Medigap Plan Benefits

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  1. Long-term care insurance
  2. Long-term care insurance worksheet
  3. Government Programs - Eligibility Guidelines
  4. SHIP
  5. Medicare

Medigap plans are supplemental insurance policies that pay for some of the out-of-pocket costs that Medicare does not pay.

  1. The chart below does not include the Plans in Massachusetts, Minnesota, and Wisconsin, which are different.
  2. Medigap Plans are required to be labeled A through N. These labeled Plans must contain the same benefits regardless of which company sells them.
  3. The benefits listed on the left are covered by a Plan if the word "Yes" is indicated below the Plan's label (below the A, B, etc.) If the Plan has a blank box across from any benefit listed, then that Plan does not cover that benefit.
  4. Since the labeled Plans below have the same benefits regardless of which company sells it, this allows a comparison of premiums between different insurance companies for the same Medigap Plan.
  5. Insurance companies do not have to sell all the Medigap Plans listed below.
Updated on June 1, 2010 “Yes” means the Plan includes this benefit for every company that sells the Plan
Medicare Benefits A B C D F 1 G K L M N
Hospital co-pay for days 151- 365 and
Part B co-pay for preventive services after deductible has been paid
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Part B co-pay Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes 3
Blood (first 3 pints) Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Hospice Care Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled nursing co-pay for days 21-100     Yes Yes Yes Yes 50% 75% Yes Yes
Part A deductible   Yes Yes Yes Yes Yes 50% 75% 50% Yes
Part B deductible     Yes   Yes          
Part B excess charges         Yes Yes        
Foreign travel emergency care. Covers 80% of cost for medically necessary emergency care, after a $250 deductible. Expenses must occur during first 60 days outside the U.S. up to a lifetime benefit of $50,000     Yes Yes Yes Yes     Yes Yes
Annual Out-of-Pocket Limit 2             $4,620 2 $2,310 2    

1 Plan F also offers a less expensive option that has a higher deductible before the Plan pays for anything.

2 For Plans K & L, after the annual out-of-pocket limit (last line above) is met, the Plan pays for all other costs for the remainder of the calendar year.

3 For Plan N, Part B co-pay is after $20 deductible for doctor visits or after $50 deductible for emergency room visits.

NOTE: Plans E, H, I, and J are not available any more. However, anyone who has one of the plans may keep it. Contact your insurance company for more information.
  1. There is a limited open enrollment period when Medicare eligible beneficiaries can enroll in Medigap Plans regardless of pre-existing conditions. The open enrollment period is the first 6 months after you become eligible for Medicare Part B.
  2. Medigap Plans and traditional Medicare coverage don't cover eye exams, eyeglasses, hearing aids, or dental care. However, some Medicare approved HMOs may cover some of these.
  3. Medicare and Medigap Plans don't cover medical care received outside of the U.S. unless listed above.
  4. Medicare and Medigap Plans don't cover long-term custodial care at home or in a nursing home. Medicare fully covers 20 days of short-term skilled care in a skilled nursing facility, after a hospital stay of 3 days or longer, and partially covers days 21 to 100.

There are long-term care (LTC) insurance policies (separate from Medigap polices) which cover care at home or in a nursing home. These policies have different limitations, such as:

  1. Some LTC policies pay cash once you meet eligibility requirements which can be spent on the care of your choice.
  2. Other LTC policies only cover care in a specifically defined location.
  3. Most policies have an elimination or exclusion period during which the policy doesn't pay.
  4. There may be a waiting period between the time you sign-up and when the policy starts.
  5. Consider a rider to protect against inflation if the costs of care should rise.
  6. An insurance company's definition of a covered service may not mean what you think. Skilled nursing home care, for example, is not the same as long-term or custodial nursing home care.
  7. Finally, some LTC policies require that the patient have a certain number of limitations of everyday activities before it will pay.

Ask your insurance agent about the definition of each covered service, as well as, how much the LTC policy costs.

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