We hope this information from the official Medicare website helps you understand Medigap insurance, the supplemental insurance that helps pay for many things Medicare does not. There are monthly premiums for this private insurance.
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What Medicare Covers Medicare Part A is for partial payment for inpatient hospitalization, skilled nursing facility, hospice and home health care. Medicare Part B is for partial payment for doctors services, outpatient hospital services, and home health care. Medicare Part C is for HMOs and PPOs and usually includes Parts A, B, D. These are called Medicare Advantage Plans. Medicare Part D is for partial payment for prescriptions. |
What Medigap Insurance Plans Cover
To fill in the gaps where Medicare leaves off are the highly regulated Medigap policies. Medicare determines what is offered in each of the plans available through private insurance companies across the U.S. That means, for example, the basic benefits of Plan A, listed below, are the same no matter what company you buy this insurance from. They may add other bells and whistles--for example health club benefits or vision care--but Plan A is Plan A is Plan A. Massachusetts, Minnesota and Wisconsin have different policies. This information does not include all details, but should give you a better idea of your choices. Prices vary according to the coverage offered. Not all companies offer all plans.
Plan A: These
are the Basic Benefits of Medigap insurance plans. They are also
included in the policies listed below:
- Part A coinsurance and
certain hospital costs for up to 365 days longer
than Medicare coverage
- Part B coinsurance or
co-payment
- 3 pints blood
- Part A Hospice care
Plan B: Basic
Benefits, plus
- Medicare Part A deductible
Plan C: Basic
Benefits, plus
- Medicare Part A deductible
- Skilled nursing facility
coinsurance
- Medicare Part B deductible
- Foreign travel emergency
Plan D: Basic
Benefits, plus
- Medicare Part A
deductible
- Skilled nursing facility
coinsurance
- Foreign travel emergency
Plan E: (No longer sold, but if you have this plan you may continue it.)
Plan F: Basic
Benefits, plus
- Medicare Part A
deductible
- Skilled nursing facility
coinsurance
- Medicare Part B
deductible
- Medicare Part B excess
charges (100%),
- Foreign travel emergency
Plan G: Basic
Benefits, plus
- Medicare Part A
deductible
- Skilled nursing facility
coinsurance
- Medicare Part B excess
charges (80%)
- Foreign travel emergency
Plan H: (No longer sold, but if you have this plan you may continue it.)
Plan I: (No longer sold, but if you have this plan you may continue it.)
Plan J: (No longer sold, but if you have this plan you may continue it.)
Plan K: Medicare
Part A coinsurance and hospital costs for 365
additional days plus
- 50% of the following:
Medicare Part B coinsurance or copayments, Part A hospice care
coinsurance or copayment, skilled nursing facility co-insurance,
Medicare Part A deductible. Check for current information about
the out of pocket limit. It varies from year to year.
Plan L: Medicare Part A
coinsurance and hospital costs for 365
additional days plus
- 75% of the following: Medicare
Part B coinsurance or copayments, Part A hospice care coinsurance or
copayment, skilled nursing facility co-insurance, Medicare Part A
deductible.
Check for current information about out of pocket limit.
It varies from year to year.
Plan M: Basic
Benefits, plus
- Skilled nursing facility
co-insurance
- 50% of Medicare Part A
deductible
- Foreign travel emergency
Plan N: Basic
benefits, plus the following:
- Medicare Part B
coinsurance or copayments with some copayments required
- Skilled nursing facility
co-insurance
- Medicare Part A
deductible
- Foreign travel emergency
We strongly urge you to contact several private insurance companies and ask to receive printed information about the plans they offer before you make a decision. Read everything. Ask questions. Compare many plans and prices.
NOTE: All names
on this site have been changed to protect individual privacy.
The stories are real, the names are not.
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