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Medicare Supplement Insurance, also known as Medigap, is a specialized form of supplemental insurance for Medicare Part A and Part B. Offered by private providers, it was designed to fill gaps of cost exposure in Original Medicare benefits.
Instead of a Medicare Supplement, some people choose Medicare Advantage plans because of their low premiums. Our Medicare Plan Comparison Tool allows you to search for Medicare Advantage plans in your area based on your preferences.
Medigap plans help consumers pay costs that would otherwise be out of pocket:
Regarding the mechanics of the Medigap insurance system, the following items are essential:
An insurance company can only purchase Medigap policies with a license to sell in the state. Some states do not require insurers to offer these plans, but consumers are bound by state law. Insurance companies that sell Medicare supplemental policies must provide a precise mix of highly deductible policies. If you are enrolled in Medicare A or B, the requirements are a requirement.
Every state typically needs Plan A, but some states require coverage if insurers decide to offer it, including Plan C and Plan F. Some states typically require coverage in only one of two ways: Plan B or Plan D
Prices vary widely and from year to year. They vary by the level of policy and the age or health of the buyer.
The premiums vary by location; the location is a driver of costs as some services have much higher prices in particular geographic areas. Premiums rise due to inflation, specific medical expenses, and by the age of the policy holder.
For the price and guarantee of issuance, the best time to buy is in the Initial Medigap Open Enrollment Period.
here are a large number of restrictions on Medigap coverage. Each state sets some rules and must authorize the issuance of any given type of policy. To be eligible, consumers must remain insured by Medicare A and B to get or keep Medigap coverage.
Medigap policies do not cover certain services:
Medigap policies can be compared with several ways to get the information that best reflects a buyer’s situation. Price is a first-level comparison. By any of the rating methods, the initial cost is a good test of value.
The rate of premiums increases is the next level; those based on age might go up faster than others. Costs increases would be the third level, not based on age. Research with issuers can provide useful tips. One can learn about past rate hikes and how quickly they came over time.
Medigap benefits cover a wide range of situations. They focus on gaps in Medicare A and B coverage. For example, Medicare Supplement plans must provide coverage for the basic benefits listed below. The plan providers can decide to offer total or limited coverage and price premiums accordingly:
Medicare Part A coinsurance costs up to an additional calendar year from the end of Original Medicare benefits. Medicare Part A, whether by coinsurance or copays, covers some hospice services. Medicare Part B coinsurance or copayment for the doctor and medical services. The plan provides for blood replacement; there are no additional costs for the first three pints of blood each year, per patient.