Choosing a Medigap Policy

There are various Medigap policies that you can choose from. It’s important to understand the coverage offered by each policy, as well as the cost of these policies, before deciding on one.

Before you begin choosing a Medigap policy, you must first understand what Medigap is. Medigap, also known as Medicare Supplement Insurance, is a health insurance that is sold by private insurance companies to fill in the gaps in your Original Medicare coverage. These Medigap policies can also help you pay your share in some of the costs of Medicare-covered services. These costs are most commonly the coinsurance, copayments and deductibles. There are also some Medigap policies available that will cover certain benefits that your Original Medicare does not cover.

As its name suggests, Medigap supplements for the gaps that Original Medicare doesn’t cover. It is different from a Medicare Advantage Plan as it is only supplementary, unlike HMO or PPO plans that are ways to get Medicare benefits. Keep in mind that Medicare does not cover any costs for your Medigap policy.

Each Medigap policy must strictly follow Federal and state laws that are designed to protect its consumers. These policies must also be identified as “Medicare Supplement Insurance” and in most states, only Medigap policies that are standardized may be sold by insurance companies. These policies are identified by the letters A through N and each policy must offer the same set of basic benefits, regardless of which insurance company is selling it. Cost varies depending on the coverage that a policy offers you.

Different Medigap Policies

Below is an overview of what each Medigap plan offers to help you in choosing a Medigap policy.

PLAN A

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment

PLAN B

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Medicare Part A deductible

PLAN C

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Medicare Part A deductible
  • Medicare Part B deductible
  • Foreign travel emergency (up to plan limits)

PLAN D

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Medicare Part A deductible
  • Foreign travel emergency (up to plan limits)

PLAN F

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Medicare Part A deductible
  • Medicare Part B deductible
  • Medicare Part B excess charges
  • Foreign travel emergency (up to plan limits)
  • High-deductible plan

PLAN G

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Medicare Part A deductible
  • Medicare Part B excess charges
  • Foreign travel emergency (up to plan limits)

PLAN K

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • 50% Medicare Part B coinsurance or copayment
  • 50% First 3 pints of blood
  • 50% Part A hospice care coinsurance or copayment
  • 50% Skilled nursing facility care coinsurance
  • 50% Medicare Part A deductible
  • Out-of-pocket limit of $4,660

PLAN L

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • 75% Medicare Part B coinsurance or copayment
  • 75% First 3 pints of blood
  • 75% Part A hospice care coinsurance or copayment
  • 75% Skilled nursing facility care coinsurance
  • 75% Medicare Part A deductible
  • Out-of-pocket limit of $2,330

Plan M

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • 50% Medicare Part A deductible
  • Foreign travel emergency (up to plan limits)

PLAN N

  • Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
  • Medicare Part B coinsurance or copayment
  • First 3 pints of blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Medicare Part A deductible
  • Foreign travel emergency (up to plan limits)