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Pennsylvania Medicare Supplement Insurance

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Medicare Supplement Insurance In Pennsylvania

Pennsylvania Medicare Supplement InsuranceUsing 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, United American, United Healthcare (AARP), and several others.

Comparing Medicare Supplement Rates & Benefits

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. Plan F was the most popular policy, but since it’s unavailable to those who are new to Medicare in 2020 and beyond, Plans G & N are in demand.

Plan G provides great overall value in terms of benefits and premiums. It can usually be found for $25 less a month than Plan F. Considering the only difference between the two is Plan F covers the Part B deductible, Plan G makes good financial sense.

Plan N is also a great 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 may be your very best overall value.

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 insurance company you choose. And there are no network differences between different insurance companies either. If your doctor accepts Medicare, they will accept any traditional supplement you own. Our clients often ask that question. We want you to know your Medicare supplement does not determine who you can see for care.

Your monthly premiums are determined by your plan choice, zip code, age, gender, tobacco use, and spousal discount availability. We help our clients find not only the best prices but also 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.

Most Popular Medigap Insurance Plans F, G & N

Plans F, G and N are the three most popular plans. The simple reason is these plans are the most comprehensive. With all three, you know exactly what your out-of-pocket exposure will be each year. And you also know that it’s a small amount.

With Plan F, all of your gaps are covered. With Plan G, you have a small one-time deductible. And with Plan N, you have the same deductible as Plan G and small copays. None 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, the plans only differ in price.

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.

The other low-cost Medicare Supplement Plans in Pennsylvania are High Deductible Plan G and  F. You must meet a $3,470 annual deductible in 2023 before your coverage would begin, but Medicare will always pay its portion first.

Rates for High Deductible Plan G and F are extremely competitive and can be as low as $40 a month. We tend to see our healthiest clients enroll in the HD policies. Please remember that there are no guarantees you can upgrade your coverage later – medical underwriting will most likely be required to change insurance.

Six Month Medicare Open Enrollment Window

Choosing a Medigap PlanIf 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, the 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 best time for most to buy supplemental insurance. (FYI: Some carriers allow consumers to purchase a Supplement without medical underwriting up to a maximum of six months beyond their Part B effective date.)

Additionally, if you lose 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 in 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 required to enroll in Medicare Part B even if you stay on 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.

Supplemental Insurance For Those On Disability

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 the age of 65. It’s a good idea to explore all of your options when first eligible. Taking advantage of this unique PA rule can save you a lot in premiums.

If you miss your six-month open enrollment window, medical underwriting is likely required. This means 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 open enrollment window when they are first eligible. This makes 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.

Request Medigap Quotes, Information & Assistance

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 are happy to guide and educate you about all of your best options.

Contact us today!