It can be overwhelming to review all the Medigap options that exist in today’s marketplace. If you’re looking for a reference guide that will help you determine the best options that suit your needs, we’ve got the right info for you.
Using the Medigap Benefit Chart, you’ll be review exactly what coverage exists for something specific like skilled nursing care. While all policies must follow Federal and State laws, they all may vary in terms of additional benefits they offer. Check with the provider to see if they have coverages that go beyond the standard benefits.
Use the chart below to review the best options for you.
|Medigap Benefits||Medigap Plans|
|Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Part B coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes***|
|Blood (first 3 pints)||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A hospice care coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Skilled nursing facility care coinsurance||No||No||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A deductible||No||Yes||Yes||Yes||Yes||Yes||50%||75%||50%||Yes|
|Part B deductible||No||No||Yes||No||Yes||No||No||No||No||No|
|Part B excess charge||No||No||No||No||Yes||Yes||No||No||No||No|
|Foreign travel exchange (up to plan limits)||No||No||80%||80%||80%||80%||No||No||80%||80%|
|Out-of-pocket limit**||N/A||N/A||N/A||N/A||N/A||N/A||$5,560 in 2019
($5,880 in 2020)
|$2,780 in 2019
($2,940 in 2020)
If the plan states “Yes,” this means that there is coverage for 100%
If “No,” there is no coverage for that benefit under this specific policy
If there is a “%” this indicates the amount of the plan that covers this benefit
There are a number of ways that insurance companies organize their rates. The most common is called “Community-rated” premiums. These are also referred to as “no-age-rated” premiums because they are consistent for everyone across the board. These do not differ from policy to policy based on age alone. A separate Medigap premium structure is referred to as “Issue-Age Rated” policies. These can also be referred to as “entry-rage-rated.” There is a benefit to these rated policies as the sooner that you enroll, the less you’re going to pay. Unfortunately, as your age increases, these types of plans become more and more costly as time goes on. The third option is an “Attained-Age Rated” premium. These premiums are based off of the age that you are currently. As you celebrate each birthday, the rate will increase accordingly. There are a number of factors that impact the policy cost for you or your spouse. When comparing options, seek professional feedback on the best plan for you.