How Medigap Plans Changed in 2013
Legislation significantly changed Medigap Insurance Plans in 2013, but you may keep any plan that you purchased before June 1, 2010 and its benefits are not subject to change.
You may want to change to one of the new Medigap Plans because the benefits and premiums may fit your needs and budget better than the previously available Medigap Plans.
Medigap Plans effective on or after June 1, 2010 cover Hospice Part A coinsurance, which is outpatient prescriptions and inpatient respite care coinsurance. Plan K covers 50 percent and Plan L covers 75 percent of Hospice Part A coinsurance.
Plans K, L and N require you to pay a portion of Medicare Part B coinsurance. These three plans offer lower premiums than all other Medigap Plans, which pay 100 percent of Part B coinsurance and copayments.
The two new Medigap Plans, M and N, are available. Plans E, H, I and J are no longer being sold, but you may keep any of these plans that you already have and their benefits remain unchanged.
In addition, the new versions of Plans D and G have different benefits than the Plans D and G that were sold before June 1, 2010.
Any insurer selling Medigap Plans must provide Plan A and either Plan C or F. Otherwise, insurers can choose which plans to offer for sale. That means all types of Medigap Plans may not be available in your state. If you reside in Massachusetts, Minnesota or Wisconsin, please see pages 12 through 15 for details about the Medigap Plans available in those states.
Medigap Plans Currently Available
Do Medigap Plans Have High-deductible Options?
Plan F offers a high-deductible option. That means you must pay for Medicare insurance covered costs up to the deductible amount of $2,000 in 2010 before your Medigap Plan pays for anything.
After you meet your out-of-pocket yearly limit, and your yearly Part B deductible, the Medigap Plan pays 100 percent of covered services for the rest of the calendar year.
The out-of-pocket limit is the maximum amount you would pay for coinsurance and copayments.
Note that Medigap Plans cover coinsurance only after you have paid the deductible unless the Medigap Plan also covers the deductible.
May I Switch from One Medigap Plan to Another after Enrolling?
You may downgrade or reduce your coverage by changing to a Medigap Plan that has fewer benefits than your current plan at any time upon request.
A new application is required in order to upgrade your coverage by changing to Medigap Plan with more benefits. That means medical underwriting questions about your health must be answered in order to request upgraded coverage.