Medicare Supplement Medigap Plans
Medicare supplement Medigap Plans, sold by private companies, can help pay some of the health care costs that Original Medicare A and B doesn’t cover, like copayments, coinsurance, and deductibles.
Some Medigap policies such as Plan F, G and N also offer coverage for services that Original Medicare doesn’t cover. These services include, medical care when travelling outside of the country. If you have Original Medicare A and B and you buy a Medicare Supplement policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share depending on which plan you purchase.
A Medigap policy is different from a Medicare Advantage Plan. (MA or MAPD) A Medicare Advantage plan is primary instead of Original Medicare being primary.
Important things to know about Medigap policies
- You must have Medicare A and B in order for a Medicare Supplement to provide coverage
- If you have a Medicare Advantage Plan, you can apply for a Medigap policy. Although your Medigap plan will not work unless you dis enroll from the Medicare Advantage plan.
- You pay a monthly premium for your Medigap policy in addition to the monthly Part B premium that you pay to Medicare.
- A Medigap policy only covers one person. If there is a husband and wife, you must each buy a plan if you both want coverage.
- You can buy a Medigap policy from any insurance company that’s licensed in your state to sell one.
- Any standardized Medigap policy is guaranteed renewable. You can not be cancelled due to health complications.
- Medigap plans no longer include prescription drug coverage. If you also want drug coverage, you need to purchase a Part D Prescription drug plan.
Medigap policies don’t cover everything
Medigap policies do no cover long-term care , vision or dental care, hearing aids, eyeglasses, or private-duty nursing.
The following policies are not Medigap plans
Some types of insurance aren’t Medigap plans (Medigap plans are secondary to Medicare, the following are not)
- Medicare Advantage Plans (like an HMO, PPO, or Private Fee-for-Service Plan)
- Medicare Prescription Drug Plans
- Employer or union plans, including the Federal Employees Health Benefits Program (FEHBP)
- Veterans’ benefits
- Long-term care insurance policies
- Indian Health Service, Tribal, as well as Urban Indian Health plans