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What is Medigap?

Medigap is a health insurance policy sold by private health insurance companies to fill the void left by the Original Medicare coverage. In other words, Medigap helps pay the healthcare costs that Medicare doesn’t cover. These may include deductibles, coinsurance, and copayments.

Also known as Medicare supplement health insurance, Medigap insurance plans work alongside Original Medicare Parts A and B to cover out-of-pocket costs such as copayments, coinsurance, and deductibles.

Medigap policies are designed to cover all or a portion of the Medicare costs, depending on the type of coverage. Please note, Medigap may not cover some extra charges, including private nursing, eyeglasses, hearing aids, dental care, vision, and long-term care.

Understanding Medicare and Medigap Plans:

When you enroll in Medicare, you may notice gaps in your coverage. That’s where Medigap comes in. Offered by private companies, these policies provide financial relief by reducing or eliminating many of the surprise costs associated with healthcare.

Benefits of Medigap Plans:

  • Broad acceptance by healthcare providers
  • Predictable out-of-pocket costs
  • No referrals needed to see specialists
  • Coverage is standardized across states (except for MA, MN, WI)

What Medigap Plans are Available?

There are 12 distinct Medigap standardized plans available in the market today, and they’re lettered A-N. Each Plan offers varying core policy benefits, all of which are approved by the federal government. Let’s take a closer look:

Plan A
Plan A is the most basic medical supplement coverage in that it offers the least amount of benefits. The Plan only protects the core policy benefits and is ideal for those looking to lower their monthly premium payments or people who aren’t bothered with out-of-pocket hospital costs.

Plan B
Plan B is a slight upgrade from Plan A since it offers a few more benefits. That is, it provides coverage for the Part A hospital deductible. Overall, Plan B is suitable for those looking to lower premiums, are in good health, barely travel outside the U.S., and aren’t concerned with out-of-pocket hospital costs.

Plan C
You should consider enrolling for Plan C if you’re looking for first-dollar coverage, i.e., a policy with no deductible. Being a comprehensive coverage, Plan C pays a host of healthcare costs unavailable in the Original Fee for Service Medicare plan, with excess charges being the only notable exception.

Plan D
Plan D takes care of everything not covered in the Original Medicare policy, except for excess charges and the Part B deductible. It’s perfect for those who like to travel overseas, don’t want to be bothered with unexpected out-of-pocket costs, and want reasonable benefit amounts.

Plan F
Plan F takes care of every expense that’s not covered under the Original Medicare policy. If you were eligible for Medicare before January 1, 2020, Plan F provides full coverage of all deductibles, copays, and coinsurance. It’s considered one of the most comprehensive Medigap policy options.

High Deductible Plan F
As the name suggests, high deductible Plan F is a first-dollar coverage plan that charges lower monthly premiums in exchange for higher deductibles. It’s an alternative for the standard Plan F that offers the most comprehensive benefits but charges higher premiums.

Plan G
Plan G is one of the most comprehensive options available, covering nearly all out-of-pocket costs except the Medicare Part B deductible. It’s ideal for those seeking predictable monthly premiums and minimal surprise expenses. Plan G is one of the most preferred Medigap plans since it offers a wide range of comprehensive benefits and costs less than Plan F. The only benefit that Plan G doesn’t cover is the Part B deductible. That means you’ll incur an annual fee of $203 on top of your monthly premium.

High Deductible Plan G
High deductible Plan G is a newly standardized Medicare plan that offers the same benefits as the standard Plan G. The only twist is that it charges lower monthly premiums in exchange for higher deductibles.

Plan K
Plan K covers most of the benefits (fully or partially) available in other Medigap plans but at a lower premium. The costs that the plan covers in full include Part A coinsurance for hospital costs, Part B coinsurance for preventive care, and foreign travel emergencies. For the rest of the benefits, it only provides 50% covzzzerage.

Plan L
Plan L covers only up to 75% of the benefits that the rest of the Medigap plans cover 100% of. These include Part A copays or coinsurance for hospice, Part A deductible, coinsurance for skilled nursing facilities, the first three pints of blood, and Part B copays & coinsurance.

Plan M
Plan M also takes the cost-sharing route by covering only 50% of the Part A deductible. Although its monthly premiums are usually lower than most other Medigap plans, Plan M enrollees are responsible for out-of-pocket hospital costs.

Plan N
Plan N offers lower premiums with some cost-sharing. You’ll pay small copayments for certain office visits and emergency room trips, making it a popular balance of affordability and coverage. Plan N covers every benefit except for excess charges and Part B deductible. That means that Plan N enrollees only have to part ways with an extra $20 copay and Part B deductible whenever they visit a doctor. And if you live in a state that accepts extra charges, you may have to pay those too.

Why Work with a Medicare Supplement Insurance Agency?

As a trusted Medicare supplement insurance agency, we ensure that each client receives personalized recommendations based on health status, budget, and lifestyle. We’ll also explain how Medicare supplement premiums vary by plan and provider, and what to look for in long-term savings.

Local Expertise in Florida:

Looking for Medigap plan G or Plan N coverage in Florida? We specialize in Medicare supplement health insurance for Florida residents and ensure your plan is aligned with state regulations and provider networks.

Ready to Choose Your Medigap Plan?

  • Schedule a Call with a Medicare advisor to explore your Medigap options.
  • Connect with Us to receive a personalized plan comparison.
  • Get in Touch for help enrolling in a Medigap policy that fits your needs.

Testimonials

Beth and Freddie S.

We have had a very good experience with this agency and Tim. We have been using them for years. They are very helpful and very good about calling you back. They know how to guide you for the best plan.

Beth and Freddie S.
Parkland, FL

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Gabe and Susan B.

I would like to take this opportunity to comment on the care and service you have provided my family through United American.
I can honestly state that in the 9 years as a client we have not had one problem with UA.
It is much relief for my family – as we have been through some tough times with our health – not having to worry about medical costs to further complicate matters and reduce our stress.
It is a pleasure knowing we have such a good company supporting us.
With much appreciation……..

Gabe and Susan B
Boca Raton, FL

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Jan K.

As a professional,  I expected immediate attention to detail and resolution to problems. Tim and his staff have exceeded my expectations and I will continue to refer my clients, family and friends .  Healthcare changes are a constant, I know that Tim will provide the appropriate coverage to fit my needs and  each and every new  potential client as well.

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Who is Eligible for Medigap Enrollment?

To enroll for Medigap successfully, you must meet various eligibility requirements, including:

  • You must be enrolled in both Medicare A and B
  • Choose a plan for the state where you reside as carriers and plans vary from state to state
  • You must be within 6 months of turning 65 or your Part B effective date
  • Individuals not within 6 months of turning 65 or Part B effective date could be subject to medical underwriting

How Do You Get Started On Your Medigap Journey?

Let’s be honest; Medigap plans can be confusing, and it might be tricky to determine eligibility. Thankfully, Health Coverage Insured is here to help you understand every detail and ensure that you start your Medigap journey on the right track. We’re a leading Medicare Insurance Agency in the nation, and we take pride in providing the best solutions and lowest prices for our clients seeking Medicare and supplemental plans like Medigap.
Our primary goal is to present all the facts in black and white, helping you make the most informed decisions about your healthcare plan. We also offer personalized advice depending on your individual needs and circumstances. So get in touch with one of our experts today, and let us help you make the best decision about your healthcare plan!

Health Coverage Solutions is your trusted source for comparing and enrolling in Medigap insurance plans in Florida and beyond. Let us help you gain clarity and confidence in your Medicare coverage.

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