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What is Medigap?

​A Medicare Supplement, or Medigap plan, is a type of private health insurance designed to cover costs that Original Medicare (Part A and Part B) doesn't fully pay. These gaps include things like coinsurance, copayments, and deductibles. Here’s a clearer breakdown:

Key Points

  • Medicare First: Medicare pays for covered costs first; Medigap covers remaining costs.

  • Cost Sharing: Medigap helps pay for Medicare deductibles, copayments, and coinsurance.

  • Private Insurance: Medigap plans are offered by private insurers, not the federal government.

What is the purpose?

​Medigap plans "bolt on" to Original Medicare, covering out-of-pocket costs that Medicare doesn’t cover.

Standardization

Since 1990, Medigap plans have been standardized. Each lettered plan (A, B, C, D, F, G, K, L, M, N) provides the same benefits across all insurers, though premiums can vary.

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Plan G

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Plan G

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Plan G

What are the most popular plans?

  • Plan F: Covers all gaps, including deductibles and coinsurance. Available only to those eligible for Medicare before January 1, 2020. 

  • Plan G: Covers everything Plan F does except the Part B deductible. Often more cost-effective.

  • Plan N: Features lower premiums but requires copayments and covers excess charges.

* If you turned 65 after January 1, 2020 you are not eligible for Plan F. 

What is not covered?

  • Routine dental, vision, and hearing care

  • Long-term or custodial care

  • Retail prescription drugs

Skilled Nursing Facility
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Additional Benefits

  • Some plans cover foreign travel emergencies.

  • Coverage for the first 3 pints of blood in a transfusion. 

  • Coverage for a skilled nursing facility beyond Medicare's provisions. 

Choosing the right plan for you

  • Rates: Compare premiums among different carriers.

  • Rate Trend History: Review how premiums have increased over time. 

  • Financial Rating: Asses the insurer's stability. (e.g., A.M. Best, Weiss Ratings) 

Start choosing today

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