Medigap policies pay most, if not all, of the Original Medicare Plan outpatient and coinsurance copayment amounts. These policies may also cover the Original Medicare Plan deductibles. Some of the policies cover extra benefits to help pay for more of those things that Medicare doesn’t cover, like prescription drugs. If you live in Massachusetts, Minnesota, or Wisconsin.
What Medigap Policies Don’t Cover
• Long-term care
• Vision or dental care
• Hearing aids
private-duty nursing •
• Unlimited prescription drugs Who Can Buy A Medigap Policy?
To buy a Medigap policy, you generally must have Medicare Part A and Part B. If you are under age 65 and you are disabled or have End-Stage Renal Disease (ESRD), you might not be able to buy a Medigap policy until you turn 65.
Medigap Plans A through Basic (Core) Benefits All Medigap plans must cover these basic (core) benefits
• The Medicare Part A coinsurance amount.
• The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends.
• The Medicare Part B coinsurance or copayment amount.
• The first 3 pints of blood each year. How Much Do Medigap Policies Cost? This Guide can’t include actual costs for Medigap policies. As you shop for a Medigap policy, you will need to call insurance companies that sell Medigap policies in your state and ask about prices. The cost for Medigap policies will be different depending on:
• Your age,
• Where you live, and
• The insurance company.
There can be big differences in the premiums that insurance companies charge for exactly the same coverage. When you compare premiums, be sure you are comparing the same Medigap policies. Insurance companies have 3 different ways of pricing policies based on your age. In general, no-age-rated (also called community-rated) policies are the least expensive Kaiser Calculator over your lifetime.
Other Factors That May Affect Your Cost:
• Whether you are female or male. Some companies offer discounts for females.
• Whether you smoke or not. Some companies offer discounts for non-smokers.
• Whether you are married or not. Some companies offer discounts for married couples.
• Medical Underwriting. This is a process that a ongoing company
uses to review your health and medical history, and decide whether to accept your application for insurance. With medical underwriting, you must answer medical questions on an application usually. You need to carefully fill out this application. Some companies may want to review your medical record before they sell you a policy. The company may use this information to add a waiting period 15 How Much Do Medigap Policies Cost? (continued) Other Factors That May Affect Your Cost:
• Medical Underwriting, (continued) for pre-existing conditions if your state law allows. The company may also use this information to decide how much to charge you for a Medigap policy. Insurance companies may “medically underwrite” any Medigap policy at times other than your Medigap open enrollment period or when you have the right to buy a Medigap policy
• Whether a High is bought by you Deductible Option Policy. Insurance companies may offer a “high deductible option” on Medigap Plans. If you choose this option, you must pay a $ 1 ,620 deductible for the full year 2002 before the plan pays anything. This amount can go up each full year. High deductible option policies cost less, but if you get sick, your out-of-pocket costs shall be higher and you may not be able to change plans. In addition to the $1,620 (in 2002) deductible that you must pay for the high deductible option on Plans.