How to Choose the Best Medicare Supplement Plan for Your Needs
Medicare Supplement insurance, also called Medigap, helps cover costs that Original Medicare doesn’t pay, like deductibles and copayments. Each standard Medicare Supplement plan is standardized, meaning that the benefits for each plan are the same no matter which insurance company sells it.
But how do you choose the best Medicare Supplement plan for your needs? Here are some tips to help you make your decision.
1. Know Your Needs
Whether you’re considering a Medicare Advantage or Medicare Supplement plan, understanding your needs is a key step. You’ll want to think about things like how often you see your doctor, the cost of prescription drugs and if you travel. The answers to these questions will help you narrow down your options.
A Medicare Supplement plan, also known as Medigap, is private insurance that helps pay for out-of-pocket medical expenses that Original Medicare (Medicare Parts A and B) doesn’t cover, such as copayments and deductibles. There are 10 Medicare Supplement plans to choose from, and basic benefits are the same no matter what insurance company sells the policy. Plans are categorized as either issue-age rated or community-rated. With issue-age rated policies, premiums are based on your age when you enroll and won’t increase as you get older*. Community-rated policies, on the other hand, are based on your current age and will go up as you get older.
Some plans are also rated by the Centers for Medicare and Medicaid Services on their quality of care and customer service. You can find these ratings on Medicare’s Plan Finder tool by entering your ZIP code. Plans with high star ratings are typically considered higher quality plans. You can also learn about additional benefits offered by Medicare Advantage and Medicare Supplement plans, such as coverage for travel abroad or a gym membership, by clicking on the plan details in Plan Finder.
In addition to Medicare Advantage and Medicare Supplement plans, you can also consider a Medicare Part D drug plan. These plans help pay for prescription drug costs, and you’ll need to have either a Medicare Advantage or Medicare Supplement plan in place to sign up for a Medicare Part D plan.
You’ll also need to decide whether you want an all-in-one Medicare Advantage plan or a separate Medicare Supplement and Medicare Part D plan. While both offer varying coverage, Medicare Advantage plans generally have lower monthly premiums than Medicare Supplement plans. However, they may not provide as much flexibility in choosing your health care providers, and you’ll likely have to join a provider network if you choose this option.
2. Consider Your Budget
When considering a Medicare Supplement plan, you must keep in mind that not all plans offer the same benefits. The best plan for you will be the one that meets your current and future healthcare needs at a price that fits within your budget. Make a list of your current healthcare needs and costs, and try to think about any potential future costs that you may face in the near future. This will help you determine which types of coverage you need, and which ones you do not.
In addition to cost, it is important to consider the amount of out-of-pocket costs you want to pay. You will also need to review your family’s health history and consider any potential illnesses that could occur in the future. Medicare Supplement insurance plans can help with a lot of these costs, but there are many different options available and not all of them will be the right fit for you.
Typically, Medicare Supplement insurance plans will have higher monthly premiums than Medicare Advantage plans, but they will provide more flexibility when it comes to choosing doctors and hospitals. Most Medicare Supplement insurance plans will cover you for any hospital or doctor that accepts Medicare in the U.S., while Medicare Advantage HMO plans generally require you to stay in network and get referrals for specialists.
A good way to determine which Medicare Supplement plan is the best for you is to compare plans. There are ten standardized Medicare Supplement plans offered in most states (Plans C, F, G, M, N, and S are not available to those who became eligible for Medicare on or after January 1, 2020).
The most popular Medicare Supplement plan is Plan F, which provides the most comprehensive coverage. This is due to the fact that it will cover 100% of your out-of-pocket costs after Original Medicare pays its portion.
However, the cost of a Medicare Supplement plan will vary from provider to provider. You should take the time to research each option to find the plan that will meet your specific needs at a price you can afford. Some factors to consider include each provider’s financial stability and history of rate increases, as well as the pricing structure they use for their Medicare Supplement insurance plans.
3. Review Your Options
If you’re working with a Medicare advisor or researching independently, it’s important to understand what your options are. A Medicare Supplement plan (also called Medigap) helps to pay some or all of the out-of-pocket costs that Original Medicare leaves you responsible for, such as deductibles, copayments, and coinsurance. It’s available through private insurance companies and, in most states, benefits for the same letter plan are standardized across providers.
The best Medicare Supplement plans offer a comprehensive selection of coverage and benefits to help you stay healthy, save money, and stay on budget. Some of the most popular options are Plan F, Plan G, and Plan N. These plans provide you with 100% coverage after Original Medicare pays its portion, and they also offer the lowest out-of-pocket costs.
When selecting a Medicare Supplement plan, it’s also important to consider the reputation of each provider and their history. Using Medicare’s Plan Finder tool, you can find out how well each plan performs. A plan that receives fewer than three stars is flagged by Medicare, and you may want to review other available options.
It’s also a good idea to look into each plan’s premium costs. A premium is the monthly fee that you’ll pay for your coverage, and it can vary widely from plan to plan. Some premiums are higher than others, but there are ways to find a policy that fits within your budget.
For example, AARP offers some of the most affordable rates for Plan F and G, and their client satisfaction ratings are high. Blue Cross Blue Shield is another provider with a wide range of Medicare Supplement plans, and they’re known for their excellent customer service. They also offer a dental, vision, and hearing package at an affordable rate.
When evaluating the best Medicare supplements, you’ll need to make sure that the plan will work with your current doctor network. You can use the Medicare Plan Finder to check for doctor networks, and you can also contact your advisor to ask about specific plan availability. Also, be sure to consider other coverage options, such as Medicare Advantage, which can combine Parts A and B with prescription drug coverage in one convenient plan.
4. Compare Plans
As you compare the different Medicare Supplement plans available to you, make sure that you’re looking at both the coverage and cost of each. The best plan will offer the highest level of coverage at the lowest cost possible for your individual situation. This means comparing the cost of premiums against the cost of out-of-pocket costs (such as the Medicare Part B deductible and drug copayments). It’s best to research intensively on the plan you’re interested in such as the mutual of omaha medigap plan g.
In addition, it’s important to consider how much you are willing to pay in monthly premiums. As a general rule, the more comprehensive the plan, the higher the monthly premium will be.
There are ten standardized Medicare Supplement insurance plans that are available to purchase nationwide from private insurance companies. These plans are identified by letters, with Plan A being the most basic and commonly purchased Medicare Supplement plan. The most popular Medigap plans are Plan F and Plan G, but you may also find that the best Medicare Supplement plan for you is a less-popular plan such as Plan K or Plan L.
As you research the different Medicare Supplement options, remember that each plan can vary slightly from insurer to insurer. Medicare evaluates each plan each year, and if a plan is rated below three stars, it will be marked with an upside-down red triangle with an exclamation point inside of it on the Plan Finder website. In addition, each insurer has its own method of calculating premium rates. This is why it’s important to work with a licensed Medicare insurance broker who can help you receive quotes from multiple carriers and plans all in one place.
You can use the online tool on the Medicare website called Plan Finder to compare the costs and benefits of each Medicare Supplement plan against your current spending. However, the best way to compare plans is to speak with a licensed Medicare insurance broker who can review your specific needs and budget and provide recommendations that are customized to you.
Licensed Medicare insurance brokers can also help you understand the differences between the various Medicare Advantage options and traditional Medicare Supplement plans. By taking the time to meet with a Medicare insurance broker, you can save yourself a great deal of headache in the long run by selecting the right plan for your unique needs and budget.