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How to compare Medigap policies
Find out which insurance companies sell Medigap policies in your area.
Medigap policies are standardized
Every Medigap policy must follow federal and state laws designed to protect you, and it must be clearly identified as
"Medicare Supplement Insurance." Insurance companies can sell you only a "standardized" policy identified in most
states by letters.
All policies offer the same basic benefits but some offer additional benefits, so you can choose which one meets
your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different way.
Each insurance company decides which Medigap policies it wants to sell, although state laws might affect which
ones they offer. Insurance companies that sell Medigap policies:


Don't have to offer every Medigap plan



Must offer Medigap Plan A if they offer any Medigap policy



Must also offer Plan C or Plan F if they offer any plan

Medigap Plans
Note
The Medigap policy covers coinsurance only after you've paid the deductible (unless the Medigap policy also pays
the deductible).
Compare Medigap plans side-by-side
The chart below shows basic information about the different benefits Medigap policies cover.
Yes = the plan covers 100% of this benefit
No = the policy doesn't cover that benefit
% = the plan covers that percentage of this benefit
N/A = not applicable
Medigap Plans
Medigap Benefits

A

B

C

D

F*

G

K

L

M

N

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

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Part B coinsurance or copayment

Yes

Yes

Yes

Yes

Yes

Yes

50%

75%

Yes

Yes ***

Blood (first 3 pints)

Yes

Yes

Yes

Yes

Yes

Yes

50%

75%

Yes

Yes

Part A hospice care coinsurance or
copayment

Yes

Yes

Yes

Yes

Yes

Yes

50%

75%

Yes

Yes

Skilled nursing facility care coinsurance

No

No

Yes

Yes

Yes

Yes

50%

75%

Yes

Yes

Part A deductible

No

Yes

Yes

Yes

Yes

Yes

50%

75%

50%

Yes

Part B deductible

No

No

Yes

No

Yes

No

No

No

No

No

Part B excess charges

No

No

No

No

Yes

Yes

No

No

No

No

Foreign travel exchange (up to plan limits)

No

No

Yes

Yes

Yes

Yes

No

No

Yes

Yes

Out-of-pocket limit **

N/A

N/A

N/A

N/A

N/A

N/A

$4,940

$2,470

N/A

N/A

* Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up
to the deductible amount of $2,140 in 2014 before your Medigap plan pays anything.
** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered
services for the rest of the calendar year.
*** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50
copayment for emergency room visits that don't result in inpatient admission.

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Compare Medigap Policies

  • 1. How to compare Medigap policies Find out which insurance companies sell Medigap policies in your area. Medigap policies are standardized Every Medigap policy must follow federal and state laws designed to protect you, and it must be clearly identified as "Medicare Supplement Insurance." Insurance companies can sell you only a "standardized" policy identified in most states by letters. All policies offer the same basic benefits but some offer additional benefits, so you can choose which one meets your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different way. Each insurance company decides which Medigap policies it wants to sell, although state laws might affect which ones they offer. Insurance companies that sell Medigap policies:  Don't have to offer every Medigap plan  Must offer Medigap Plan A if they offer any Medigap policy  Must also offer Plan C or Plan F if they offer any plan Medigap Plans Note The Medigap policy covers coinsurance only after you've paid the deductible (unless the Medigap policy also pays the deductible). Compare Medigap plans side-by-side The chart below shows basic information about the different benefits Medigap policies cover. Yes = the plan covers 100% of this benefit No = the policy doesn't cover that benefit % = the plan covers that percentage of this benefit N/A = not applicable
  • 2. Medigap Plans Medigap Benefits A B C D F* G K L M N Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Part B coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes *** Blood (first 3 pints) Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes Part A hospice care coinsurance or copayment Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes Skilled nursing facility care coinsurance No No Yes Yes Yes Yes 50% 75% Yes Yes Part A deductible No Yes Yes Yes Yes Yes 50% 75% 50% Yes Part B deductible No No Yes No Yes No No No No No Part B excess charges No No No No Yes Yes No No No No Foreign travel exchange (up to plan limits) No No Yes Yes Yes Yes No No Yes Yes Out-of-pocket limit ** N/A N/A N/A N/A N/A N/A $4,940 $2,470 N/A N/A * Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,140 in 2014 before your Medigap plan pays anything. ** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year. *** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don't result in inpatient admission.