
Medicare Supplement plans, also known as Medigap plans, are designed to fill in the gaps of Original Medicare coverage.
There are 10 standard Medicare Supplement plans available, labeled A through N. Plan F is the most comprehensive, covering all out-of-pocket costs.
These plans are offered by private insurance companies and can be purchased by anyone who has Medicare Part A and Part B.
Consider reading: Medicare Part C vs Medigap
Understanding Medicare Supplements
Medicare Supplements are designed to fill the gaps in Original Medicare coverage, covering things like copays, coinsurance, and deductibles. This can help reduce your out-of-pocket costs.
There are 10 standardized Medicare Supplement plans, labeled A through N, each offering different levels of coverage. Plan F, for example, covers the most expenses, including the Medicare Part B deductible.
Medicare Supplement plans are available from private insurance companies, but the plans themselves are standardized by Medicare. This means you can compare plans across different companies.
For another approach, see: A Medicare Supplement Companies
Choosing a Plan
To sign up for Medicare Supplement, you must have Original Medicare Parts A and B.
You'll have to pay a monthly premium, which can range from $102 to $226.
Medicare Supplement insurance plans are standardized by the federal government and each plan is named with a letter, like A, F, G, and N.
These plans can help you control costs, making them a valuable addition to your healthcare coverage.
You'll need to choose a plan that fits your needs and budget, so it's essential to understand what each plan offers.
Enrollment and Options
You can enroll in a Medicare Supplement plan anytime if you already have Original Medicare Part A and Part B, but the best time to enroll is during the Medigap Open Enrollment Period.
This one-time enrollment period starts the first month you have Medicare Part B and you're 65 or older, and you can't be denied coverage even if you have pre-existing health problems.
If you enroll later, you may be denied coverage because of a pre-existing condition, so it's essential to apply during your Medigap Open Enrollment Period.
For another approach, see: Can You Change Medicare Supplement Plans with Pre Existing Conditions
You can also enroll during your Initial Enrollment Period, starting three months before you turn 65, and ending three months after the month you turn 65.
Medicare Supplement policies can be purchased outside of these enrollment periods, but insurance companies can use medical underwriting to decide whether or not to accept your application.
If you fail to apply for a Medicare supplement policy within your Open Enrollment Period, you may lose the right to a Medicare supplement policy without regard to your health.
In North Carolina, individuals under 65 who qualify for Medicare due to disability are eligible to purchase a Medigap policy A, D, or G, but premiums may be higher than for Medicare beneficiaries 65 or older.
Broaden your view: A Self Insured Health Plan May Use Its Own
Anthem Insurance Options
To enroll in Medicare Supplement with Anthem, you must first have Original Medicare Parts A and B. You'll pay a monthly premium, which can range from $102 to $226.
Each Medicare Supplement insurance plan is standardized and named with a letter, like A, F, G, and N. This federal standardization ensures that each plan offers consistent benefits.
You can choose from these standardized plans, and each one has its own set of benefits.
Enrollment Timeline
You can enroll in a Medicare Supplement plan anytime if you already have Original Medicare Part A and Part B, but the best time is during the Medigap Open Enrollment Period.
This period starts the first month you have Medicare Part B and you're 65 or older, and it's a one-time enrollment period that doesn't repeat every year.
If you enroll during this time, you can't be denied coverage even if you have pre-existing health problems.
You can also enroll during your Initial Enrollment Period, starting three months before you turn 65, and ending three months after the month you turn 65.
The insurance company may impose a pre-existing condition waiting period if you enroll later, which can't be longer than six months.
If you have prior creditable coverage, the waiting period must be waived, which means you can get coverage without a waiting period.
On a similar theme: Medicare Part a and Health Savings Accounts
Options for Under 65 Beneficiaries
For individuals under 65 who qualify for Medicare due to disability, there are limited Medicare supplemental insurance options. North Carolina is one of the few states that legislatively mandates eligibility to purchase a Medigap policy.
In North Carolina, individuals under 65 who qualify for Medicare can purchase Medigap policies A, D, or G, thanks to a state law that took effect on January 1, 2020. This is a unique benefit that not all states offer.
Premiums for Medicare disability beneficiaries may be higher than for those 65 or older. This is an important factor to consider when weighing the costs and benefits of a Medigap policy.
Buying and Comparing Plans
To buy a Medicare Supplement policy, you'll need to make an application directly with the insurance company. You can contact the company that sells the specific policy you want or work with an agent who sells the policy you're interested in.
It's essential to apply at least 30 days before you want the policy to start, but if you don't have that much time, apply as soon as possible. Supplement premiums are paid directly to the insurance company and aren't deducted from your Social Security payments.
For your interest: What Does Medicare Supplement Plan a Cover
To compare Medicare Supplement plans, use Medicare's interactive website tool, which allows you to search by zip code and get an instant quote. This tool also helps you compare plans quickly and easily.
Here's a summary of the steps to follow:
- Decide which plan you want by comparing the benefits each plan helps pay for.
- Pick your policy, keeping in mind that price is the only difference between policies with the same letter sold by different companies.
- Contact the company or a licensed insurance agent to get a quote, as prices can change at any time.
Compare Anthem Benefits
Comparing Anthem Benefits can be overwhelming, but let's break it down. You'll need to consider what's covered and what's not.
Anthem Medicare Supplement Plans cover Part A coinsurance and hospital costs, but the specifics vary.
Some plans pay 100% of Part B coinsurance, except for certain copayments. For example, Plan N pays 100% of Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for ER visits that don't result in an inpatient admission.
Foreign travel is also covered, with some plans paying 80% of medical expenses.
Readers also liked: Fehb and Medicare Part D
Buying a Policy
You won't be automatically enrolled in a Medicare supplement policy, so you'll need to make an application directly with the insurance company. You can contact the company that sells the specific policy you want or an agent who sells the policy.
To apply, you'll need to contact the insurance company or an agent at least 30 days before you want the policy to start. If you can't wait 30 days, apply as soon as possible.
You'll pay the supplement premiums directly to the insurance company, and they won't be deducted from your Social Security payments.
Decide which plan you want by comparing the benefits each plan helps pay for and choose a plan that covers what you need.
To compare Medicare supplement plans quickly and easily, use Medicare's interactive website tool. Click the search button below, enter your zip code, age, gender, and tobacco status, and select "Update Prices".
Here are the steps to pick your policy:
1. Decide which plan you want.
2. Pick your policy. Price is the only difference between policies with the same letter sold by different companies.
3. Contact the company or a licensed insurance agent to get a quote. Prices can change at any time based on when you buy, your health conditions, and more.
Frequently Asked Questions
Medicare Supplement plans can pay for out-of-pocket costs that Original Medicare doesn't cover, including your Medicare deductibles, the 20% coinsurance you pay for Part B medical services, hospital costs after you run out of Medicare-covered days, and skilled nursing facility costs after you run out of Medicare-covered days.
You can choose from various Medicare Supplement plans, with Plan F, G, and N being the most popular options. However, it's essential to find the right plan that meets your needs and budget.
Medicare Supplement plans do not include prescription drug, dental, and vision coverage, but you can purchase stand-alone plans for these benefits for an additional premium.
Plan F is only available to those who became eligible for Medicare before January 1, 2020.
The best plan for you may not be the most popular one, so it's crucial to find a plan that provides the benefits you need with a monthly premium that fits your budget.
Once you're enrolled in a Medicare Supplement plan, your benefits are guaranteed as long as you pay your premiums, giving you peace of mind.
Expand your knowledge: What Is the Most Popular Aarp Medicare Supplement Plan
Frequently Asked Questions
What is the downside to Medicare supplement plans?
Medicare Supplement plans come with some downsides, including high premiums and limited coverage for services like dental care, vision care, and long-term care. This means you'll still need to pay out of pocket for these essential expenses.
Sources
- https://www.anthem.com/medicare/medicare-supplement-plans-medigap
- https://www.ncdoi.gov/consumers/medicare-supplement-medigap-plans
- https://www.dfs.ny.gov/consumer_health_insurance/supplement_plans_rates/plans
- https://tuftshealthplan.com/plans-benefits/explore-our-plans/medicare-plans
- https://www.michigan.gov/difs/consumers/insurance/health-insurance/seniors/medicare-supp
Featured Images: pexels.com