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MEDICARE SUPPLEMENT


Things You Should Know

So, what exactly is a Medicare Supplement?

A medicare supplement is a private health insurance policies specifically designed to supplement original Medicare (Part A and Part B). Medicare supplement plans are also called Medigap policies. The supplement policy covers cost sharing (deductibles, coinsurance, and co-payments) this could be part or all of the 20% and deductibles with Original Medicare.

ABOUT Medicare Supplement Medigap

You must be enrolled in Medicare Part A and Part B. You will pay a monthly premium for a medicare supplement plan in addition to your monthly Part B premium. A Medigap plan can help protect you against the rising cost of health care by covering some of the out-of-pocket costs associated with Original Medicare. 


Medicare supplement plans are not a part of Medicare but designed to help reduce medical expenses in Medicare Part A and Part B. You maintains the freedom to keep your own doctor, hospital or specialist (If they take Medicare). Insurance companies can sell only “standardized” Medicare supplement policies. Medicare supplement insurance companies must follow federal and state laws. Unless you qualify for a Guaranteed Issue situation, you may be medically underwritten.  You and your spouse must enroll separately. Currently, no Medicare supplement plans offer drug coverage. Some states offer Medicare supplement plans under the age of 65 at a higher premium.

WHY Choose a Medicare Supplement Plan?

First-dollar coverage for out-of-pocket expenses not covered by Medicare. Freedom to choose your own doctors and hospitals – no referrals or networks (Must take Medicare). 


Covers Medicare-allowable services when traveling within the U.S. Priced competitively for predictable out-of-pocket costs. Portable – Plans move with the insured and can be used in all 50 states and its territories as long as the provider accepts Medicare. (Note: Medicare Select Plans have hospital network restrictions.) Guaranteed Renewable – Automatically renews or is guaranteed to continue from year to year except for termination due to non-payment of premium. Emergency coverage when traveling outside the U.S. (plan-specific) Not subject to lock-in. Medicare supplement plans may be purchased throughout the entire year by eligible Medicare consumers. You can have a Medigap plan and may purchase a standalone drug plan. Automatically adjusts/changes benefits as Original Medicare adjusts/changes its coverage. Cannot be singled out for a rate increase. Coverage for out-of-pocket expenses to help pay coinsurance, co-payments, and deductibles associated with Medicare-covered services. Comes with a 30-day “free look” evaluation period. Full refund of premiums if the policy is returned within 30 days of policy issuance minus any claims.

Medicare Supplement Rating

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Rates and quotes are determined in the following ways; Community, Area, Entry Age Rated, or (Entry Age and Area Rated). A tobacco usage question will be asked in most states. Consumers who have smoked cigarettes used tobacco or any nicotine in the past 12 months will be charged a tobacco use rate. (Note: In 14 states the tobacco use question is not asked during Medicare Supplement open enrollment or guaranteed issue period).

Prescription Drug Plans (PDP or Rx Plans)

Original Medicare (Part A and Part B) does not include prescription drug coverage. If you decide to enroll in a Medigap or stick with original Medicare, not picking a PDP can cost you big if the future. See my PDP section.

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