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Chapter 8: Medicare Supplement Medigap

Chapter 7: Medicare Part D (Prescription Drug Coverage)

What is Medigap?

Medigap policies are sold by private companies to help pay for “gaps” in health care coverage by the Original Medicare plan. These can include copayments, coinsurance, and deductibles.

By design, supplemental plans help to lower your out-of-pocket expenses while increasing the amount of coverage you receive.

Companies that provide gap insurance must follow all Federal and State laws.

Medigap Plans

There are 10 standardized policies available in most states. These include A, B, C, D, F, G, K, L, M, & N policies.

The cost and coverage of each of these plans varies by plan and by company.

How Do I Compare Gap Plans?

When choosing a plan, compare the different benefits and coverage amounts offered by Medigap policies. Remember, you are responsible for any part your Medigap plan does not cover. Compare the following:

  • Part A coinsurance and hospital costs
  • Part B coinsurance or copayment
  • Blood
  • Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B deductible
  • Part B excess charge
  • Foreign travel emergency

Am I Eligible for a Medigap Plan?

You must have Medicare Parts A and B to be eligible for Medigap insurance. Note, the policy only covers one person; spouses must buy a separate policy.

If you have a Medicare Advantage Plan, rather than an Original Medicare Plan, you are not eligible for Medigap insurance.

Who Accepts Medigap Insurance?

Medigap is accepted at any doctor, provider, or hospital that already accepts Medicare.

Chapter 9: Medicare Advantage Part C