Medicare Supplement (Med Supp) insurance plans cover the out-of-pocket "gaps" in Original Medicare. That’s why it’s often known as Medigap.
Just like Medicare Part C and D, private insurers sell Med Supp plans that are approved by the federal and state governments. Medigap plans can cover up to nine of the following out-of-pocket Medicare costs. Each type of program will provide a combination of a few, several or all of these benefits.
Standard Medicare Supplement Plans & Benefits
Yes means the benefit is covered 100% by your plan. No means it’s not. Percentages are the amount of the plan covers, not how much you owe.
|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||50%||75%||Yes||Yes4||Yes||Yes|
|Blood (first 3 pints)||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes||Yes||Yes|
|Part A hospice care coinsurance or copayment||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes||Yes||Yes|
|Skilled nursing facility care coinsurance||No||No||Yes||Yes||50%||75%||Yes||Yes||Yes||Yes|
|Part A deductible||No||Yes||Yes||Yes||50%||75%||50%||Yes||Yes||Yes|
|Part B deductible||No||No||No||No||No||No||No||No||Yes||Yes|
|Part B excess charge||No||No||No||Yes||No||No||No||No||No||Yes|
|Foreign travel exchange (up to plan limits)||No||No||80%||80%||No||No||80%||80%||80%||80%|
1Enrollees in high-deductible Plan G must pay for their Medicare-covered costs up to the deductible amount before the Med Supp begins to pay.
2Plan only available to those eligible for Medicare before January 1, 2020.
3Enrollees in high-deductible F must pay for their Medicare-covered costs up to the deductible amount before the Med Supp begins to pay. Only available to those eligible for Medicare before January 1, 2020.
4Med Supp pays 100% of the Part B coinsurance, excluding copayments of up to $20 for some office visits and up to $50 for ER visits that don’t lead to inpatient admission.
5Upon meeting your annual out-of-pocket (OOP) limit and annual Part B deductible, the Med Supp pays 100% of all covered services for the remainder of the calendar year. OOP limits are for CY 2023.
Note: Med Supp plans are standardized differently in MA, MN, and WI.
4 Important Things to Note about Medigap Programs
There are a few things to note when evaluating the above Medicare Supplement insurance plan comparison chart.
- The coverage provided by each type of Medicare Supplement insurance plan is standardized, which means the benefits of each type of plan will be the same, no matter exactly where the plan is sold.
- Not every plan type is sold in all areas. People in some states may have access to more types of Medigap plans than consumers in other states.
- The costs of plans can vary based on locality, service provider and coverage offered. Plans with more benefits typically cost more than plans with reduced coverage.
- Two types of plans provide an annual out-of-pocket spending limit. Medigap Plan K ($6,940 in 2023) and Plan L ($3,470 in 2023) cover 100% of Original Medicare expenses for the rest of the calendar year once a beneficiary reaches these spending limits.
Learn More About Medicare Supplement Insurance Plans
The best time to enroll in a Medicare Supplement insurance plan is during your Medigap Open Enrollment Period. This six-month period begins as soon as you are 65 years old and enrolled in Medicare Part A and Part B.
If you enroll in a Medigap plan apart from of your Medigap Open Enrollment Period, you may be subject to medical underwriting by the insurance company selling the plan. This means that you could be charged higher premiums or refused a policy altogether based on your age and health.
To get help using the Medicare Supplement insurance plans comparison chart and to find the ideal plan for your needs, contact us today!
Medicare can be daunting, confusing and overwhelming! Come in for a chat. We can help you put the pieces together!
Please call us at 443-912-5467 (TTY: 711) or 855-219-4662 (TTY: 711) to make an appointment today.
ShopHealthCare is a service of Secure Benefits Alliance, a licensed and certified representative of Medicare Advantage organizations. This link will take you to a contact form on our Medicareful page. Medicareful is a CMS-approved plan comparison and enrollment tool, powered by Ritter Insurance Marketing, that we use to help you join a plan that meets your needs.