Medicare Supplement Plans (Medigap)
Plan B doesnt cover
Skilled nursing facility Part B deductible Part B excess coverage Foreign travel Expenses
what is the out of pocket limit in 2017
$5120/$2560
when to buy medigap
- 6 month enrollment period that begins the first day of the month you turn 65 and are enrolled in Part B (after enrollment period you may not be able to purchase MSI policiy and if you can it will cost more -if you delay enrolling in Part B because you have a group policy through employment, the open enrollment period wont start until you sign up for part B -If you are under 65 and have medicare due to disability, you can purchase a medigap plan C
important medigap (MSI) facts
-you must have Part A and Part B -you pay the private insurance company the monthly premium for your MSI policy as well as the premium for your part B medicare -a medigap policy only covers one person. spouses must buy seperate policies -you cant have prescription drug coverage in both your medigap policy and a medicare drug plan -it is important to compare medigap policies since the costs can vary and may go up as you get older
Medigap Plan D
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefit) 100% Part B coinsurance & copay 100% Blood (first 3 pints) 100% Part A hospice coinsurance or copay 100% Skilled nursing facility care coinsurance 100% Part A deductible 80% Foreign travel emergency
Medigap Plan M
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefit) 100% Part B coinsurance & copayment 100% Blood (first 3 pints) 100% Part A hospice coinsurance & copayment 100% skilled nursing facility care coinsurance 50% Part A deductible 80% Foreign travel emergency
Medigap Plan F
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefit) 100% Part B coinsurance & copayment 100% Blood (first 3 pints) 100% Part A hospice coinsurance or copayment 100% Skilled nursing facility care coinsurance 100% Part A deductible 100% Part B deductible 100% Part B excess charges 80% foreign travel emergency (up to plan limits)
Medigap Plan G
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefit) 100% Part B coinsurance & copayment 100% blood (first 3 pints) 100% Part A hospice coinsurance & copayment 100% Skilled nursing facility care coinsurance 100% Part A deductible 100% Part B excess charges 80% Foreign travel emergencies
Medigap Plan N
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefit) 100% part B coinsurance & copayment ($20 copayment DR visits/$50 copay ER visit) 100% blood (first 3 pints) 100% Part A hospice coinsurance & copayment 100% Skilled nursing facility care coinsurance 100% Part A deductible 80% foreign travel emergencies
Medigap Plan K
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefit) 50% Part B coinsurance & copayment 50% Blood (first 3 pints) 50% Part A hospice coinsurance & copayment 50% skilled nursing facility care coinsurance 50% Part A deductible
Medigap Plan C
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefits) 100% Part B coinsurance & copay 100% Blood (First 3 Pints) 100% Part A hospice coinsurance 100% skilled nurse coinsurance 100% Part A deductible 100% Part B deductible 80% foreign travel emergency
Medigap Plan L
100% Part A coinsurance & hospital charges (additional 365 days after medicare benefits) 75% Part B coinsurance & copayment 75% blood (first 3 pints) 75% Part A hospice coinsurance & copayment 75% Skilled nursing facility care coinsurance 75% Part A deductible
Medigap Plan A coverage
100% Part A coinsurance & hospital coverage 100% Part B coinsurance & copayment 100% Blood (1st three pints) 100% Part A Hospice coinsurance and copayment
Medigap Plan B coverage
100% Part A coinsurance & hospital coverage 100% Part B coinsurance & copayment 100% Blood (first 3 pints) 100% Part A Hospice coinsurance & copayment 100% Part A Deductible
Plan F doesnt cover
COVERS EVERYTHING *also has option for $2,200 high deductible plan. plan benefits start after $2,200 worth of coinsurance, copayments, and deductibles is payed*
MSI Plan A
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used): 100% Medicare part B coinsurance or copayment: 100% Blood (first 3 Pints): 100% Part A hospice care coinsurance or copayment: 100% skilled nursing facility care coinsurance: 0% Part A deductible:0% Part B deductible: 0% Part B Excess charges:0% Foreign travel Emergency (up to plan limits):0%
MSI Plan B
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used): 100% Medicare part B coinsurance or copayment: 100% Blood (first 3 Pints): 100% Part A hospice care coinsurance or copayment: 100% skilled nursing facility care coinsurance: 0% Part A deductible:100% Part B deductible: 0% Part B Excess charges:0% Foreign travel Emergency (up to plan limits): 0%
MSI Plan D
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used): 100% Medicare part B coinsurance or copayment: 100% Blood (first 3 Pints): 100% Part A hospice care coinsurance or copayment: 100% skilled nursing facility care coinsurance:100% Part A deductible:100% Part B deductible: 0% Part B Excess charges: 0% Foreign travel Emergency (up to plan limits):80%
MSI Plan C
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used): 100% Medicare part B coinsurance or copayment:100% Blood (first 3 Pints):100% Part A hospice care coinsurance or copayment:100% skilled nursing facility care coinsurance: 100% Part A deductible:100% Part B deductible: 100% Part B Excess charges:0% Foreign travel Emergency (up to plan limits):80%
MSI Plan G
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used):100% Medicare part B coinsurance or copayment:100% Blood (first 3 Pints):100% Part A hospice care coinsurance or copayment:100% skilled nursing facility care coinsurance:100% Part A deductible:100% Part B deductible: 0% Part B Excess charges:100% Foreign travel Emergency (up to plan limits):80%
MSI Plan F*
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used):100% Medicare part B coinsurance or copayment:100% Blood (first 3 Pints):100% Part A hospice care coinsurance or copayment:100% skilled nursing facility care coinsurance:100% Part A deductible:100% Part B deductible: 100% Part B Excess charges:100% Foreign travel Emergency (up to plan limits):80% *also offers high deductible plan. this means you must pay for medicare-covered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2200 in 2017 before your policy pays anything
MSI Plan M
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used):100% Medicare part B coinsurance or copayment:100% Blood (first 3 Pints):100% Part A hospice care coinsurance or copayment:100% skilled nursing facility care coinsurance:100% Part A deductible:50% Part B deductible: 0% Part B Excess charges:0% Foreign travel Emergency (up to plan limits):80%
MSI Plan N
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used):100% Medicare part B coinsurance or copayment:100%** Blood (first 3 Pints):100% Part A hospice care coinsurance or copayment:100% skilled nursing facility care coinsurance:100% Part A deductible:100% Part B deductible: 0% Part B Excess charges:0% Foreign travel Emergency (up to plan limits):80% **pays 100% part B coinsurance except for $20 copayment on office visits and $50 copayment of emergency room visits that dont result in an inpatient admission
MSI Plan K
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used):100% Medicare part B coinsurance or copayment:50% Blood (first 3 Pints):50% Part A hospice care coinsurance or copayment:50% skilled nursing facility care coinsurance:50% Part A deductible:50% Part B deductible: 0% Part B Excess charges:0% Foreign travel Emergency (up to plan limits):0%
MSI Plan L
Medicare part A coinsurance and hospital costs (up to an aditional 365 days after medicare benefits are used):100% Medicare part B coinsurance or copayment:75% Blood (first 3 Pints):75% Part A hospice care coinsurance or copayment:75% skilled nursing facility care coinsurance:75% Part A deductible:75% Part B deductible: 0% Part B Excess charges:0% Foreign travel Emergency (up to plan limits):0%
Plan G doesnt cover
Part B deductible
Plan D doesnt cover
Part B deductible Part B excess charges
Plan N doesnt cover
Part B deductible Part B excess charges
Plan M doesnt cover
Part B deductible Part B excess charges *only covers 50% of part A deductible*
Plan K doesnt cover
Part B deductible Part B excess charges Foreign travel emergencies *everthing K covers only covers 50% besides Part A coinsurance/hospital charges which is 100% covered*
Plan L doesnt cover
Part B deductible Part B excess charges foreign travel emergencies *everything L covers only covers 75% except Part A coinsurance/hospital charges which is 100% covered*
Plan C doesnt cover
Part B excess charges
how does medigap work with medicare advantage plans
if you have a MAP it is ILLEGAL for anyone to sell you medigap unless you are switching back to original medicare if you have a medigap policy and join a MAP, you should drop the medigap policy your medigap policy CANNOT be used to pay your MAP copayments, deductibles, and premiums in most cases if you drop your medigap for a MAP you wont get it back if you join a MAP for the first time and you arent happy with it, youll have special rights to buy a medigap policy if you return to original medicare within 12 months of joining if you joined a MAP when you were first eligible for medicare, you can choose from any medigap policy within the first year of joining
how is medigap different than medicare advantage plans
medicare advantage plans are ways to get medicare benefits, while medigap only supplements the costs of your original medicare benefits *medicare doesnt pay any cost for medigap policy*
selling medigap insurance
medigap policies must follow fed and state laws and must be identified as "medicare supplement insurance" Cost is usually the only difference between medigap policies with the same letter being sold by different ins companies insurance companies selling medigap are required to make plan A available. if they offer any other medigap policy they must also offer either plan C or F plans D and G bought after june 1 2010 have different benefits than if bought before june 1 2010 plans E, H, I, and J are no longer sold but if you already have one of those plans you can keep it
what is a medigap policy
private health insurance that helps supplement original medicare this means it helps pays for some health care costs that the original medicare doesnt cover (copayments, coinsurance, and deductibles) these are 'gaps' in medicare coverage
Plan A doesnt cover
skilled nursing facility Part A deductible Part B deductible Part B excess charges Foreign travel emergencies