Medicare is available in several “parts” all of which are designed to fit together to offer comprehensive coverage.
Still, gaps between the plans mean that some people experience difficulty in gaining coverage in some situations. Or end up with high out-of-pocket expenses. Medicare supplemental plans are designed to help close those gaps. That’s why Supplement plans are often called “Medigap” plans.
Medicare Supplement Plans cover the costs that Medicare normally passes on to the patient. This might include deductibles, co-pays, and co-insurance.
First, Medicare pays for its usual share of expenses. Then, a Supplement plan kicks in to cover its share. In many cases, the Supplement plan pays for the remaining balance of the bill, but this can vary depending upon the plan’s design.
A Medicare Supplemental plan, paired with Original Medicare, will be accepted nationwide. Out-of-pocket costs are usually the lowest with this combination, and flexibility is the greatest. Of course, the cost is based on your age, gender, geographic location, tobacco usage, and household eligibility for discounts. As a result, premiums can vary greatly based on your specific situation and the insurance carrier you select.
Medicare Supplement Plans cover the costs that Original Medicare doesn’t cover. Some of these costs might include deductible, co-pays, and co-insurance.
First, Medicare pays for its usual share of expenses. Then, a Supplement plan will cover its share. In many cases the Medicare Supplemental plan pays for the remaining balance of the bill, but this can vary depending upon the each plan’s design.
The Ten Types of Medicare Supplemental (Medigap) Plans
Medicare standardized all Supplement plans in 1990, designating each type of plan with a letter. Beneficiaries can enroll in Medigap plans A, B, C, D, F, G, K, L, M or N. No matter which company provide the policy, plans with the same letter will offer the same benefits. The main difference between Supplemental and Medigap plans is the premium. Beneficiaries should shop and compare plans to find the plan that meets their needs and budget.
Some items are not covered by any Medicare Supplement plan:
Enrolling in a Medicare Supplemental Plan
The Medicare Supplement Open Enrollment Period is not the same as the Annual Election Period that occurs each Fall. Open Enrollment dates for Supplemental plans vary from one individual to another, so it is important to understand when you can enroll.
What you need to know:
Medicare Supplemental Open Enrollment Period
Medicare Supplement Open Enrollment begins on the day that your Medicare Part B activates. The window for enrollment in a Supplemental plan lasts for six months, and then it closes.
For most people that means you must enroll in a Supplemental policy when you turn 65. However, if you delay Part B coverage because you’re still working, then your Supplemental Open Enrollment window will occur later, when your Part B coverage goes into effect.
Either way, this Open Enrollment period is the only time you will be able to enroll in a Supplemental plan without answering health questions. At any other time, a health questionnaire may be required. You plan will be subject to underwriting and you could be denied coverage.
Those who are eligible for Medicare before they turn 65, due to disability, will experience a second Supplement open enrollment window when they turn 65. This is the only instance in which a person who previously missed enrollment will have another chance to select a Medigap policy.
Again, you must enroll in a Medicare Supplement plan during your six-month open enrollment window, or you will not get another chance to enroll without answering health questions. You can apply for a Medigap plan at any later date, but health insurance companies will require screening and might deny you coverage. Talk to a licensed insurance professional as you Open Enrollment window approaches, to understand your rights and responsibilities with regard to Medicare Supplement plans.
We recommend you talk to a licensed insurance professional as your Open Enrollment window approaches, to understand your rights and responsibilities with regard to Medicare Supplement plans.