What Coverage Do Medigap Plans Provide?

Medicare is a health insurance program that provides coverage for many 65 and older individuals who are looking for affordable coverage. In Missouri alone, there are a total of over 1.2 million residents enrolled in Medicare, and this amount also includes those enrolled in Medicare Supplement plans.

There are 10 different Medigap (supplement) plans, each with its own unique coverage and price points for you to choose from.

What is Medigap?

Medigap is a type of additional coverage used to take care of some of the many out-of-pocket costs you will pay for Original Medicare. Depending on the plan you choose, you will receive a variety of benefits at differing costs.

Supplements will cover many costs, most of which including coinsurance, copayments, and deductibles. Coinsurance and copayment fees are charged each time you receive a service under Original Medicare, ranging anywhere from $0 to more than $800 depending on how often or long you use the said benefit.

Deductibles are charged on an annual basis when you use a benefit at the start of the year. In 2021, the Part A deductible is at $1,484 and Part B is at $203.

Medigap covers these costs and more—here’s a look at the specific benefits each plan has to offer.

Your Coverage with Medigap Plans A, B, C, and D

Medigap Plan A covers a good amount of benefits at a lower cost. It includes Part A coinsurance & hospital costs, Part B coinsurance/copayment, the first 3 pints of blood for transfusions, and Part A hospice care coinsurance/copayment.

Plan B offers the same coverage as Plan A and your Part A deductible.

Plan C offers some of the most coverage of any of the Medigap plans. It includes Part A coinsurance & hospital costs, Part B coinsurance/copayment, the first 3 pints of blood for transfusions, Part A hospice care coinsurance or copayment, skilled nursing care facility coinsurance, Part A and Part B deductible, and 80% of foreign travel emergency care.

Finally, Plan D offers the same coverage as Plan C, excluding the Part B deductible.

Your Coverage with Supplement Plans F and G

Plan F offers the most overall coverage. It offers Part A coinsurance & hospital costs, Part B coinsurance/copayment, first pints of blood for transfusions, Part A hospice care coinsurance or copayment, skilled nursing care facility coinsurance, Part A and Part B deductible, Part B excess charges, and 80% of foreign travel emergency care.

Plan G offers the same coverage as Plan F, except for the Part B deductible.

Your Coverage with Medigap Plans K, L, M, and N

Plan K is a good middle-of-the-road Medigap plan. It covers 100% of Part A coinsurance and hospital costs, but only 50% of the Part B coinsurance/copayments, first 3 pints of blood for transfusions, Part A hospice care coinsurance or copayment, skilled nursing care facility coinsurance, and Part A Deductible.

Plan L offers the same benefits as Plan K, but at 75% rather than 50% total coverage.

Missouri’s Anniversary Rule

Not many states allow Medicare members to switch to a new Medigap plan after their enrollment period has ended. However, Missouri is one state that makes an exception. Missouri has what is known as the “anniversary rule” which gives members an annual two-month period that starts on the plan’s anniversary date to switch to a different insurer and plan that offers the same coverage.

Compare and Choose with Confidence—Call InvoBH

With so many Medigap plans to choose from, you may feel overwhelmed. InvoBH is here to support you and find a plan that works for you in every way possible. To explore your options, give us a call today.