Compare Medicare Supplement Insurance Plans in 3 Steps

There are 10 Medicare Supplement Insurance plans (also called Medigap plans) to choose from in most states. Medigap plans can help cover some of the out-of-pocket costs that Medicare Part A and Part B (Original Medicare) do not cover.

This guide will help you learn what to look for as you compare Medicare Supplement Insurance plans in your area.  

Man uses a laptop in his home

How to compare Medicare Supplement insurance plans

Comparing Medicare Supplement Insurance plans side-by-side allows you to see which policies cover the health care services you need. There are three steps involved in comparing Medicare Supplement Insurance plans:

  • Find available plans in your area
  • Compare plan benefits and coverage
  • Compare plan costs

1. Find available plans in your area

Medicare Supplement Insurance plans are sold by private insurance companies, and not every company sells every plan. As a result, not every plan is made available in each area.

If you’re looking for the right Medigap plan for your needs, you can get help comparing available plans in your area by visiting MedicareSupplement.com.

Medicare Supplement Insurance Plans 2019
Medicare Supplement Benefits A B C D F1 G K2 L3 M N4
Part A co-insurance and hospital costs
Part B co-insurance or co-payment 50% 75%
First 3 pints of blood 50% 75%
Part A hospice care co-insurance or co-payment 50% 75%
Co-insurance for skilled nursing facility     50% 75%
Medicare Part A deductible   50% 75% 50%
MedicarePart B deductible              
Medicare Part B excess charges              
Foreign travel emergency     80% 80% 80% 80%     80% 80%
1. Plan F offers a high-deductible plan. This plan requires you to pay a $2,300 deductible in 2019 before it covers anything.
2. Plan K has an out-of-pocket yearly limit of $5,560 in 2019. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
3. Plan L has an out-of-pocket yearly limit of $2,780 in 2019. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
4. 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 don’t result in an inpatient admission.

2. Compare coverage

Once you find out which plans are available where you live, it’s time to compare coverage.

There are nine benefit areas that Medicare Supplement Insurance plans can potentially cover, and each benefit addresses some of Original Medicare’s out-of-pocket expenses.

  • Part A deductible
    Before Medicare Part A coverage kicks in, beneficiaries must meet a $1,364 deductible for each benefit period in 2019.

    A benefit period begins the day you’re admitted to a hospital for inpatient care, and the period ends when you’re released and haven’t received inpatient hospital care for 60 days in a row. You could potentially face more than one benefit period in a year, and you must meet your Part A deductible each time before your Part A benefits kick in.

  • Part A coinsurance and hospital costs
    In 2019, Medicare Part A requires beneficiaries to pay coinsurance of $341 per day for days 61-90 of an inpatient hospital stay, and $682 per day thereafter.

  • Part B deductible
    Medicare Part B beneficiaries must satisfy a $185 annual deductible in 2019 before any Part B coverage takes effect.

  • Part B coinsurance and copayments
    Medicare Part B requires a 20 percent coinsurance payment for all covered services and medical equipment once the annual deductible is met.

  • Part A hospice care coinsurance
    During hospice care, Part A may mandate minor copayments for prescription drugs related to hospice service, along with a 5 percent coinsurance payment for inpatient respite care.

  • Skilled nursing facility coinsurance
    Longer stays in a skilled nursing facility require Part A copayments of $170.50 per day in 2019 for days 21-100 of an inpatient stay.

  • Part B excess charges
    If you receive Part B services from a health care provider that does not accept Medicare assignment, you may be subject to excess charges of up to 15 percent of the Medicare-approved amount for the service.

  • First three pints of blood
    The first three pints of blood that are needed for a blood transfusion are not covered by Original Medicare.

  • Foreign travel emergency care
    Emergency medical care that is received outside of the U.S. is not typically covered by Original Medicare, except under special circumstances.

Once you’re familiar with the expenses that can covered by some Medicare Supplement Insurance plans, you can consult the chart below to see which plans provide which benefits.

This comparison can help you decide which Medicare Supplement Insurance plan may be the best fit for your needs.

3. Compare Medicare Supplement Insurance plan costs

Although the coverage offered by each type of Medicare Supplement Insurance plan is standardized and remains consistent no matter where a plan is sold, the cost can vary from one location or company to another.

When you visit MedicareSupplement.com, you’ll be able to compare prices from insurance companies in your area to find the best Medicare Supplement Insurance plan for your needs.

 

Related articles:

Copyright 2018 TZ Insurance Solutions LLC. All rights reserved.

MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC and TruBridge, Inc. represent Medicare Advantage Organizations and Prescription Drug Plans having Medicare contracts; enrollment in any plan depends upon contract renewal.

Plan availability varies by region and state. For a complete list of available plans, please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.

Medicare has neither reviewed nor endorsed this information.