Medicare Blog

how to decide which medicare supplement plan is right for me

by Dr. Darryl Morar Sr. Published 2 years ago Updated 1 year ago
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To identify the plan that meets your needs, scan the range of benefits across all plans, and do a personal cost/benefit analysis. Assign weightings to your priorities. For some retirees, it comes down to the affordability of premiums as well as a level of comfort with the benefits included.

To compare Medicare plans, use the Medicare Plan Finder at www.medicare.gov/find-a-plan, on the official U.S. government site for people with Medicare, which allows you to compare plans by cost, by quality and by other features that may be of importance to you.

Full Answer

Which Medicare supplement plan should I buy?

One of the most common types of supplemental insurance is Medigap, which is sold by private insurance companies to people enrolled in Original Medicare. (Medigap plans cannot be paired with Medicare Advantage plans).

Which Medicare plan is the best?

  • Medicare Advantage, also known as Part C is an alternative to Original Medicare.
  • Medicare Advantage is run by private Medicare-approved insurance companies.
  • Medicare Advantage is a bundle of Original Medicare, but provides more benefits than just Part A, Part B, and Part D (most plans), such as dental, hearing and vision, which ...

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What is the best and cheapest Medicare supplement insurance?

The Medicare Supplement Plan N is best for the following people:

  • People looking for complete coverage at a modest monthly rate
  • Those who don’t mind paying a minor fee at the time of service
  • People who are not subject to Part B excess charges

Can I use any doctor with a Medicare supplement plan?

When you buy a Medicare supplement insurance policy, you keep your original Medicare and can go to any doctor who accepts Medicare. Your Medicare supplement insurance works in tandem with your Medicare, so if your doctor accepts Medicare, your supplement insurance is accepted as well.

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What are the top 3 most popular Medicare Supplement plans in 2021?

Three Popular Medicare Supplement PlansBlue Cross Blue Shield. According to Blue Cross Blue Shield (BCBS), Plans F and N are available in most areas. ... AARP United Healthcare. The United Healthcare Medicare Supplement plan is also very popular. ... Humana.

What is the highest rated Medicare Supplement company?

Best Medicare Supplement Insurance Companies of 2022Best Overall: Mutual of Omaha.Best User Experience: Humana.Best Set Pricing: AARP.Best Medigap Coverage Information: Aetna.Best Discounts for Multiple Policyholders: Cigna.

What is the difference between Supplemental plan F and G?

Medigap Plan G is currently outselling most other Medigap plans because it offers the same broad coverage as Plan F except for the Part B deductible, which is $233 in 2022. The only difference when you compare Medicare Supplements Plan F and Plan G is that deductible. Otherwise, they function just the same.

What is the most widely accepted Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.

What is the most comprehensive Medicare Supplement plan?

Medicare Supplement Plan F is the most comprehensive Medicare Supplement plan available. It leaves you with 100% coverage after Medicare pays its portion. Medigap Plan F covers the Medicare Part A and Part B deductible and the Medicare Part B 20% coinsurance.

What is the difference between Plan G and Plan N?

This is where the differences between Plan G and N start. Plan G covers 100% of all Medicare-covered expenses once your Part B deductible has been met for the year. Medicare Plan N coverage, on the other hand, has a few additional out-of-pocket expenses you will have to pay, which we'll cover next.

Why is plan F being discontinued?

The reason Plan F (and Plan C) is going away is due to new legislation that no longer allows Medicare Supplement insurance plans to cover Medicare Part B deductibles. Since Plan F and Plan C pay this deductible, private insurance companies can no longer offer these plans to new Medicare enrollees.

Is plan G cheaper than plan F?

Even though it has similar coverage, Medigap Plan G's monthly premiums are typically much less expensive than those for Plan F. In some cases, the difference in premiums between the two plans may be so large that you could save money by choosing Plan G, even after the Part B deductible.

Should I switch from F to G?

When it comes to coverage, Medicare Supplement Plan F will give you the most coverage since it's a first-dollar coverage plan and leaves you with zero out-of-pocket costs. However, when it comes to the monthly premium, if you think lower is better, then Medicare Supplement Plan G may be better for you.

What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What are the top 3 Medicare Advantage plans?

The Best Medicare Advantage Provider by State Local plans can be high-quality and reasonably priced. Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states.

Are there disadvantages to a Medicare Advantage plan?

Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.

Basic Coverage Plans

Plan A covers the first four expenses: Part A coinsurance and hospital costs, Part B copays/coinsurance, your first three pints of blood, and Part A hospice care.

Comprehensive Coverage Plans

Plan F covers every listed expense. Plan G covers every listed expense except for the Part B deductible. These plans have the most comprehensive coverage available of all Medicare Supplement plans. That also means they come with the highest monthly premiums.

High Deductible Plans

In some states, Plan F and Plan G are available as high deductible plans. That means that once you pay the high deductible ($2,370), you have full coverage for your covered expenses. With a high deductible comes low monthly premiums.

Middle Coverage Plans

Plans C and D have similar coverage. Plan C covers each listed expense except for the Part B excess charges. Excess charges are the amount that providers charge (up to 15%) above the Medicare-approved amount for covered services. Plan D covers each listed expense except for the Part B deductible and Part B excess charges.

Low Premium Middle Coverage Plans

Plans K and L are very different from the other Medicare Supplement plans. They cover Part A coinsurance and hospital costs in full, but cover only a percentage of the following expenses: Part B copays and coinsurance, your first three pints of blood, Part A hospice care, skilled nursing facility care, and the Part A deductible.

Choosing a Medicare Supplement Plan

The way to choose a Medicare Supplement plan is not by price alone. You need to consider your healthcare spending and the costs associated with Medicare.

What is Medicare Advantage Plan?

Medicare Advantage Plan (Part C) A type of Medicare health plan offered by a private company that contracts with Medicare. Medicare Advantage Plans provide all of your Part A and Part B benefits, excluding hospice. Medicare Advantage Plans include: Health Maintenance Organizations. Preferred Provider Organizations.

What is the original Medicare?

Original Medicare. Original Medicare is a fee-for-service health plan that has two parts: Part A (Hospital Insurance) and Part B (Medical Insurance). After you pay a deductible, Medicare pays its share of the Medicare-approved amount, and you pay your share (coinsurance and deductibles). (Part A and Part B) or a.

What happens if you don't get Medicare?

If you don't get Medicare drug coverage or Medigap when you're first eligible, you may have to pay more to get this coverage later. This could mean you’ll have a lifetime premium penalty for your Medicare drug coverage . Learn more about how Original Medicare works.

How much does Medicare pay for Part B?

For Part B-covered services, you usually pay 20% of the Medicare-approved amount after you meet your deductible. This is called your coinsurance. You pay a premium (monthly payment) for Part B. If you choose to join a Medicare drug plan (Part D), you’ll pay that premium separately.

Does Medicare Advantage cover prescriptions?

Most Medicare Advantage Plans offer prescription drug coverage. . Some people need to get additional coverage , like Medicare drug coverage or Medicare Supplement Insurance (Medigap). Use this information to help you compare your coverage options and decide what coverage is right for you.

What is a medicare supplement?

A Medicare Supplement plan (also called a Medigap plan) supplements Original Medicare to fill in the 20% gap. If you’re new to Medicare, you can enroll in a Medicare Supplement plan no questions asked. However, after that “guaranteed issue” period, you will likely have to go through medical underwriting — you can be denied or charged more based on ...

What is the most popular Medicare plan?

For years, Medicare Supplement Plan F was the most popular plan. More than 50% of plans purchased were Plan F. However, Medicare beneficiaries who become eligible after January 1, 2020, will no longer be able to purchase Plan F. Plan F was popular because it covered all out-of-pocket expenses.

Is Medicare Supplement Plan G standardized?

Medicare Supplement plans are standardized. What does that mean? Every Plan G offers the same coverage no matter which company offers it. A Humana Plan G and an Aetna Plan G and a UnitedHealthcare Plan G and a Mutual of Omaha Plan G are identical.

Health Care Costs and Original Medicare

Original Medicare provides health insurance coverage for hospital stays, doctor's office visits, lab testing, medical supplies and some other services. For Medicare beneficiaries, other out-of-pocket costs can add up quickly.

Choosing the Best Medicare Supplement Plan for You

Medigap plans supplement your Original Medicare coverage with benefits that help fill in some key cost gaps. The basic benefits of each type of Medicare Supplement Insurance plan are standardized by Medicare, though the policies themselves are sold by private companies.

Getting the Most From Medicare Supplement Insurance

If you buy a plan during your Medigap open enrollment period, insurers cannot deny you a policy or charge more for your Medigap plan based on your health or pre-existing conditions. If you don't purchase a Medicare Supplement Insurance plan during your open enrollment period, you could potentially be denied coverage or pay higher monthly premiums.

Medicare Advantage Plans Replace Original Medicare Benefits

Another health plan option is Medicare Advantage plans. It is important to note that Medicare Advantage and Medicare Supplement Insurance are different. Medicare Advantage plans are an alternative to Original Medicare, while Medigap plans work alongside your Original Medicare benefits to help cover out-of-pocket costs.

Get Help Buying the Right Medigap Plan for You

The right Medicare Supplement Insurance plan is the one that best matches your health care cost requirements and your budget. A licensed agent can answer your questions and help you determine which plan is right for you.

Compare Medigap plans in your area

Christian Worstell is a licensed insurance agent and a Senior Staff Writer for MedicareSupplement.com. He is passionate about helping people navigate the complexities of Medicare and understand their coverage options.

What costs are not covered by original Medicare?

By itself, original Medicare (Parts A and B) generally pays about 80% of the cost for doctors, hospitals, and medical procedures. The patient is responsible for paying the rest, and there is no limit on out-of-pocket expenses.

What does the standard Medigap coverage provide?

In general, Medigap covers your coinsurance bill once you’ve paid the Medicare deductible. Some plans (B, D, G, and N) pay your Part A deductible as well. (Plans C and F also pay the Part A deductible but aren’t available to new enrollees.)

When is the best time to buy a Medigap policy?

In most cases, the best time to buy a Medigap policy is during your open-enrollment period. This period may start either in the month you turn 65 and enroll in Medicare Part B, or when your employer-provided group healthcare coverage ends and you enroll in Part B.

How do I identify which Medigap plan I need?

When picking a Medigap plan, think about both your current and future healthcare needs. It’s important to choose carefully, because there’s no guarantee you’ll be able to switch plans later .

How do I shop for a Medigap policy?

There are a few ways to find out what policies are available in your area.

The bottom line

Medigap plans help cover costs related to Medicare Parts A and B that you'd otherwise pay yourself. The best time to choose a Medigap plan is generally when you first sign up for Medicare, when you won't have to go through medical underwriting.

What Is Medigap?

Medigap, or Medicare Supplement, is a private insurance policy purchased to help pay for what isn’t covered by Original Medicare (which includes Part A and Part B). These secondary coverage plans only apply with Original Medicare—not other private insurance policies, standalone Medicare plans or Medicare Advantage plans.

How to Choose the Right Medicare Supplement Plan for You

What are my health care needs now and possibly in the future? Consider your current health status as well as your family history.

Best Medicare Supplement Providers

Many health insurance companies offer various Medigap plans, but not all providers issue policies in all 50 states or boast high rankings from rating agencies like A.M. Best.

How to Sign Up for Medigap Plans

Signing up for a Medigap plan is easy. “Medicare supplements may be bought through an agent or from the carrier directly,” says Corujo. Since there’s no annual open enrollment period, you may join at any time.

What is Medicare Plan Finder Tool?

The Medicare Plan Finder Tool will let us search for Medicare Advantage plans in your county based on your preferences. Some people prefer Medicare HMO plans for the lowest premiums. Others prefer Medicare PPO plans because they are more flexible and have out of network benefits if needed.

Is Medicare Supplement the same as Medicare Advantage?

You need to understand the difference between a Medicare Supplement and a Medicare Advantage plan. They are not the same – in fact, they work very differently.

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