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Medicare Supplements

Coverage, Plans, and Costs

Medicare Supplement Insurance — often called Medigap — helps cover the out-of-pocket costs left after Original Medicare (Parts A and B) pays its share. These plans are offered by private insurance companies and are designed to protect you from unexpected healthcare expenses like deductibles, copayments, and coinsurance.

With a Medigap plan, you can enjoy greater financial security and more predictable healthcare costs.

What Medicare Supplements Cover

Original Medicare covers a lot, but it doesn't cover everything. Medicare Supplement plans help pay for the "gaps" in coverage, including:

  • Part A deductible and coinsurance (hospital costs)
  • Part B coinsurance and copayments (doctor visits, outpatient services)
  • Skilled nursing facility care coinsurance
  • First three pints of blood needed for a medical procedure
  • Foreign travel emergency care (up to plan limits)
Note: Medigap plans do not include prescription drug coverage (Part D), dental, vision, hearing, or long-term care.

Standardized Medicare Supplement Plans

Every Medigap policy is standardized by the federal government. Plan G from one company offers the same benefits as Plan G from another — only the price and customer service differ.

Medigap PlanKey BenefitsIdeal For
Plan GCovers everything except the Part B deductibleMost comprehensive coverage available for new enrollees
Plan NLower premiums, small copays for office visits and ER visitsThose willing to trade small out-of-pocket costs for savings
Plan ABasic benefits, no Part A deductible coveragePeople wanting minimum supplement coverage
Plan FCovers all Medicare-approved costsOnly available to those eligible before January 1, 2020
Important: Plan F is closed to new Medicare beneficiaries starting January 1, 2020, but existing enrollees can keep it.

Medicare Supplement vs. Medicare Advantage: What's the Difference?

FeatureMedicare Supplement (Medigap)Medicare Advantage (Part C)
Provider ChoiceSee any doctor who accepts Medicare nationwideUse network providers (HMOs, PPOs)
Out-of-Pocket CostsMinimal after premium and deductibleMay have copays, coinsurance, and out-of-pocket maximums
Prescription DrugsSeparate Part D plan neededOften included in Advantage plans
Extra BenefitsLimitedMay include dental, vision, hearing, fitness
Travel CoverageForeign travel emergency coverage (some plans)Emergency care usually in U.S. only

How Much Does a Medicare Supplement Cost?

Medigap premiums vary based on:

  • Your age (attained-age, issue-age, or community-rated pricing models)
  • Location (costs are generally higher in some states)
  • The plan letter you choose
  • Tobacco use and, outside your open enrollment window, medical underwriting

Because benefits are identical between carriers for the same plan letter, shopping on price and service is the single easiest way to save money on Medigap.

How Everstone Insurance Services Can Help

We quote every Medigap carrier available to you side by side, so you can see exactly what the same Plan G costs from each company — and review it again each year as rates change.

Still have questions?

A licensed Everstone advisor will explain your options in plain language — at no cost, with no pressure.