cost of medicare supplement

The cost of supplemental health insurance for seniors depends on what you are looking for: supplemental health insurance plans designed for seniors or Medicare Supplement plans? Although they may seem similar at first glance, these plans are very different. Before we give you the cost of supplemental health insurance for seniors, let’s review the differences between these two plans.

Senior Supplements

Supplemental health insurance for seniors, which is sold by private health insurance companies, is an addition to existing healthcare coverage that’s designed specifically to meet seniors’ needs. Supplemental health insurance for seniors, which can be purchased at any time, includes coverage such as dentalvision, and hearing plans. It’s important to note that senior supplement plans are not Medicare plans.

Medicare Supplement Plans (Medigap)

Medicare Supplement plans, also known as Medigap, are designed to fill the coverage “gaps” in Original Medicare (Part A and Part B) benefits. Like Medicare’s “parts,” each plan offers different benefits and has a different premium amount. These plans cover healthcare expenses that Medicare doesn’t pay for such as coinsurance and deductibles. But, Medigap plans do not cover dental, vision, or any other supplemental health insurance benefits.

What Is the Cost of Supplemental Health Insurance for Seniors?

The average cost of supplemental health insurance for seniors will depend on where you live, the health insurance company, type of plan, and benefit level you select. While these amounts will vary greatly, we can still give you an idea what you may spend. These average monthly premium price can range from $150 to $200.1

How Much Do Supplemental Medicare Plans Cost?

The average cost of Medicare Supplement plans varies because health insurance companies have three ways that they price these plans:

  • Community-rated: Premiums are not rated based on your age.
  • Issue-age-rated: The monthly premium will be based on the age at which you purchased the policy.
  • Attained-age-rated: Premiums will increase with age.

Prices vary between insurance companies and regions. But, as a general reference, below is the average monthly premium ranges for 2021 individual Medigap plans in Florida:2

Medigap Plan Monthly Premium Range*
A $134-$196
B $168-$218
C $182-$249
D $185-$230
F $182-$250
F (High Deductible) $51-$91
G $167-$215
G (High Deductible) $51-$83
K $57-$116
L $116-$171
M $171-$192
N $124-$182

*Pricing varies based on location and personal health information. The above ranges are based on 2021 plans available to a 65-year-old, non-smoking woman living in Florida’s 32162 ZIP code.

Do You Really Need Medicare Supplemental Insurance?

Don’t just focus on the premium cost of a Supplemental Medicare plan. The least expensive plan may not offer all of the “gap” coverage you expect. Before deciding on a plan simply because of the average cost of supplemental Medicare insurance, make sure you are comparing the benefits each plan offers, too.

Medigap Benefits Plan A Plan B Plan C Plan D Plan F Plan G Plan K Plan L Plan M Plan N
Part A coinsurance and hospital costs up to an extra 365 days after Medicare benefits are used up 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Part B coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%***
Blood: first 3 pints 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Part A hospice care coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Skilled nursing facility care coinsurance No No 100% 100% 100% 100% 50% 75% 100% 100%
Part A deductible No 100% 100% 100% 100% 100% 50% 75% 50% 100%
Part B deductible No No 100% No 100% No No No No No
Part B excess charge No No No No 100% 100% No No No No
Foreign travel exchange up to plan limits No No 80% 80% 80% 80% No No 80% 80%
Out-of-pocket limit** N/A N/A N/A N/A N/A N/A $6,620 $3,310 N/A N/A
**The plan pays 100% of the costs for covered services for the calendar year after the out-of-pocket yearly limit and yearly Part B deductible has been met.

***Plan N’s Part B coinsurance is covered at 100%, except for up to $20 in copayment for some doctor’s office visits and up to $50 in copayment for emergency room visits that don’t require inpatient admission.

What Is the Best Supplemental Medicare Plan?

There’s no single supplemental health insurance plan for seniors that fits everyone. But there is most likely a plan that will fit your specific needs. HealthMarkets can make finding a plan easy. Get a quote for supplemental health insurance for seniors, at no cost to you. You can also call (800) 488-7621 to speak to a licensed insurance agent.

48203-HM-1221

References

1. “A Snapshot of Sources of Coverage Among Medicare Beneficiaries in 2018.” KFF. March 2021. Retrieved from https://www.kff.org/medicare/issue-brief/a-snapshot-of-sources-of-coverage-among-medicare-beneficiaries-in-2018/ | 2. “Supplement Insurance (Medigap) plans in Florida.” Medicare.gov Retrieved from https://www.medicare.gov/medigap-supplemental-insurance-plans/#/m/plans?fips=12083&zip=32162&year=2022&lang=en Accessed 11/10/21.

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