The Medicare Channel
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If you are looking for a
Medicare
Supplement insurance policy or a
MediGap insurance policy you have come to the right place.
A Medicare Supplement or a MediGap plan are interchangeable words
and mean the same thing.
***2019 Special Note***
If you are looking for the old plans before 06/01/2010 please
click here. The old plans will not be
available for sale after 05/31/2010 nationwide.
We help you easily understand the insurance
language and quickly zero in on a
Medicare supplement policy to meet both
your need and budget.
Selecting the right plan is really not
complicated.
There are 10 plans the Center for Medicare Services or
(CMS) & the National Association of Insurance Commissioners (NAIC) created in 1990
and updated recently in June 2010. These plans are exactly the same
regardless of which insurance company offers the plan.
There are "holes" or "Gaps" in Medicare Part A and
Part B. The supplement policy you select will fill the financial
gaps. The number of these financial holes filled in will depend on
which supplement you select. The chart below will give you a quick
understanding of which plan might be best suited for you.
Year after year we have found
Medicare Supplement Plan F or
Medicare Supplement Plan G
to be the best
value for the dollar. The new
Plan N is a
great alternative to a Medicare Advantage plan.
Plan N
might be recommended depending on
which state you live in and how much the supplement cost in relation
to available Medicare Advantage plans. A plan N will provide more
coverage and a very reasonable premium. In Florida we have the lowest rate
for plan F & plan N. See the
Medicare Supplement Plan chart below.
In general, the higher you go up in the
plan
chart the more Gaps the plan fills. Medicare Supplement Plan F is
the most comprehensive supplement plan and there is not a better
plan than F. Most people will select a Plan F. However, depending on
your personal situation there may be a more cost efficient choice.
The first step is to
zero in on which plan you might want and complete the
Medicare Supplement quote request form or give us a call at
the number on the right. We will do the rest. We have shopped the
market for you and can quickly give you a quote for the plan of your
choice and answer all your questions.
The second step is
for us to send you a complete package and help you complete the
application. If you select us as your agent we will also give you
unlimited support in selecting a Part D Prescription drug plan as
well. We produce a report showing you which Medicare RX plan might
be best for you based on your current prescription drug need. And we
also help you enroll in the plan of your choice.
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Call to speak to an agent
1-800-728-9609
Click
here to start your free quote.
As an independent agent we have the
lowest rates.
We still
like to provide good old fashioned customer service. |
The standard chart was changed on June 1, 2010. The
new chart for 2019 has been posted on this website.
All of these plans are the same with every
insurance company offering the plan.
Not all plans are offered by every insurance
company...
The one you select can make a difference on
how much your "out of pocket expenses" will be...
We help you make a wise choice...
Most of the time we recommend
Medicare
Supplement plan F or
Medicare
Supplement plan G
highlighted in the chart below in yellow. But the choice is
entirely up to you...
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There are 10 Modernized Standardized Medicare Supplement plans “A”
through “N”.
The benefits of each plan are different, with the exception
that all plans are required to cover the “Basic Benefits” which are identified
below. Medicare standardized the plans in 1990 to limit the consumer’s
confusion when comparing coverage offered by different
insurance
companies. However beginning June 1, 2010 the plan chart and
the benefits are changing and improved to meet the changing
health care environment. Some benefits have been eliminated
and several benefits have been added to enhance the Medicare
supplement coverage. With standardization, the consumer can easily
compare the benefits and the cost between the different
insurance companies offering the plans. The words "Medicare
supplement" and MediGap plans are interchangeable and mean
exactly the same thing. The descriptions
of benefits of each of these plans are in the table below.
How to read the
chart: If a check mark appears in the column, this
means the MediGap policy covers the benefit up to
100% of the Medicare-approved amount. If a dash is in
the column the benefit is not covered by the plan. If a column
lists a percentage, this means the MediGap policy covers the benefit at
a percentage rate of the Medicare-approved amount. If no
percentage appears or if the column has a dash,
this means the MediGap policy doesn't cover
the benefit. Note: The coverage of
coinsurance only begins after you have paid the deductible
on plans K & L.
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Modernized Medicare Supplement Benefit
Information updated for 2019
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F*
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M |
N |
Medicare Part A Coinsurance and Hospital Benefits |
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Medicare Part A
Deductible |
- |
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50%
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75%
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50%
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Medicare Part B
Coinsurance or Co-payment |
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50%
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75%
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Copay** |
Medicare Part B Deductible |
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-
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-
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- |
- |
- |
- |
Medicare Part B
Excess Charges |
-
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-
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- |
- |
- |
- |
Blood (First Three Pints) |
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50%
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75%
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Foreign Travel Emergency
(Up to
Plan Limits)*** |
-
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-
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- |
- |
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Hospice Care
Coinsurance or Co-payment |
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50%
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75%
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Preventive Care Coinsurance |
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Skilled Nursing Coinsurance |
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-
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50%
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75%
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Out-of-Pocket Limit |
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$2300* |
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$5,560**** |
$2,780**** |
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*2019 High Deductible Plan F
pays NO Benefits until a
$2300 deductible is met.
*Medicare Supplement Plan
F also has a high deductible
option. We don't recommend the high deductible plan F in
most cases. If you select the high deductible plan F you
have to pay the first $2,300 (deductible in 2019) in MediGap-covered costs
before the MediGap policy pays anything.
*In some areas some companies will offer a Select Plan C
& Select Plan F. The plans are the same as Plan C & Plan F
except they will have network hospitals to use. Select Plan C &
Select Plan F will have lower premiums.
**Plan N pays Part B coinsurance
or co-payment except for an insured copay of up to $20 for
each doctor's office visit and up to $50 for each emergency
room visit ( emergency room copay waived if admitted as an
inpatient).
***You must also pay a separate
deductible for foreign travel emergency care ($250 per
year). The plan pays 80% after the $250 deductible up to the
plans lifetime limit of $ 50,000
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On plans K & L Only. After you meet your out-of-pocket
yearly limit of $5560 on plan K and $2780 on plan L and your
$185 yearly Part B
deductible, the plan pays 100% of covered services for the
rest of the calendar year. We don't recommend these plans
for most people.
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2019 Basic Benefits
•Hospitalization Coinsurance for days 61-90 is ($341 per
day) and days 91 and after while using lifetime reserve days
is ($682 per day)
• Payment in full for 365 additional hospital days
• 20% coinsurance for physician and other Medicare Part B
services
Medicare Part A Hospital Deductible
• The 2019 deductible is $1364
Skilled Nursing Facility (SNF) Coinsurance
• $170.50 a day for days 21-100 in a Skilled Nursing
Facility in 2019
Medicare Part B Yearly Deductible
• The 2019 deductible is $18
Medicare Part B Excess Charges
• Difference between doctor's charge and Medicare's approved
amount
• Up to 15% above the Medicare approved charge which is the
doctor’s maximum charge
Foreign Travel Emergency
• Pays 80% of the cost of emergency care during the first
two months of each trip after you pay a $250 deductible
• Lifetime maximum of $50,000
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Call to speak to an agent
1-800-728-9609
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Publications:
Medicare at a Glance
Medicare & You
Choosing A MediGap Policy
Medicare's Guide to
Preventive Services
Your Guide to What Medicare Part A & B Covers
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Before 06/01/2010
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2023 The Medicare Channel All Rights
Reserved. This website is a general description of benefits for Medicare
Supplement plans. Although every effort is made as to the accuracy of
the information on this website there is always the possibility of an
error. If you see an error please contact us so we can correct it. The
insurance policy will always determine benefits. Please contact us for
an outline of coverage provided by each of the insurance companies we
represent. Not all plans are available in all areas. If you submit a quote or information request a licensed agent
will contact you. We engage in insurance sales only in the states in
which we are properly licensed. We are currently licensed in
AL, AR, AZ, CO, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD,
MI, MO, MS, NE,
NM, NC, OH, OK, SC, SD, PA, TN, TX,
VA, WA & WV. Not
affiliated with, authorized by or endorsed by the U.S. government or the
federal Medicare program. For more information feel free to
Contact Us.
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