is guaranteed. It starts on the first day of the month in which you're both age 65 or older and enrolled in Medicare Part B. Some states have additional Open Enrollment periods and Guaranteed Issue requirements.

If you apply outside of Open Enrollment or Guaranteed Issue periods, you may be denied coverage or charged more based on your health history. This does not apply to residents of Connecticut and New York where Open Enrollment and Guaranteed Issue is ongoing and Medicare supplement plans are guaranteed available.