Medigap. Medicare supplement insurance, also known as Medigap, provided supplemental coverage to 2 in 10 (21%) Medicare beneficiaries overall, or 34% of those in traditional Medicare (roughly 11 million beneficiaries) in 2018.
About 14.5 million beneficiaries are enrolled in a Medigap plan, which helps cover certain cost-sharing aspects of original Medicare, such as copays or deductibles. Although the plans are generally standardized across the country, the premiums can vary from insurer to insurer.
Most Americans are automatically entitled, on reaching age 65, to health insurance benefits under the Medicare program. Today almost 96 percent of the nation’s elderly have Medicare coverage.
Overall, the vast majority of adults 65 and older with Medicare coverage (94%) report being very satisfied or satisfied with the quality of their medical care and the availability of specialists.
Three of the ten standardized Medicare supplemental plans, (plans H, I, and J) include prescription drug coverage. All three plan types have a $250 deductible for the drug benefit and require 50 percent coinsurance.
Medigap plans don’t have a maximum out-of-pocket because they don’t need one. The coverage is so good you’ll never spend $5,000 a year on medical bills. Sure, the premium is a little higher, but the benefits are more significant. If high medical bills are your concern, consider choosing Medigap.
KFF notes that 2021 MA enrollment totaled 26.4 million people, or 42% of total Medicare beneficiaries ( 62.7 million ). This number has more than doubled since 2000, when MA-PD (prescription drug plan) enrollment was roughly 7 million.
“In 2018, 8.5 percent of people, or 27.5 million, did not have health insurance at any point during the year. The uninsured rate and number of uninsured increased from 2017 (7.9 percent or 25.6 million).
In 2019, seniors paid an average of $29 a month for their Medicare Advantage plans. Available plans vary by state, and monthly premiums vary too: Some plans pay for a person’s Medicare Part B premiums, while other plans include extra benefits, like dental and vision coverage.
In 2021, more than 26 million people are enrolled in a Medicare Advantage plan, accounting for 42 percent of the total Medicare population, and $343 billion (or 46%) of total federal Medicare spending (net of premiums).
A team of economists who analyzed Medicare Advantage plan selections found that only about 10 percent of seniors chose the optimal Medicare Advantage plan. People were overspending by more than $1,000 per year on average, and more than 10 percent of people were overspending by more than $2,000 per year!
Once you decide you need a Medigap and know you are eligible to enroll, compare the different types of policies that exist. As mentioned above, there are 10 different standardized policies in most states, each covering a different range of Medicare cost-sharing.
The average cost of a Medicare supplemental insurance plan, or Medigap, is about $150 a month, according to industry experts. These supplemental insurance plans help fill gaps in Original Medicare (Part A and Part B) coverage.
They must include all your Medicare Part A and Part B coverage (except hospice care, which is covered under Medicare Part A), but may offer additional benefits not included in Original Medicare. You generally cannot enroll in both a Medicare Advantage plan and a Medigap plan at the same time.