Using our independent agency, you can compare Medicare supplement insurance rates in Pennsylvania direct from several different companies.
We provide quotes, renewal history, in depth Medicare education and direct enrollment online.
We work with dozens of providers, including: Aetna, American Continental, Central States Indemnity, Cigna, Equitable, Highmark, Humana, Liberty Bankers, Manhattan Life, Medico, Mutual of Omaha, New Era, Renaissance, Sentinel Life, Shenandoah Life, Transamerica, United American, United Healthcare (AARP), Western Catholic Union and several others.
The ten modernized Medigap plans to choose from are: A, B, C, D, F, G, K, L, M and N. Plan A provides coverage for only basic benefits while Plan F fills in all the gaps in Medicare.
In Pennsylvania, Plans F, G and N are popular when coupled with Part D prescription drug coverage. We used to see more interest in Plan F, but since it will be going off the market in 2020 for new beneficiaries, Plans G & N are gaining in popularity.
Plan G provides good overall value in terms of benefits and premiums. It can usually be found for about $25 less a month than Plan F. Considering that the only difference between the two is that Plan F covers the $183 Part B deductible, Plan G makes good financial sense.
Plan N is also a very good choice. It’s the only plan with copays – a maximum of $20 for an office visit and $50 for an emergency room visit. Doctors are not allowed to administer Part B Excess charges in Pennsylvania, so Plan N is very similar to Plan G. And it can be found for $20 less a month in many cases.
It’s important to know that a Plan G is a Plan G and a Plan N is a Plan N. All plans must cover the exact same benefits no matter the company you choose. And there are no differences in networks between companies either. If your doctor accepts Medicare, they will accept any traditional supplement you provide to them. Our clients ask that question often and we want them to know that the Medicare supplement they choose does not determine who they can see.
Your monthly premiums will be determined by your plan choice, zip code, age, gender, tobacco use and spousal discount availability. We help our clients find not only the best price, but also the companies with a history of small rate increases. By law, there are no extra costs whatsoever to place your business with a broker like us. You are always going direct.
In our experience, Plans F, G and N are the three most popular plans. The simple reason is that these three plans are the most comprehensive. With all three, you know exactly what your out of pocket exposure will be each year. And you know that it’s a very small amount.
With Plan F, all of your gaps are covered. With Plan G, you have a $183 one-time deductible. And with Plan N, you have the same deductible as Plan G and small copays. None of these three are cause for much concern. And in Pennsylvania, Plan C is the same in coverage as Plan F. The same is true of Plans D and G. Thus, these plans only differ in price by a few cents.
Some of the other plans like, A, B, K, L, and M offer more out of pocket exposure that’s not easily predictable. We don’t see a lot of demand for those five Medigap plans.
Another popular Medicare supplement is High Deductible Plan F. You must meet a $2,240 annual deductible in 2018 before this supplement kicks in, but Medicare will still pay its portion first. Rates for High Deductible Plan F are extremely competitive and can be as low as $30 a month in some areas. High Deductible Plan F in Pennsylvania is a good choice for those who want lower premiums and a fixed out of pocket exposure. We tend to see our healthiest clients enroll in the policy because there are not guarantees you can upgrade later. Medical underwriting will be required.
If you are soon to be enrolled in Medicare Parts A and B at age 65, you have a seven month open enrollment window. This time period includes the three months before, month of and the three months after your 65th birthday month.
No underwriting or waiting periods for preexisting conditions apply during this time. This is the right time for most to buy supplemental insurance. (FYI: Some carriers allow consumers to buy supplements without medical underwriting up to six months beyond their Part B effective date.)
Additionally, if you are losing group health insurance due to retirement or separation from employment, you are eligible to purchase most supplemental policies after age 65. Insurance companies will not offer all supplements on a guaranteed issue basis unless you are also newly enrolling into Medicare Part B. Many consumers keep working and maintain their group insurance beyond age 65. That’s okay.
What matters most is when you enroll (or are supposed to enroll) in Medicare Part B. The number of people on your group insurance determines what you should do. In most cases, when it’s under 20 employees, you are to enroll in Medicare Part B even if keeping your group plan. If you’re not sure, then it’s a good idea to talk with your HR folks, an insurance agent or anyone else who might be in the know.
Pennsylvania Facts: There are well over 1 million people over age 65 and close to 640,000 consumers who own a Medicare supplement policy in PA. Nearly 40% of eligible beneficiaries have Medicare Advantage coverage. You cannot have both a supplement and an Advantage plan. We offer both here and can help you understand the differences.
If you are eligible for Medicare due to disability, you will also be afforded a six month open enrollment window to enroll in a supplement, Advantage plan and/or Part D drug coverage. The state of Pennsylvania does not allow insurance companies to charge higher Medicare supplement rates for those under age 65. Many states do allow insurance companies to charge more when you’re under age 65, so it’s a good idea to explore all of your options when first eligible. Taking advantage of this unique rule can save you a lot in premiums.
If you miss your six month open enrollment window, medical underwriting may be necessary, and insurance providers can deny coverage. It’s a wise idea to explore all of your options during your six month open enrollment window when you are new to Medicare Part B. Too often we see consumers miss their unique open enrollment time period when they are first eligible. This can make it very difficult, if not impossible, to find coverage after the fact. Make sure you talk with an agent as soon as you know your Part B eligibility date.
We offer Medicare supplement insurance, Advantage plans and Part D drug coverage in all of Pennsylvania. Using our independent agency, you can compare the direct rates with several companies in one place. We will also be happy to guide and educate you about all of your best options.