MEDIGAP - Medicare Supplement

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MEDIGAP Insurance is private health insurance designed to supplement original Medicare (Parts A & B).  It helps to pay co-pays, co-insurance, and deductibles.

Original Medicare (Parts A & B) do not cover all medical costs, so many people choose to get Medicare Supplement Insurance, also known as Medigap, to pay for the gaps in coverage.  

View different Medigap policies by clicking here or scroll to the bottom of our page.

Medigap plans are regulated by the government but are offered through private insurance companies, so prices will vary.

How Supplemental Insurance Works:

Medicare Supplement insurance picks up where Medicare leaves off. When you have Medicare-approved health costs, your Original Medicare will cover its share first, and then your Medigap plan pays its share, which, otherwise, would come out of your pocket. Supplemental insurance policies are divided into different plans, each offering different benefits.

Medigap Policies are offered by private insurance companies. The federal government decides and regulates what each plan covers, so plans remain the same across providers. Before any insurance provider can offer supplemental insurance, they must be approved by the state government. Once approved in a state, the individual providers may set their own prices for policies.

What Does Medigap Insurance Cover?

Unlike Medicare Select, Medicaid and Medicare Part D, Medical Supplemental Insurance does not provide any new benefits. It is intended to help you pay for the benefits Medicare Parts A & B don't cover.  This includes the following:

• Medicare Part A co-insurance - Every Medigap plan includes this benefit, which covers the co-insurance on hospital costs and up to 365 days of additional coverage after Medicare hospital benefits have run out.

• Medicare Part B co-insurance or co-payments - Medigap plans cover anywhere from 50% -100% of co-payment and co-insurance.

• Blood - Most of the blood used in hospitals is subsidized, but if the hospital has to purchase blood for you, Medigap plans that cover blood will pay for the first 3 pints.

• Part A hospice care co-insurance - Depending on your plan, this benefit will cover 50%-100% of co-insurance or co-payment requirements on Part A hospice care expenses.

Medigap policies only cover one person.  If your spouse needs coverage, you both need to purchase a policy.  Anyone with Medicare Parts A & B is eligible for Medigap. The best time to enroll is within the first 6 months after turning 65, this is known as the open enrollment period. During this time, insurance companies must sell you any Medigap policy they offer, and cannot charge you more or make you wait for coverage to start because of a pre-existing condition.

If you are interested in obtaining more information on Medicare Supplement Insurance plans, availability and pricing, please contact us to speak directly with a licensed agent. We will answer your questions and help you choose a Medigap plan.