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Medicare Supplement AKA Medigap Insurance

Medicare Supplement AKA Medigap

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Choosing a Medigap Policy - Medicare Supplement AKA Medigap Insurance

Choosing a Medigap Policy

Choosing the correct Medicare Supplement AKA  Medigap  Insurance for yourself can be difficult with all the choices available understanding the basics help this publication from the Centers for Medicare and Medicaid Services can be very helpful in making the correct choice. Click on this link or the image to the left to review the document. And you still have medicare advantage vs medigap to consider?

If you need help understanding your options please contact Woody at Woody’s Insurance my direct line is 606-224-2406 or email me at Randy@rwoody.com.

Medigap policies are standardized

Every Medigap policy must follow federal and state laws designed to protect you, and it must be clearly identified as “Medicare Supplement Insurance.” Insurance companies can sell you only a “standardized” policy identified in most states by letters.

All policies offer the same basic benefits but some offer additional benefits, so you can choose which one meets your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different way.

Each insurance company decides which Medigap policies it wants to sell, although state laws might affect which ones they offer. Insurance companies that sell Medigap policies:

       < Don’t have to offer every Medigap plan

       < Must offer Medigap Plan A if they offer any Medigap policy

       < Must also offer Plan C or Plan F if they Offer any plan

Note: Starting January 1, 2020, Medigap plans sold to new people with Medicare won’t be allowed to cover the Part B deductible. Because of this, Plans C and F will no longer be available to people new to Medicare starting on January 1, 2020. If you already have either of these 2 plans (or the high deductible version of Plan F) or are covered by one of these plans before January 1, 2020, you’ll be able to keep your plan. If you were eligible for Medicare before January 1, 2020, but not yet enrolled, you may be able to buy one of these plans. 

Medicare Supplement

* Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,300 in 2019 ($2,340 in 2020) before your Medigap plan pays anything.

** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year.

*** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in inpatient admission.

You live in Massachusetts, Minnesota, or Wisconsin 

If you live in one of these 3 states, Medigap policies are standardized in a different way.

  • You live in Massachusetts
  • You live in Minnesota
  • You live in Wisconsin