Medigap Insurance




Because Medicare won't cover all your health-care costs during retirement, you may want to consider purchasing a supplemental medical insurance policy called Medigap. Medigap is specifically designed to fill some of the gaps in your Medicare coverage.

When's the best time to buy a Medigap policy?
The best time to buy a Medigap policy is during your open enrollment period, since you can't be turned down or charged more because you are in poor health. If you are age 65 or older, your open enrollment period starts when you first enroll in Medicare Part B. Or, if you are not yet 65, your open enrollment period starts when you turn 65, and then lasts for six months. A few states also require that a limited open enrollment period be offered to Medicare beneficiaries under age 65.

If you don't buy a Medigap policy during your open enrollment period, you may not be able to buy the policy you want later.

Note: If you are currently age 62 or younger, you should be aware that your eligibility for Medicare may be affected by the increase in the normal retirement age for Social Security. Starting in 2000, the age for collecting full Social Security benefits will gradually increase from age 65 to age 67 over a 22-year period. This means that the age at which you can begin receiving Medicare benefits may be greater than 65 (if current law still applies) because the date you become eligible for Medicare is the date you reach normal retirement age. However, neither the Social Security Administration nor the Health Care Financing Administration has yet published information on how the change in normal retirement age will affect Medicare eligibility.

What does a Medigap policy cover?
Under federal law, only ten standardized plans can be offered as Medigap plans. All ten must cover certain services, no matter in which state you live. Medigap policies pay most, if not all, Medicare coinsurance amounts. Some also provide coverage for deductibles and services that are not covered by Medicare such as prescription drugs and preventive care.

Each Medigap policy is labeled with the letter "A" through "J". You can buy the Medigap plan that best suits your needs. Plan "A" is the basic benefit plan, while Plan "J" offers the most coverage. However, it is important to note that not all ten plans are available in every state.

What is Medicare SELECT?
Medicare SELECT is another Medicare supplemental health insurance product. It's almost identical to standard Medigap insurance. When you buy a Medicare SELECT policy, you are buying a standard Medigap plan. The only difference between a Medicare SELECT plan and a Medigap plan is that Medicare SELECT is a managed care plan. In order to be eligible for full benefits, you must use specific hospitals, and sometimes specific doctors. That's why Medicare SELECT premiums are usually lower than premiums for Medigap policies that do not require the use of managed care.

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Overview | Understanding The Basics | Types Of Insurance
Planning Considerations | Health Glossary

Please Note: The information contained in this Web site is provided solely as a source of general  information and resource.  It is a not a statement of contract and coverage may not apply in all areas or circumstances.  For a complete description of coverages, always read the insurance policy, including all endorsements.