UNDERSTANDING MEDICARE SUPPLEMENT INSURANCE

Helping Seniors Choose The Right Plan

Choosing and comparing the Medigap Companies

 

The different carriers have to offer the same coverage in terms of the Plans – however, the rates they charge for each Plan can differ quite significantly. For this reason it is important to compare prices with different carriers.

The Benefits Management Team is an independent agency – we are contracted with the top-rated carriers – our experts can help you find the most affordable Medigap insurance company.

Plan F

Plan F covers 100 percent of the gaps in both Part A and Part B Medicare and is the most popular supplement.

Plan G

The only difference from F to G is the Medicare Part B deductible (see above table).

Plan N

Plan N is very good in terms of cost when other Plans are just too costly or simply provide you more coverage than you actually need. Plan N rates are usually much lower.

Use the table below to compare Medicare Supplement Insurance (Medigap) plans that are available in most states. Where a percentage appears, the Plan covers that percentage of benefit, you will have to pay for the rest.
Medicare Supplement PlansPlan APlan BPlan CPlan DPlan F*Plan GPlan KPlan LPlan MPlan N
Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are exhausted.100%100%100%100%100%100%100%100%100%100%
***
Part B copayment or coinsurance.100%100%100%100%100%100%50%75%100%100%
First 3 pints of blood.100%100%100%100%100%100%50%75%100%100%
Part A hospice care copayment or coinsurance.100%100%100%100%100%100%50%75%100%100%
Skilled nursing facility care coinsurance.100%100%100%100%50%75%100%100%
Medicare Part A deductible.100%100%100%100%100%50%75%100%100%
Medicare Part B deductible.100%100%
Medicare Part B excess charges.100%100%
Foreign travel emergency coverage (up to plan limits).80%80%80%80%80%80%
Out of pocket limit in 2018**$5,240$2,620
* In some states, Plan F is also offered as a high deductible plan by some insurance companies. If you choose this option, you will have to pay a deductible of $2,180 (coinsurance, copayments and deductibles) in 2016 before the policy pays anything.

** For Plans K and L, after you meet your out-of-pocket yearly limit and your yearly Part B deductible, the 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 do not result in an inpatient admission.

(Please note that Medicare Supplement insurance works differently in Massachusetts, Wisconsin and Minnesota.)

Choosing and comparing the Medigap Companies

 

The different carriers have to offer the same coverage in terms of the Plans – however, the rates they charge for each Plan can differ quite significantly. For this reason it is important to compare prices with different carriers.

The Benefits Management Team is an independent agency – we are contracted with the top-rated carriers – our experts can help you find the most affordable Medigap insurance company.

Plan F

Plan F covers 100 percent of the gaps in both Part A and Part B Medicare and is the most popular supplement.

Plan G

The only difference from F to G is the Medicare Part B deductible (see above table).

Plan N

Plan N is very good in terms of cost when other Plans are just too costly or simply provide you more coverage than you actually need. Plan N rates are usually much lower.