The following seven tips to find the best Medigap 2025 policy come from the American Association for Medicare Supplement Insurance. They apply to men and women turning 65 and now eligible for Medicare. Also for those with Medicare looking for better Medigap coverage.
Deciding whether a Medigap policy is right for you involves several steps and considerations. Here’s some information to help you make a better informed decision.
If you are turning 65, it’s important to have a clear understanding of your three options. If you already are on Medicare, you’ve likely already made a choice. Your future ability to change may likely be different.
Firstly there is Original Medicare (Parts A and B). Original Medicare typically covers hospital stays, doctor visits, and some preventive services. But Original Medicare leaves beneficiaries (that’s you) responsible for various out-of-pocket costs. These include deductibles, copayments, and coinsurance. Understand exactly what gaps you risk and what costs can be involved.
Secondly there is Medicare Advantage (Part C). These are provided by insurance companies and health care entities. Not Medicare specifically. There can be lots of pros. These plans might have no premium costs. But there typically are going to be costs and limits. After all the insurance company expects to make a profit. So be sure to clearly understand what is involved if and when you need care. Because it’s likely that at some point you will.
Finally, there is Medigap. These plans sold to seniors with Medicare Parts A and B cover the gaps in A and B. They offer the option to see and get care from any medical provider that accepts Medicare. Many people like having this ability. If you get a terrible condition like cancer, you can go to the Mayo Clinic. You can’t do that with Medicare Advantage.
Consider your current health status and anticipated healthcare needs:
Medigap Plan G and N are the two most popular plan choices among seniors turning age 65. To see the latest data regarding Medigap Plan Choices at 65 check out studies by the Association.
Plan G offers extensive coverage, including all Medicare Part A and Part B coinsurance, the Part A deductible, and excess charges. This means beneficiaries have minimal out-of-pocket costs once they meet the Part B deductible. Due to its comprehensive coverage, premiums for Plan G tend to be higher compared to other Medigap plans, including Plan N.
Medigap Plan N generally has lower monthly premiums compared to Plan G. Thus it is a more budget-friendly option for those who do not frequently use medical services. For example, beneficiaries must pay copayments for certain office visits (up to $20) and emergency room visits (up to $50), which can add up if they require frequent medical care.
A knowledgeable Medigap insurance agent can help you better compare the two options.
Medicare is national. But Medigap is local. The number of insurers offering plans will vary based on where you live.
In Manhattan, New York City (Zip Code 10012), in 2024 the following 4 insurers offered Medigap Plan G plans.
In Dallas, Texas (Zip Code 75001) here are key insurers offering Medigap Plan G in 2024.
For the same plan type, premiums can vary widely between insurers based on factors like location, age, gender, and tobacco use.
Medigap Plan G for a female age 65 (non-smoker) in Manhattan, New York City (Zip Code 10012). Lowest Monthly Premium: $306.00 – Highest Monthly Premium: $605.88
For a female age 65 (non-smoker) in Dallas, Texas (Zip Code 75001). Lowest Monthly Premium: $104.34 – Highest Monthly Premium: $223.18
In Dallas Texas, insurers offered household discounts that ranged from zero to 10% annually. That makes asking about discounts vitally important.
Medigap insurers provide various discounts to help reduce the overall cost of premiums for policyholders. Here are some common types of discounts offered:
Historical data on rate increases can influence a beneficiary’s choice of Medigap plan. For instance:
Indeed the history of Medigap rate increases reveals several underlying factors that contribute to these changes:
Thus, it pays to ask for a history. Lastly understanding these drivers helps consumers grasp why rates may increase and prepares them for potential future changes.
Because Medicare plan choices are local, having someone locally to help you can be most valuable. Firstly, determine if the agent or broker is appointed with multiple Medicare insurance companies. Secondly, ask which ones. As you can see from above, there are multiple companies all interested in your business.
Lastly use the Association’s online directory to find local Medicare insurance advisors. It’s 100% free and completely private to use.
Access relevant Medicare insurance statistics and information using these links.
Another key report to check is the 2024 Medicare Supplement Price Index – PLAN G. See the lowest and highest premium rates for top-10 U.S. markets.
Secondly compare PLAN N Price Index rates. Lowest and highest rates for top-10 U.S. cities.
Especially research ways to find the best Medicare insurance plan.
Likewise valuable info is our Medicare Supplement insurance statistics – what plans people turning age 65 choose.
Lastly find best long-term care insurance costs – free insurance quotes.