Nationwide coverage that fills in your Medicare 'gaps'
Medicare Supplement (Medigap) Introduction
What is Medigap?
A Medigap policy is an insurance policy that helps supplement Original Medicare Parts A and B. Original Medicare has “gaps” in coverage for most services. Medigap plans fill in these gaps to give you more complete coverage with Original Medicare. Additionally, Medicare does not have an out-of-pocket limit, potentially leaving you exposed to large catastrophic medical claims. With a Medigap plan you are eliminating this potential exposure.
Medigap plans are identified with letters A-L. All Medigap plans are standardized by the federal government. This means that all like-letter plans are identical by law. For example, when comparing Plan G for 3 different companies you can rest assured they are identical in benefits (though not in monthly cost).
Medigap plans are perfect for RVers and other nomads in the USA because Medicare is a national healthcare program which allows you to travel freely from state to state without losing benefits. Your Medigap plan travels the same!
What Medigap policies cover
Medigap policies can cover the gaps in Medicare including these Part A and B deductibles and coinsurance (2020):
- Part A hospital deductible $1408
- Part A daily coinsurance of $352-$704
- Part A skilled nursing facility daily coinsurance $176
- Blood deductible (first 3 pints)
- Part B deductible of $198
- Part B coinsurance of 20%
- Other expenses such as Medicare excess charges, foreign travel medical emergencies, Part A hospice coinsurance.
Decide which plan you want
Medigap policies are standardized, and in most states are named by letters, Plans A-N. Compare the benefits each plan helps pay for and choose a plan that covers what you need. We recommend Plans G and N the most.
Get Comparison Quotes
Apply for Coverage
We can help with this too. All companies we work have easy online applications. There is never a medical exam to apply for Medigap coverage. If you apply outside of your Initial Open Enrollment or other Guaranteed Issue situation you may have to answer a health questionnaire.
Medigap Plan Comparison
|Medigap Plan Part||A||B||C||D||F||G Recomended|
|Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used)||100%||100%||100%||100%||100%||100%||100%||100%||100%||100%|
|Medicare Part B coinsurance or copayment||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Blood (first 3 pints)||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Part A hospice care coinsurance or copayment||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Skilled nursing facility care coinsurance||100%||100%||100%||100%||50%||75%||100%||100%|
|Part A deductible||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Part B deductible||100%||100%|
|Part B excess charges||100%||100%|
|Foreign travel emergency (up to plan limits)||80%||80%||80%||80%||80%||80%|
|Out-of-pocket limit in 2020||$5,880||$2,940|
>> Plans F and G also offer a high-deductible plan in some states. With this option, you must pay for Medicare-covered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2,340 in 2020 before your policy pays anything. (Plans C and F are not available to people who are newly eligible for Medicare on or after January 1, 2020.)
>> For Plans K and L, after you meet your out-of-pocket yearly limit and your yearly Part B deductible ($198 in 2020), 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 an inpatient admission.
Want to discuss your options?
Medigap Plan G
Medicare Supplement Plan G is the most popular Medigap Plan because it has the best combination of benefits and cost. It covers 100% of all Medicare gaps except you only have to pay the annual Medicare Part B deductible ($198 in 2020). Plan G adds benefits for Foreign Travel which Medicare does not cover at all.
Over 80% of our clients end up choosing Plan G and in 20 years we can count on one hand how many people ended up changing to a different plan. The other 20% of our Medigap clients choose Plan N (below) for a lower premium (usually about 20% lower than Plan G).
Medigap Plan N
Our second most popular Medicare Supplement plan is Medigap Plan N. It is the best value plan for those who want comprehensive coverage for a low premium. With Plan N you are covered at 100% for all gaps in Medicare except for three items:
- Annual Medicare Part B deductible ($198 in 2020)
- $20 Co-pay for office visits
- $50 Co-pay for e emergency room visits (waived if admitted to the hospital from ER)
Plan N also adds coverage for Foreign Travel which Medicare does not cover at all.
INSIDER TIP: If you have an expensive Medigap Plan F or C it may be worth switching to a Plan G or N since you will likely save 30-60% in premium without sacrificing much in benefits.