Medigap policies are standardized
Every Medigap policy must follow federal and state laws designed to protect you, and it must be intelligibly identified as “ Medicare Supplement Insurance. ” policy companies can sell you lone a standardize policy identified in most states by letters .
All policies offer the lapp basic
but some offer extra benefits, so you can choose which one meets your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different manner .
Each policy company decides which Medigap policies it wants to sell, although state of matter laws might affect which ones they offer. indemnity companies that sell Medigap policies :
- Don’t have to offer every Medigap plan
- Must offer Medigap Plan A if they offer any Medigap policy
- Must also offer Plan C or Plan F if they offer any plan
As of January 1, 2020, Medigap plans sold to people raw to Medicare can no long cover the Part B deductible. Because of this, Plans C and F are nobelium longer available to people raw to Medicare on or after January 1, 2020. If you already have either of these 2 plans ( or the high deductible translation of Plan F ) or are covered by one of these plans before January 1, 2020, you can keep your plan. If you were eligible for Medicare before January 1, 2020, but not yet enrolled, you may be able to buy one of these plans ( Plan C or F ) .
Compare Medigap plans side-by-side
The chart below shows basic information about the different benefits Medigap policies cover .
Yes = the plan covers 100 % of this profit
No = the policy does n’t cover that benefit
% = the design covers that percentage of this benefit
N/A = not applicable
The Medigap policy covers coinsurance only after you ‘ve paid the deductible ( unless the Medigap policy besides pays the deductible ) .
Compare Medigap Plans
|Plan A||Plan B||Plan C||Plan D||Plan F*||Plan G*||Plan
|Plan M||Plan N|
|Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Part B coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes***|
|Blood (first 3 pints)||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A hospice care coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Skilled nursing facility care coinsurance||No||No||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A deductible||No||Yes||Yes||Yes||Yes||Yes||50%||75%||50%||Yes|
|Part B deductible||No||No||Yes||No||Yes||No||No||No||No||No|
|Foreign travel exchange (up to plan limits)||No||No||80%||80%||80%||80%||No||No||80%||80%|
|Out-of-pocket limit**||N/A||N/A||N/A||N/A||N/A||N/A||$ 6,620 in 2022||$ 3,310 in 2022||N/A||N/A|
* Plans F and G besides offer a high-deductible design in some states. With this option, you must pay for Medicare-covered costs ( coinsurance, copayments, and deductibles ) up to the deductible come of $ 2,490 in 2022 before your policy pays anything. ( Plans C and F are n’t available to people who were newly eligible for Medicare on or after January 1, 2020. )
** For Plans K and L, after you meet your out-of-pocket annually specify and your annual Part B deductible, the Medigap plan pays 100 % of cover services for the rest of the calendar class .
*** plan N pays 100 % of the Part B coinsurance, except for a copayment of up to $ 20 for some office visits and up to a $ 50 copayment for emergency room visits that do n’t result in inpatient entrance fee .
You live in Massachusetts, Minnesota, or Wisconsin
If you live in one of these 3 states, Medigap policies are standardized in a different way .
- You live in Massachusetts
- You live in Minnesota
- You live in Wisconsin