If you're a Medicare beneficiary living in Alabama, understanding your Medicare Supplement Plan options is crucial to ensure you receive the coverage you need. Medicare Supplement Plans, also known as Medigap, are designed to fill the gaps in Original Medicare coverage.
There are 10 standardized Medicare Supplement Plans available in Alabama, labeled A through N. Each plan offers a different level of coverage, but they all provide essential benefits such as hospital coinsurance, skilled nursing facility care, and foreign travel emergency coverage.
Medicare Supplement Plan F is the most comprehensive plan available, covering nearly all out-of-pocket costs, but it's also the most expensive.
What Are Medicare Supplement Plans?
Medicare Supplement Plans are designed to fill the gaps in Original Medicare coverage. There are ten standardized plans available nationwide, except in Wisconsin, Michigan, and Massachusetts.
These plans are standardized, meaning the basic features and coverages are identical across the country. This simplifies shopping and comparison for Medicare enrollees.
The ten Medigap plans in operation are Plans A, B, C, D, F, G, K, L, M, and N.
How to Choose a Medicare Supplement Plan
Choosing a Medicare Supplement plan in Alabama can be a daunting task, but by considering a few key factors, you can make an informed decision.
Your monthly premium will be in addition to your Part B premium, so it's essential to factor this into your monthly cash flow.
You'll need to consider the benefits offered by each plan, as some may include more comprehensive coverage than others.
Basic coverage for Part A copays and coinsurance, as well as at least a portion of Part B copays and coinsurance, is offered with every type of plan.
It's also a good idea to research the insurance provider's ratings and past experience with customers.
Some plans may offer extra discounts or perks, such as discounted hearing aid providers or eyeglass suppliers.
To choose the right plan for you, consider your health and the frequency of your medical visits.
You'll also need to think about how much you're willing to pay out-of-pocket each year and how much you're willing to pay for an insurance company to cover your healthcare costs.
Your budget for Medigap premiums is another crucial factor, as you'll continue to pay your Medicare Part B premiums in addition to the premium for your Medigap plan.
Here's a breakdown of the four key things to consider when choosing a Medicare Supplement plan:
Once you've considered these factors, it's time to contact an experienced and reputable independent insurance professional to discuss which plan will best meet your needs.
Medicare Supplement Plan Costs and Coverage
Medicare Supplement Plans can be quite affordable, especially if you enroll during your open enrollment period. In Alabama, you can expect to pay around $100 to $343 each month for a Medigap plan A, G, or N.
Premiums can vary depending on your insurer and how your premium is rated. There are three ways Medigap policies can be rated: Community rated, Issue-age rated, and Attained-age-rated.
Community rated policies charge everyone the same premium, regardless of age, and may only increase due to inflation or other factors. This can be a great option for younger beneficiaries.
Issue-age rated policies base premiums on your age when you buy the policy, and won't increase as you grow older. Your premium may only increase due to inflation or other factors.
What Covers
Medicare Supplement Plans cover a range of services, including Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.
Some plans cover Part B coinsurance or copayment, which helps with the costs of doctor visits and other medical services. This can be a significant benefit for those with ongoing medical needs.
The first three pints of blood are covered by some Medigap policies, which can be a relief for those who require frequent blood transfusions.
Part A hospice care coinsurance or copayment is also covered by some plans, which can help with the costs of end-of-life care.
Skilled nursing facility care coinsurance is another benefit that some plans offer, which can help with the costs of long-term care.
Part A deductible is covered by some plans, which can help with the upfront costs of hospital care.
Some plans also cover Part B deductible, but only for people eligible for Medicare before January 1, 2020.
Part B excess charges are covered by some plans, which can help with the costs of medical services that are not covered by Medicare.
Foreign travel emergency services are also covered by some plans, which can be a lifesaver for those traveling abroad.
Out-of-pocket limits are another benefit that some plans offer, which can help with the costs of medical care and reduce the risk of financial hardship.
Here are some of the specific benefits that Medicare Supplement Plans cover:
- Part A coinsurance and hospital costs up to an additional 365 days
- Part B coinsurance or copayment
- The first three pints of blood
- Part A hospice care coinsurance or copayment
- Skilled nursing facility care coinsurance
- Part A deductible
- Part B deductible (only for people eligible for Medicare before January 1, 2020)
- Part B excess charges
- Foreign travel emergency services
- Out-of-pocket limits
What Costs
Medigap plan costs can vary depending on several factors.
In Alabama, you can expect to pay around $100 to $343 per month for a Medigap plan A, G, or N if you enroll during your open enrollment period.
Your premium will be determined by your insurer and how your premium is rated. Medigap policies can be rated in three ways: community rated, issue-age rated, or attained-age-rated.
Community rated policies charge the same premium for everyone, regardless of age, and may only increase due to inflation or other factors. Issue-age rated policies base your premium on your age when you buy the policy and won't increase as you grow older.
Attained-age-rated policies, on the other hand, base your premium on your age and can increase as you grow older and due to inflation and other factors.
Here's a breakdown of how premiums can vary:
For example, Medigap Plan G can cost between $120 and $364 per month, depending on the carrier you choose. It's essential to compare your options to find the best fit for your budget.
Out-of-Pocket Costs vs. Medi-Share
Under Medi-Share 65+, your maximum out-of-pocket exposure for Medicare Part A and Part B services is $500 per year per family, not per individual.
This means that if you're part of a family with multiple members, you'll be capped at $500 per year for all Medicare Part A and B costs not paid by Medicare.
With Medi-Share, your out-of-pocket exposure is per family, not per individual, which can be a big advantage for families with multiple members.
The maximum-out-of-pocket exposure for Medicare Part A and Part B-approved services under Plan G is limited to your Part B deductible, which is $226 as of 2023.
This means that under Plan G, you'll be responsible for paying up to $226 out-of-pocket for Medicare Part B services before your insurance kicks in.
Medi-Share 65+ has a higher maximum out-of-pocket exposure, but it's still a relatively low $500 per year for families.
Plan G, on the other hand, has a lower maximum out-of-pocket exposure, but it's per individual, not per family.
Medicare Supplement Plan Providers
Blue Cross/Blue Shield of Alabama offers a series of Medigap plans to Alabama residents under the label “C Plus.” They offer all the most popular Medicare supplement plans, including hearing exams and a hearing aid allowance, and routine eye exams and glasses or contacts.
To enroll in Medigap, you must be enrolled in both Medicare Part A and Part B, and not be enrolled in Medicare Advantage.
Cigna is a well-established insurance carrier with a national footprint. They offer competitive rates and several different discount options, but no options for vision or hearing coverage.
Hypertension (high blood pressure) will be considered stable if recent average blood pressure readings are 150/85 or better.
Mutual of Omaha offers access to a wide range of different products, including Medigap plans, such as Plan F, Plan G, and Plan N. You get access to award-winning customer service and a convenient smartphone/tablet app.
Aetna Medicare Solutions offers Medigap Plans A, B, F, a high-deductible Plan F, Plan G, and Plan N to Alabama Residents. Their premiums are competitive, but may vary by applicant, age, sex, zip, etc.
United Healthcare offers several Medigap plans, including Plan A, Plan B, Plan C, Plan G, Plan F, Plan N, Plan K, Plan L, and two special plans that require you to use a network hospital for covered inpatient hospital services under Medicare Part A.
Here are some of the Medigap plan providers mentioned:
- Blue Cross/Blue Shield of Alabama
- Cigna
- Mutual of Omaha
- Aetna Medicare Solutions
- United Healthcare
Medicare Supplement Plan Alternatives
If you're looking for a more affordable Medicare supplement plan alternative, you might want to consider Med-Share's Medi-Share 65+ plan. It's a non-Medigap option that's gained popularity in recent years.
Med-Share is a Christian healthsharing ministry that's been around since 1982 and has shared over $4 billion in medical expenses. This plan is specifically designed for the Medicare population.
The Medi-Share 65+ plan offers an affordable alternative to Medigap Plan G, which is typically the priciest of Medicare supplement plans. It's an association of over 400,000 contributing members who have agreed to share each other's medical expenses.
Medicare Supplement Plan Resources
Medicare Supplement plans in Alabama are offered by private insurance companies and are standardized to ensure consistency in coverage.
You can purchase a Medicare Supplement plan from any insurance company that is licensed to sell Medicare Supplement plans in Alabama, but the plan's benefits and costs will be the same regardless of the insurer.
The Medicare Supplement plan with the lowest premium in Alabama is Plan A, which has a monthly premium of around $100-$150 for a 65-year-old non-smoker.
Medicare Supplement Plan G is another popular option, offering more comprehensive coverage than Plan A, including coverage for the Medicare Part B deductible.
The Medicare Supplement plan with the highest premium in Alabama is Plan F, which has a monthly premium of around $300-$400 for a 65-year-old non-smoker.
Medicare beneficiaries in Alabama can also consider purchasing a Medicare Supplement plan with a high-deductible option, which can lower the premium but requires a higher deductible to be paid out-of-pocket.
It's essential to compare the costs and benefits of different Medicare Supplement plans to find the one that best suits your needs and budget.
Medicare Supplement Plan Enrollment and Process
If you're 65 or older, you're eligible for Medicare, which is a great start, but it only covers about 80% of your medical expenses. You'll want to consider enrolling in a Medicare Supplement Plan, also known as Medigap, to cover the remaining 20%.
To enroll in a Medigap plan, you'll need to go through your open enrollment period, which starts on the first day of the month you turn 65 and lasts for six months. This is a great time to shop around and find the best plan for your needs and budget.
During your open enrollment period, you have guaranteed issue rights, which means insurance companies can't turn you down or charge you more based on your health conditions. This is a huge perk, and it's one of the reasons why it's so important to enroll in a Medigap plan during this time.
If you miss your open enrollment period, you may still be able to enroll in a Medigap plan, but you'll need to have a guaranteed issue right. This can happen if you lose access to your group health plan, disenroll from a Medicare Advantage plan within the first year, or if your previous Medicare Advantage plan or PACE program discontinues coverage.
Here are some situations where you may be eligible for a guaranteed issue right:
- You lose access to your group health plan
- You disenroll from a Medicare Advantage plan within the first year
- Your previous Medicare Advantage plan or PACE program discontinues coverage
If you're under 65 and have a qualifying disability, you may also be eligible for a Medigap plan. However, only a few insurance companies in Alabama offer this option, including Blue Cross/Blue Shield of Alabama and United American Insurance.
It's worth noting that you'll need to be enrolled in both Medicare Part A and Part B (Original Medicare) to be eligible for a Medigap plan.
Medicare Supplement Plan Comparison and Pricing
Medi-Share 65+ memberships have a flat rate of $99 for members ages 65 to 74, and $150 flat rate for members ages 75 and up. Members enrolling before turning 75 enjoy a price lock-in guarantee until they turn 75.
Plan G offers a wide range of benefits, including Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up, Part B coinsurance or copayment, and blood (first 3 pints) coverage.
Plan G also offers a high-deductible plan in some states, which requires you to pay for Medicare-covered costs up to the deductible amount of $2,700 in 2023 before your policy pays anything.
Here's a comparison of the out-of-pocket limits for different plans:
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.
Frequently Asked Questions
What is the best supplemental insurance for Medicare?
For different needs, consider Humana for extra benefits, State Farm for straightforward coverage, AARP by UnitedHealthcare for extensive medical care, or Blue Cross Blue Shield for a range of Medigap plans. Each offers unique advantages, so it's worth exploring to find the best fit for you.
What are the disadvantages of a Medigap plan?
Medigap plans have some significant drawbacks, including high monthly premiums (typically $300-$800) and not covering the Part B premium or prescription drugs.
What qualifies you for Medigap?
To qualify for Medigap, you must be enrolled in Medicare Part A and Part B. This ensures you have the necessary foundation for Medigap coverage to help fill gaps in your medical costs.
What Medigap plan is most popular?
Plan G is the most popular Medigap policy, covering nearly 5.3 million people in 2023. It accounts for 39% of all Medigap policyholders.
Sources
- https://www.medicareplans.com/medicare-supplement-plans-alabama/
- https://www.langeinsuranceconsulting.com/alabama-medicare-supplement-plans/
- https://mymedicaresupplementplan.org/medicare-supplement-plans-alabama/
- https://www.helpadvisor.com/medicare/alabama-medicare-supplement-plans
- https://medigapadvisors.com/blog/medigap-plans-in-alabama/
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