Medicare Supplements (Medigap)
TPMO DISCLAIMER:
“We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.”
Medicare Plan Eligibility
Medicare Supplements, also known as Medigap policies, are sold by private insurance companies to help you cover the out-of-pocket costs left behind by Medicare.
When you have a Medigap policy, Medicare pays up to its limit on your medical expenses. Then your Medicare Supplement Plan will kick in, up to it’s limits. That limit usually is able to pay off the remainder. However, that will depend on which policy you select.
The Medigap plans are Plan A, B, C, D, F, G, K, L, M, and N. Every company has to follow the standardized guidelines set by Medicare. There are many medicare supplement providers in the region so no matter which company you purchase your Medigap coverage insurance from in the Durham area, their plans feature the same set of benefits. The monthly premium will be the only difference.
Medigap Plan A
Medigap Plan A is the most basic Medigap plan. It covers the 20% that Original Medicare doesn’t on Part A coinsurance and hospital costs, Part B coinsurance or copayment, first three pints of blood during a medical procedure, and Part A hospice care coinsurance or copayment. So, it is still an incredibly effective cost-saving policy.
Medigap Plan B
Medigap Plan B covers everything Plan A does — Part A coinsurance and hospital costs, Part B coinsurance or copayment, first three pints of blood during a medical procedure, and Part A hospice care coinsurance or copayment — but also pays for Medicare Part A’s deductible.
Medigap Plan C
Medigap Plan C covers all of your out-of-pocket costs associated with Original Medicare except Part B excess charges. It even covers 80% of a foreign travel emergency (up to plan limits). Plan C is one of the most comprehensive supplement plans.
Medigap Plan D
Supplement Plan D covers all of your out-of-pocket costs associated with Original Medicare except Part B’s deductible and excess charges. It also covers 80% of a foreign travel emergency (up to plan limits).
Medigap Plan F
Medigap Plan F covers all out-of pocket costs associated with Original Medicare and 80% of a foreign travel emergency (up to plan limits). Plan F is one of the most popular Medicare Supplement insurance plans because it is the most comprehensive plan.
Medigap Plan G
Medigap Plan G covers almost all out-of pocket costs associated with Original Medicare and 80% of a foreign travel emergency (up to plan limits). The only thing it does not cover is Part B’s deductible. Because that deductible is only a couple hundred dollars, sometimes it is worth taking Medigap Plan G over Plan F because of the monthly premium savings.
Medigap Plan K
Plan K covers 50% of your Medicare Part B coinsurance or copayments, three pints of blood during a medical procedure, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, and Medicare Part A deductible.
Medigap Plan L
Plan L covers 75% of your Medicare Part B coinsurance or copayments, three pints of blood during a medical procedure, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, and Medicare Part A deductible.
Medigap Plan M
Plan M covers all of your Medicare Part B coinsurance or copayments, three pints of blood during a medical procedure, Part A hospice care coinsurance or copayment, skilled nursing facility coinsurance, and Medicare Part A deductible. It also covers 50% of your Part A deductible and 80% of a foreign travel emergency.
Medigap Plan N
Medigap Plan N covers all of your out-of-pocket costs associated with Original Medicare except Part B’s deductible and excess charges. It even covers 80% of a foreign travel emergency (up to plan limits). Plan N is one of the most comprehensive supplement plans.
The only thing you pay for regarding your Medicare Part B coinsurance or copayments is you’ll pay $20 copay for some doctor’s office visits and up to a $50 copay for emergency room visits if you aren’t admitted as an inpatient.