MEDICARE SUPPLEMENTS

To help pay the costs that Parts A and B don’t cover, many people purchase Medicare supplement policies, or “Medigap” policies. These policies cover some or all of the expenses that Medicare Parts A and B do not cover. Ten standard plans are available, labeled “A” through “N.”

Medicare Supplement Insurance, or Medigap, is a type of health insurance policy sold by private insurance companies to complement Medicare policies. It covers common gaps in Medicare's standard insurance plans. Insured individuals pay monthly premiums for Medigap policies directly to the insurance provider.

Companies we partner with include:

  • AARP / UnitedHealthcare

  • Aetna

  • Anthem

  • Cigna

  • Humana

  • Medico

  • Mutual of Omaha

  • To make it easier for you to compare one Medicare Supplement policy to another, Indiana allows 8 standard plans to be sold. The plans are labeled with a letter, A through N. Plans H, I, and J are no longer offered, and Plans C and F are only available to people who were eligible for Medicare before January, 2020. There are high deductible versions of Plans F and G.

    These 8 plans (A, B, D, G, K, L, M, N) are standardized, which means that benefits will be the same no matter which company sells the policy to you. Plan A is the basic benefit package. Plan A from one company is the same as Plan A from another company. Since Medicare Supplement policies are standardized, you are free to shop for the company with the best price and customer service.

    Generally, Medicare Supplement policies pay most, if not all, Medicare copayment amounts, and policies may pay Medicare deductible amounts except for the Part B deductible. Although the benefits are the same for each standard plan, the premiums may vary greatly. Before purchasing a supplement policy, determine how the company calculates its premiums.

  • Medicare Supplement insurance is sold in 12 standard plans. Plans C and F are only available to people who were eligible for Medicare before January 2020.

    Pays Part A Hospital copayment ($400 per day for 61-90 days and $800 per day for 91-150 days in 2023)

    Pays for an additional 365 days of hospitalization after Medicare benefits end.

    Pays Part B copayment (usually 20% of the Medicare approved amount)

    You will have to pay part of the cost-sharing of some covered services until you meet the annual out-of-pocket limit. Plan K has a $6,940 (2023) out-of-pocket limit. Plan L has a $3,470 out-of-pocket limit (2023). Once you meet the annual limit, the plan pays 100% of the Medicare copayments, coinsurance, and deductibles for the rest of the calendar year. These amounts can change each year.

  • The initial amount Medicare does not pay for an inpatient hospital stay per benefit period ($1,600 in 2023).

  • The amount Medicare does not pay for days 21-100 in a skilled nursing facility ($200.00/day in 2023).

  • The initial amount Medicare will not pay for covered physical or other outpatient services each calendar year ($226 in 2023). Most people will pay $164.90 (2023) each month for the Part B Premium. Due to changes that were implemented in January 2020, the Part B deductible is not covered unless you were eligible for Medicare before January 2020.

  • Part B also covers preventive services at $0 copay and $0 deductible. These include welcome to Medicare physical exam, abdominal aortic aneurysm screening, annual wellness exam, bone mass measurement, cardiovascular disease screening, colorectal cancer screening, diabetes screening, mammogram screening, pap test/pelvic exam/clinical breast exam, vaccines, flu H1N1 flu, hepatitis B, pneumonia. Copay and deductible apply to glaucoma tests, HIV screening, Medicare nutrition therapy services, prostate cancer screening, smoking cessation counseling.

  • Medicare does not pay excess charges above its approved amount. This benefit covers the difference between the Medicare approved amount and the limiting charge (which is no more than 15% above the Medicare approved amount). This benefit pays either 80% or 100% of the Part B excess charges.