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What Is Supplemental Medicare Or Medigap?

What Is Supplemental Medicare Or Medigap?

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Medicare

May 18, 2021

What Is Supplemental Medicare Or Medigap?

Supplemental Medicare, or Medigap, is insurance that helps fill gaps in original medicare and is sold by private companies. Medigap plans help pay for additional things like copay, coinsurance and deductibles.

 

Medigap Plans

Medigap plans are standardized and sold by plan letter. Different plans offer different benefits, here is a list of medigap plans and what they include.

A
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
No
Part A deductible
No
Part B deductible
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
No
Out-of-pocket limit**
N/A
B
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
No
Part A deductible
Yes
Part B deductible
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
No
Out-of-pocket limit**
N/A
C
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
Yes
Part A deductible
Yes
Part B deductible
Yes
Part B excess charge
No
Foreign travel exchange (up to plan limits)
80%
Out-of-pocket limit**
N/A
D
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
Yes
Part A deductible
Yes
Part B deductible
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
80%
Out-of-pocket limit**
N/A
F
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
Yes
Part A deductible
Yes
Part B deductible
Yes
Part B excess charge
Yes
Foreign travel exchange (up to plan limits)
80%
Out-of-pocket limit**
N/A
G
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
Yes
Part A deductible
Yes
Part B deductible
No
Part B excess charge
Yes
Foreign travel exchange (up to plan limits)
80%
Out-of-pocket limit**
N/A
K
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
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
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
No
Out-of-pocket limit**
$5,880 in 2020 ($6,220 in 2021)
L
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
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
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
No
Out-of-pocket limit**
$2,940 in 2020 ($3,110 in 2021)
M
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
Yes
Part A deductible
50%
Part B deductible
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
80%
Out-of-pocket limit**
N/A
N
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
Yes
Part B coinsurance or copayment
Yes
Blood (first 3 pints)
Yes
Part A hospice care coinsurance or copayment
Yes
Skilled nursing facility care coinsurance
Yes
Part A deductible
Yes
Part B deductible
No
Part B excess charge
No
Foreign travel exchange (up to plan limits)
80%
Out-of-pocket limit**
N/A

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If you qualify for the Medicare Savings Program, Medicaid, or LIS, better plan options may open up so it is imperative to get a Medicare Plan Review done to make sure you are receiving the best healthcare benefits available.

New health plans may open up with better benefits including more coverage for things like dental & vision, better copay’s, lower deductibles, free meal delivery, and Much More!!

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