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Medicare Planning

Medigap

A Medigap policy is health insurance sold by private insurance companies to fill the “gaps” in Original Medicare Plan coverage. Medigap policies help pay some of the health care costs that the Original Medicare Plan doesn't cover. If you are in the Original Medicare Plan and have a Medigap policy, then Medicare and your Medigap policy will each pay its share of covered health care costs.

Generally, when you buy a Medigap policy you must have Medicare Part A and Part B. You will have to pay the monthly Medicare Part B premium. In addition, you will have to pay a premium to the Medigap insurance company. As long as you pay your premium, your Medigap policy is guaranteed renewable. This means it is automatically renewed each year. Your coverage will continue year after year as long as you pay your premium. In some states, insurance companies may refuse to renew a Medigap policy bought before 1992.

Insurance companies can only sell you a “standardized” Medigap policy. Medigap policies must follow Federal and state laws. These laws protect you. The front of a Medigap policy must clearly identify it as “Medicare Supplement Insurance.”

It's important to compare Medigap policies, because costs can vary. The standardized Medigap policies that insurance companies offer must provide the same benefits. Generally, the only difference between Medigap policies sold by different insurance companies is the cost.

You and your spouse must buy separate Medigap policies.Your Medigap policy won't cover any health care costs for your spouse.

Some Medigap policies also cover other extra benefits that aren't covered by Medicare.

You are guaranteed the right to buy a Medigap policy under certain circumstances.


For more information on Medigap policies, you may download a free copy of the publication “Choosing a Medigap Policy: A Guide to Health Insurance for People With Medicare” below. 

Medigap Plan Comparison

* Based on 2019 costs

** Plan F also offers a high-deductible plan in some states. If you choose this option, this means you must pay for Medicare-covered costs (coinsurance, co-payments, deductibles) up to the deductible amount of $2,300 in 2019 before your policy pays anything.

*** For Plans K and L, after you meet your annual; Part B deductible ($185 in 2019), you pay a percentage of your coinsurance. If you meet your annual out-of-pocket yearly limit ($5,560 in Plan K and $2,780 in Plan L), then the Medigap plan pays 100% of covered services for the rest of the calendar year.

✝ Plan N pays 100% of the Part B coinsurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that don't result in a inpatient admission. 

Without Medigap, these are some of the out-of-pocket costs you may need to pay.*

* Based on 2019 costs

** Unless you have long-term care insurance or Medicaid 

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