Medicare Supplement

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Types of Medicare

Medicare covers services and supplies considered medically necessary to treat a disease or condition. Medicare Advantage plans offer the same types of coverage and are provided by private insurance companies.

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Prescription Drugs

To get Medicare drug coverage, you must join a plan run by an insurance company or other private company approved by Medicare. Each plan can vary in cost and drugs covered.

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Supplemental Coverage

You may want to get coverage to help pay some of the health care costs that original Medicare doesn't cover, like copayments, coinsurance, and deductibles. You can choose to buy a Medigap policy from a private company.

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Medicare Supplement Insurance

Most people don't know that every Medigap policy must follow federal and state laws designed to protect you, and the policy must be clearly identified as a "Medicare Supplement Insurance." Medigap insurance companies, in most states, can only sell you a "standardized" Medigap policy identified by letters A through N. Each standardized Medigap policy must offer the same basic benefits, no matter which insurance company sells it. Cost is usually the only difference between Medigap policies, with the same letter, sold by different insurance companies.

That simply means that all companies are required to sell the same plans, but the price can be different. We work for our clients. We are appointed to sell with different companies which allows us to shop the insurance market, so you don't have to.

Original Medicare pays for many, but not all, healthcare services and supplies. A Medigap policy, sold by private insurance companies, can help pay some of the health care costs ("gaps") that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles. Some Medigap policies also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U.S. If you have original Medicare and buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered healthcare costs. Then, your Medigap policy pays its share. Medicare doesn't pay for any of the premiums for a Medigap policy.

Every Medigap policy must follow Federal and state laws designed to protect you, and it must be clearly identified as "Medicare Supplement Insurance." Medigap insurance companies can sell you only a "standardized" Medigap policy identified in most states by letters. All plans offer the same basic benefits, but some offer additional benefits, so you can choose which one meets your needs. Note: In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized different ways.

More About Medigap Policies

● You must have Part A and Part B.

● You pay a monthly premium for your Medigap policy in addition to your monthly Part B premium.

● A Medigap policy only covers one person. Spouses must buy separate policies.

● It's important to compare Medigap policies since the costs can vary and may go up as you get older. Some states limit Medigap costs.

● The best time to buy a Medigap policy is during the 6-month period that begins on the first day of the month in which you're 65 or older and enrolled in Part B. (Some states have additional open enrollment periods.) After this enrollment period, your option to buy a Medigap policy may be limited and it may cost more. For example, if you turn 65 and are enrolled in Part B in June, the best time for you to buy a Medigap policy is from June to November.

● If you're under 65, you won't have this open enrollment period until you turn 65, but state law might give you a right to buy a policy before then.

● If you have a Medigap policy and join a Medicare Advantage Plan (like an HMO or PPO), you may want to drop your Medigap policy. Your Medigap policy can't be used to pay your Medicare Advantage Plan copayments, deductibles, and premiums. If you want to cancel your Medigap policy, contact your insurance company. If you drop your policy to join a Medicare Advantage Plan, in most cases you won't be able to get it back.

● If you have a Medicare Advantage Plan, it's illegal for anyone to sell you a Medigap policy unless you're switching back to Original Medicare. Contact your State Insurance Department if this happens to you.

Give one of our Agents a call at 843-225-7480. Our time is free, and you might save hundreds on your insurance

2023 costs at a glance

Part A premium

Most people don't pay a monthly premium for Part A (sometimes called "premium-free Part A"). If you buy Part A, you'll pay up to $506 each month. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $506. If you paid Medicare taxes for 30-39 quarters, the standard Part A premium is $278.

Part A hospital inpatient deductible and coinsurance

You pay:

  • $1,600 deductible for each benefit period
  • Days 1-60: $0 coinsurance for each benefit period
  • Days 61-90: $400 coinsurance per day of each benefit period
  • Days 91 and beyond: $800 coinsurance per each "lifetime reserve day" after day 90 for each benefit period (up to 60 days over your lifetime)
  • Beyond lifetime reserve days: all costs

Part B premium

The standard Part B premium amount is $164.90 (or higher depending on your income).

Part B deductible and coinsurance

$226. After your deductible is met, you typically pay 20% of the Medicare-Approved Amount for most doctor services (including most doctor services while you're a hospital inpatient), outpatient therapy, and durable medical equipment (dme).

Part C premium

The Part C monthly premium varies by plan.

Part D premium

The Part D monthly premium varies by plan (higher-income consumers may pay more).