Is supplemental insurance worth it for seniors?
Medicare supplemental insurance can help fill that gap. For example, if you still find yourself having to pay for deductibles, copays and more — even after you apply your other insurance types — then a supplemental plan could be worth it for you and your loved ones.
CDI recommends purchasing a Medicare Supplement Insurance policy if you have traditional Medicare to help offset your health care costs. If you have questions related to Medicare, contact Medicare or your local Department of Aging (HICAP).
As is true for all supplemental policies, these plans are not adequate as stand-alone health coverage, as they can leave you with unlimited out-of-pocket costs in the event of a serious medical condition.
The cons of Medigap plans include the following considerations. First, Medigap plans tend to have higher monthly plan premiums compared to other Medicare options. Additionally, Medigap plans do not typically cover prescription drugs, so beneficiaries may need to enroll in a separate Part D plan.
"Medicare supplements give peace of mind, knowing if Medicare covers it, your supplements cover it," says Hill. "With Medicare supplements, you won't have medical cost surprises, which could wreck your budget. Medicare supplements can help protect your finances from high costs, which can destroy your nest egg."
In 2021, Medicare Advantage covered nearly half of all Medicare beneficiaries (47%), or 27.6 million people with Medicare. (The number and share of Medicare Advantage enrollees has increased since 2021, up to 30.8 million in 2023, or 51% of all eligible beneficiaries.)
State | Monthly Cost | Rank from least expensive (1) to most expensive (51) |
---|---|---|
California | $162.93 | 45 |
Colorado | $127.76 | 29 |
Connecticut | $227.06 | 49 |
Delaware | $150.99 | 42 |
A Medigap plan (also called a Medicare Supplement), sold by private companies, can help pay some of the health care costs Original Medicare doesn't cover, like copayments, coinsurance and deductibles.
If you are 65 or older, you may be able to purchase a Medicare Supplement insurance plan during the Medicare Supplement Open Enrollment Period. This period lasts for six months and begins on the first day of the month in which you are both 65 or older and enrolled in Medicare Part B.
Medicare Supplement Insurance (Medigap) is extra insurance you can buy from a private health insurance company to help pay your share of out‑of‑pocket costs in Original Medicare, like copayments, coinsurance, and deductibles.
Why people are leaving Medicare Advantage plans?
Most individuals that dislike a Medicare Advantage plan usually have had a bad experience with in-network providers, plan authorizations for medical care, or having to wait a long time to have an appointment scheduled. Some of these concerns can be attributed to the healthcare provider.
Restrictive networks
In some cases, you'll have a higher share of costs when you see an out-of-network doctor. In other cases, you're not covered at all if you go out of network. This is particularly important if you travel a lot because Medicare Advantage plans generally don't provide out-of-state coverage.
Network Limitations and Referral Requirements. Many Medicare Advantage plans feature a network of providers and some of those have provider restrictions within the network that determine whether you will be covered for your services.
Plan F, Plan G and Plan N are the most popular types of Medicare Supplement plans. Medicare Supplement Plan F is the most comprehensive Medigap option available, providing beneficiaries with 100% coverage of Medicare-covered medical expenses after Original Medicare pays its portion.
With Medicare Supplement Plan F, you get the most complete coverage available. First, it includes all the benefits of Medicare Supplement Plans A, B and C. In addition, Plan F provides coverage for skilled nursing facility care, Medicare Part A and B deductibles, and international travel medical emergency help.
Best overall: AARP/UnitedHealthcare
UnitedHealthcare. AARP Medicare Supplement Insurance Plans for Retirees. Accessed Feb 9, 2024. Why we like it: AARP and UnitedHealthcare make Medigap Plan G policies widely available with low prices and few member complaints.
Demographics – Your age, location, and gender can affect your premium rate for a Medicare Supplement plan. Depending on where you live, you may pay more for your coverage. Age and gender can play a part in pricing, too. For example, women typically have longer life expectancies than men.
Medicare Supplement typically has a higher monthly premium compared to Medicare Advantage. Specifically, Medicare Advantage plans could cost between $0 and $100 a month, while Supplement coverage may vary between $50 and $1,000 per month.
You can drop your Medicare Advantage Plan and return to Original Medicare. You'll also be able to join a separate Medicare drug plan. During the Medicare Advantage Open Enrollment Period, if you have Original Medicare you can't: Switch to a Medicare Advantage Plan.
If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($174.70 in 2024). Social Security will tell you the exact amount you'll pay for Part B in 2024.
What is the average cost of AARP Medicare Supplement insurance?
In most states, your age will affect how much you pay for Medigap coverage. For states where age is factored into your rate, the average monthly cost for AARP Medigap Plan G is $135 per month for a 65-year-old woman who doesn't smoke. At age 75, the average monthly premium is $183, and it's $228 at age 85.
If you have a higher income, you'll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. We call the additional amount the “income-related monthly adjustment amount.” Here's how it works: Part B helps pay for your doctors' services and outpatient care.
Plan G is more expensive than some other Medigap plans, costing an average of $148 per month. But the extra cost can be worth it since Plan G will pay for nearly all of your medical costs, except your Part B deductible.
About 23% of Medicare's 65.1 million beneficiaries are enrolled in a Medigap plan. While these supplemental insurance policies either partially or fully cover cost-sharing associated with basic Medicare (Part A hospital coverage and Part B outpatient care), the monthly premiums can be pricey.
Federal law generally doesn't require insurance companies to sell Medigap policies to people under 65. However, in some states insurance companies do offer Medigap policies to people under 65. Check with your State Insurance Department about what rights you might have under state law.
References
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