How to Compare Medicare Supplement Plans

Compare Medicare Supplement Plans
To learn how to compare Medicare Supplement plans, it is important to be familiar with the concept of Standardized Plans.

Compare Medicare Supplement Plans: Common Standards

All Medigap plans are standardized, i.e. they have common standards in

  • Medigap Benefits: Any plan from one insurance company has the same benefits as the same plan from another company
  • Claim Processing: Claims are processed electronically from all companies
  • Claims Decisions: Medicare makes claim decisions, not the Medigap insurance company
  • Doctor’s Network: Any doctor accepting Medicare will accept your Medigap plan

Compare Medicare Supplement Plans: 2016 Standardized Plans

The comparison table below presents 2016 Standardized Medicare Supplement Plans – Medigap Plan A, Plan B, Plan C, Plan D, Plan F, Plan G, Plan K, Plan L, Plan M, and Plan N.

Please note:

  • If ‘X’ appears in a column, the Medigap plan covers 100% of the described benefit.
  • If a column lists a percentage, the plan covers the percentage of the described benefit.
  • If a column is blank, the plan does not cover that benefit.

Medicare Supplement Plans

Medicare Supplement Benefits

A

B

C

D

F*

G

K

L

M

N

Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up

X

X

X

X

X

X

X

X

X

X

Medicare Part B Coinsurance or Copayment

X

X

X

X

X

X

50%

75%

X

X**

Blood (First 3 Pints)

X

X

X

X

X

X

50%

75%

X

X

Part A Hospice Care Coinsurance or Copayment

X

X

X

X

X

X

50%

75%

X

X

Skilled Nursing Facility Care Coinsurance

X

X

X

X

50%

75%

X

X

Medicare Part A Deductible

X

X

X

X

X

50%

75%

50%

X

Medicare Part B Deductible

X

X

Medicare Part B Excess Charges

X

X

Foreign Travel Emergency (Up to Plan Limits)

80%

80%

80%

80%

80%

80%

Out-of-Pocket Limit None None None None None None $4,940 $2,470 None None

 

* Medicare Supplement Plan F offers also a high-deductible plan.
** Medicare Supplement Plan N pays 100% of the Part B coinsurance with the exception of up to $20 copayment for some office visits and up to $50 for emergency room visits

The next table provides some examples of costs you could pay if you have Original Medicare and don’t have Medigap policy. (See also Part A and Part B).

Cost What you pay in 2016
Medicare Part A Coinsurance and all costs after hospital benefits are exhausted For each benefit period, you pay $322 per day for days 61–90, $644 per day for days 91–150 (while using your 60 lifetime reserve days), and all costs after 150 days.
Medicare Part B Coinsurance or Copayment for other than preventive services You pay all coinsurance, generally 20% of the Medicare-approved amount for most covered services and any copayment after you meet the $166 yearly Part B deductible.
Blood Generally, you pay for the first 3 pints of blood you receive.
Hospice Care Coinsurance or Copayment You may be required to pay up to $5 for each drug a hospice provides when you are getting hospice services in your home and 5% of the Medicare-approved amount for each day of inpatient respite care (up to certain limits).
Skilled Nursing Facility Care Coinsurance For each benefit period, you pay nothing for the first 20 days and up to $161 per day for days 21-100.
Medicare Part A Deductible For each benefit period, you pay $1,288 for days 1-60 of a hospital stay.
Medicare Part B Deductible You pay the $166 yearly deductible.
Medicare Part B Excess Charges For doctors and other providers who don’t accept Medicare assignment, you pay the difference between the Medicare-approved amount and either the provider’s fee, or the “limiting charge” (no more than 15% above the Medicare-approved amount) that applies for doctor’s fees and many other Part B services.
Foreign Travel Emergency (Medicare coverage outside the U.S.) Generally, you pay all costs.

Compare Medicare Supplement Plans: Additional Details

Any Medigap benefits in plans A through F are covered at 100%. Medicare Supplement Plan A is the core plan, and Medicare Supplement Plan F is the most comprehensive. Therefore, in general, the premium cost is the lowest for plan A and highest for plan F.

Compare Medicare Supplement Plans: Medicare Supplement High-Deductible Plan F

Medicare Supplement plan F also offers a high-deductible plan. This means you must pay for Medicare-covered costs up to the deductible amount of $2,180.00 in 2016 before your Medigap plan pays anything.

Compare Medicare Supplement Plans: Medicare Supplement Plans K and L

In Medicare Supplement plans K and L, after you meet your out-of-pocket yearly limit and your yearly Part B deductible ($166 in 2016), the Medigap plan pays 100% of the covered services for the rest of the calendar year. There are out-of-pocket limits ($4,940 for plan K, and $2,470 for plan L in 2016) – the maximum amount you would pay for coinsurance and copayments in 2016.

Compare Medicare Supplement Plans: Medicare Supplement Plans M and N

Recently introduced, the Medicare Supplement Plan M and Medicare Supplement Plan N provide cost-sharing features that lower premiums in comparison with standard Medicare Supplement plans such as F and G. These plans (particularly plan N) may be an ideal option for people who are in good health and don’t want to be over insured, as well as for those who are enrolled in Medicare Advantage and consider returning back to Original Medicare.

Both of these plans do not pay the annual Part B deductible, as well as Part B excess charges (extra up to 15% charge from doctors who do not accept Medicare assignments). Medicare Supplement plan M covers only 50% of the Part A deductible – and the remaining balance (50%) may be a substantial amount. Medicare Supplement plan N pays 100% of the Plan B coinsurance with the exception of up to $20 copayment for office visits, and up to $50 for emergency room visits.

‘Lower utilization’ plans, such as M and N, (i.e. Plans having relatively healthy enrollees) will have lower premium increase in the future compared with ‘higher utilization’ Medicare Supplement plans, such as C and F.

Compare Medicare Supplement Plans: Medicare Supplement Select Plans

In some states, insurance companies may also sell a Medigap Select policy. This is a type of Medigap policy that may require you to use certain providers within a network. If you buy the Select plan, your premium may be lower.

Compare Medicare Supplement Plans: Foreign Travel Emergency

Medicare Supplement plans C, D, F, G, M and N pay 80% of the billed charges for medically necessary emergency care outside the U.S. after you meet a $250 deductible per year.

Additional limitations include:

  • Benefits are applied only during first 60 days of any trip
  • There is a lifetime limit of $50, 000 for foreign travel emergency coverage

Let Liberty Medicare Help you to Compare Medicare Supplement Plans

Liberty Medicare is here to help you in the process of comparing, selecting and enrolling in the best and most suitable Medicare Supplement Plan for you.

All our services are absolutely free to you. We’ll help you:

  • Find all plans available to you and compare their benefits
  • Determine your eligibility (particularly if Medical Underwriting is required)
  • Find the least expensive Medicare Supplement plan for your needs
  • Understand your options when switching plans

Liberty Medicare represents many well-known Medicare Supplement providers in Delaware, Illinois, Maryland, New Jersey, New York, Ohio, Pennsylvania, and Virginia.  Learn more about all benefits of working with Liberty Medicare.

If you are looking for a Medicare Supplement Plan, let us help. To receive a quote, please fill out our Medicare Supplement Quote form, or give us a call at 877-657-7477.