Policy Design

The best way to understand how a Medigap policy works for you is to understand where the gaps are in Medicare Parts A and B.

What are the potential out of pocket costs with Medicare A and B?

Out–of–Pocket Costs for 2014 from Medicare.gov

  • Part A – Hospital
    • Deductible - $1,216 for each benefit period*
    • Days 1-60: $0 coinsurance for each benefit period
    • Days 61-90: $304 coinsurance per day of each benefit period
    • Days 91 and beyond: $608 coinsurance per each "lifetime reserve day' after day 90 for each benefit period (up to 60 days over your lifetime).
    • Beyond lifetime reserve days: all costs
  • Part B – Medical Insurance
    • Premium – $104.900 is that standard Part B monthly premium (may be higher at certain income levels)
    • Deductible – $147 per year
    • Co–Insurance – 20% of all services after the deductible
    • Excess Charges – if you go to a doctor that does not accept Medicare assignment and they charge you more than the Medicare approved amount you are responsible for the difference.

Consumers should familiarize themselves with these potential costs and make a decision based on which expenses they would like insurance to protect them from.

Not to be confused with the letter's ascribed to Medicare (A, B, C, and D), Medicare Supplement policies are also designated by letters (A through N). Each plan has certain benefits and a Plan A is always a Plan A, a Plan F is always a Plan F, regardless of which insurance company chosen. The only exceptions to this rule are in Wisconsin, Minnesota, and Massachusetts. Residents of these states should contact a local agent or their department of insurance.

The following chart describes the benefits of available plans.

MedSup Chart

Have Questions?

If at any point you would like to speak with someone for more information,
contact 1-800-258-7041 or fill out our Request Information form!