Washington's Best Medicare Supplement Plans & Companies
Washington residents on Original Medicare can supplement their Part A and Part B coverage with Medicare Supplement Insurance (Medigap plans). There are ten different plan options available in Washington. Each plan pays different out-of-pocket costs.
This article breaks down the best Medigap plans and insurance companies in Washington for 2024.
Table of Contents
What You Need to Know
- Washington Medigap plans are offered by private insurance companies, not the government.
- There are 10 different plan options available, labeled A through N, each providing a different level of Medicare coverage.
- Washington residents become eligible for Medigap coverage at age 65.
- All plans offer coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B copayments or coinsurance, and the first three pints of blood.
- Most plans also cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- It's important to note that Medigap does not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
- The average costs for a 65-year-old can vary significantly based on factors such as gender, tobacco use, your location in Washington, and the level of coverage you select.
- Medigap policies are not classified as health insurance; they fall under indemnity insurance and operate under their own set of rules.
The 5 Best Washington Medigap Plans
There are 10 different Medigap plans. Plans are labeled A through N and standardized by the federal Medicare program.
The best plans in Washington for the 2024 plan year are Medicare Supplement Plan F, Plan C, Plan D, Plan G, and Plan N. They are the best because they offer the most coverage.
But is one of these plans the best for you?
A good way to understand each of the 10 plans is to look at a Medigap plan chart, which shows how each plan helps Washington residents pay their Medicare Part A and Medicare Part B deductibles, coinsurance, and copayments.
NOTE: Medicare Part A and Medigap Plan A sound similar. However, they are different, as are Medicare Part D and Medigap Plan D. Medicare organizes its benefits in “parts,” whereas private insurance companies sell “plans.” The topics are easily confused.
Understanding Your Medigap Plan Options in Washington
Every Medicare beneficiary has unique requirements. Your age, gender, Washington zip code, utilization of medical services, preferred healthcare providers, emergency care needs, and necessities for medical supplies and durable equipment all contribute to the factors you must consider.
These factors play a significant role in determining your available plan options. It's essential to carefully assess your needs for outpatient and inpatient care when deciding.
When Best = Maximum Coverage Throughout Washington
Most Medicare experts agree Plan G is the optimal choice for Washington beneficiaries enrolling in Medicare with one or more chronic health conditions. It provides the highest level of coverage available for those who become eligible for Medicare on or after January 1, 2020.
IMPORTANT: While offering more extensive coverage than Medicare Supplement Plan G, Plan F comes with a notably higher cost and is exclusively available to those who qualified for Medicare before 2020.
- Get Plan F and Plan G Quotes in Your Zip Code
- See All Companies Offering Plan F in Washington
- See All Companies Offering Plan G in Washington
When Best = Robust Coverage & Monthly Budget Benefits
If you are signing up for Medicare in excellent health or need good coverage but can't handle the cost of a Plan G policy in Washington, Medicare Supplement Plan N is a good option. Plan N offers comprehensive inpatient coverage for hospital stays while also covering most medical care out-of-pocket costs.
Plan N is a good option for healthy individuals because there’s cost-sharing. In exchange for lower monthly premiums, enrollees in this plan pay a small copay for doctor office visits (up to $20) or use the emergency room (up to $50).
When Best = Lowest Cost Coverage in Washington
Not everyone in Washington needs or can afford comprehensive coverage. When your monthly premium amount is a concern, ask your insurance agent to advise you on Medicare Supplement Plan K and High Deductible Plan G (HDG).
These are the two lowest-cost plans available. Many savvy Washington seniors prefer these plan options over a Medicare Advantage plan.
Are Plan A, B, C, D, L and M Available in Washington?
Medicare Supplement Plan A is the most basic plan sold in Washington. Even so, in many areas, it costs more than Plan N. Why would you pay more to get less?
Medicare Supplement Plan C and Plan D offer coverage similar to Plan G but also cost more. Plus, like Plan F, Plan C is only available to Washington beneficiaries who enrolled in Medicare before 2020.
Only a few Washington insurance companies offer Plan L or Plan M.
What Makes One Insurance Company Better than Another?
Every Medicare Supplement Insurance provider operating in Washington is bound by federal and state insurance regulations. They are required to offer the standardized Medigap plans identified by letters A through N.
For example, a Plan F policy from Aetna Medicare covers the same out-of-pocket costs as a Plan F policy from Mutual of Omaha, United Healthcare, Humana, Cigna, or Blue Cross Blue Shield. This standardization simplifies the comparison of Medigap plans, setting them apart from the variability often found in Medicare Advantage plans.
The crucial difference is the financial strength and quality of the carrier and how they rate their plan for annual premium increases. It's critical to do your research and get the rate increase history on the company you're considering.
Washington state laws may influence the plans offers, rating methods available, and enrollment qualification. Visit the Washington Department of Insurance website at http://www.insurance.wa.gov/ for more information.
Medicare Supplement Plan F Companies in Washington
Medicare Supplement Plan F (Medigap Plan F) is Washington’s most popular Medigap plan. Here are the 10 best companies that offer Plan F policies in Washington based on our reviews (click for details):
Required Benefits of Plan F in Washington
Medigap Plan F is standardized like all Medicare Supplement Plans in Washington. Insurance carriers are required to cover certain benefits. Plan F is the most comprehensive plan because it covers all gaps in Original Medicare.
Although Original Medicare does not cover foreign travel medical emergencies, Plan F does (up to 89%). In addition to this extra benefit, companies may offer limited additional features. One example is Physician Mutual’s Preventive Care and Hearing Loss Testing benefits.
Medicare Supplement Plan G Companies in Washington
Medicare Supplement Plan G (Medigap Plan G) is rapidly gaining popularity with Washington seniors. With Plan F no longer available to new Medicare beneficiaries, Plan G is the new gold standard. Here are the 10 best insurance companies that offer Medigap Plan G policies in Washington based on our reviews (click for details):
Required Benefits of Plan G in Washington
All Medigap plans in Washington, including Medigap Plan G, are standardized. Insurance companies must provide the standard coverage. Plan G covers all gaps in Original Medicare except the Part B deductible. And it only covers 80% of foreign travel medical emergencies that fall within your policy’s limits.
Companies may offer additional features like UnitedHealthcare’s fitness program, Renew Active, or the Silver Sneakers fitness program.
Medicare Supplement Plan N Companies in Washington
Medicare Supplement Plan N is similar to Plan D (not to be confused with Medicare Part D) but covers Medicare Part B coinsurance costs differently. Due to its lower cost and good coverage, it's catching the attention of many Arizona seniors. Here are the 10 best insurance companies that offer Medigap Plan N policies in Washington based on our reviews (click for details):
Required Benefits of Plan N in Washington
All Medicare Supplement Plans in Washington are standardized, including Medigap Plan N. Like Plan G, Plan N does not cover the Part B deductible. It also does not cover Part B excess charges. But it does cover 80% of foreign travel medical emergencies up to the policy’s limits.
Medicare limits the types of extra benefits companies can offer. One excellent additional benefit is UnitedHealthcare’s NurseLine, which lets you talk to an experienced nurse, day or night.
Medicare Eligibility for Medicare Supplement Plans
In Washington, you have the opportunity to apply for a Medicare Supplement Plan during your Medigap Open Enrollment Period (OEP). This six-month period commences upon your enrollment in Medicare Part B. Your Medicare eligibility date determines your available plan types.
Under federal law, you are granted guaranteed issue rights throughout your Medigap Open Enrollment Period. This means you can secure a Medigap plan during this period, regardless of your health history or chronic health conditions. You can apply with any insurance company in Washington that sells Medicare Supplement Insurance.
Enrolling in a Medicare Supplement Plan in Washington typically involves assistance from a licensed insurance agent. If you don't have an insurance agent, we recommend HealthCompare, an Allstate company. You can reach them at 1-855-728-0510 (TTY 711). They sell policies from the leading insurance companies nationwide, and there's no obligation.
Is a Medicare Supplement Right for You?
Consider a Medicare Supplement Insurance Plan If:
- You anticipate the need for frequent healthcare services, both presently and in the future, and wish to limit deductibles and co-pays.
- You have the financial means to afford the monthly premiums associated with Medicare Supplement Insurance, and you do not qualify for Medicaid.
- You value the flexibility to select your healthcare providers and doctors under Medicare without any network restrictions.
- You require nationwide coverage or have plans to travel abroad.
- You are in your Initial Enrollment Period and possess guaranteed issue rights, enabling you to join a Medigap plan regardless of your current health condition.
- You prefer not to enroll in a Medicare Advantage plan and want to avoid the complexities of referrals and pre-authorization for healthcare services.
Consider Alternatives to a Medicare Supplement If:
- You do not anticipate needing frequent healthcare services at present or in the future.
- You missed your Medigap open enrollment period and cannot pass medical underwriting to obtain your preferred Medigap policy.
- You prefer a Medicare Advantage plan with low or zero monthly premiums.
- You have Medicaid, TRICARE, VA benefits, retiree benefits, or other coverage options that cover most of your Medicare out-of-pocket expenses.
- You favor an HMO or PPO plan, coupled with a Part D prescription drug plan, Silver Sneakers, and routine dental, vision, and hearing care.
- You can comply with the rules and limitations of a Medicare Advantage plan.
Alternatives to Washington Medicare Supplement Plans
If you have determined that a Washington Medicare Supplement Plan is not the right fit for your needs, or if none of the 10 plan types align with your budget, there are several alternative options:
- Opt to stay with Original Medicare, add a Medicare Part D plan to get prescription drug coverage, and cover all Part A and Part B deductibles, coinsurance, and copayments out-of-pocket. Please note: This approach carries significant financial risk, regardless of your current health status.
- If you meet the qualifications for both Medicare and Medicaid or have a serious health condition, consider enrolling in a Medicare Advantage Special Needs Plan.
- If you are enrolled in the VA health system, you can receive all your healthcare services from your nearest VA hospital. In such cases, the VA will bill Medicare and cover the remaining costs.
- Explore the option of enrolling in a Medicare Advantage Plan featuring a low maximum out-of-pocket (MOOP) limit and reasonable copayments.
As you explore these Medicare coverage alternatives, remember that the choice you make can have a significant impact on your healthcare and financial well-being. Take the time to assess your unique needs and preferences. Should you require further clarity or assistance in navigating the options available to you in Washington, don't hesitate to reach out to our preferred agency, HealthCompare, at 1-855-728-0510 (TTY 711).
Next Steps
The next step is to get a FREE Medigap Rate Comparison Report. It will arm you with all of the information you need to make an informed decision.
Get Your Free Medicare Supplement Rate Comparison
MedicareWire is a Medicare consulting agency. We are not insurance agents. Our job is to help people navigate Medicare without marketing interference.
Our free report will show you rates from all carriers without a sales pitch. No Calls. No Email Spam. No Kidding!
If you would prefer to speak with an agent, our preferred, nationwide agency is HealthCompare, an Allstate company. Give them a call at 1-855-728-0510 (TTY 711).
Citations & References
- Costs of Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- What's Medicare Supplement Insurance (Medigap)?, Medicare.gov, Last Accessed October 4, 2023
- Find a Medigap policy that works for you, Medicare.gov, Last Accessed October 4, 2023
- How to compare Medigap policies, Medicare.gov, Last Accessed October 4, 2023
- How Original Medicare works, Medicare.gov, Last Accessed October 4, 2023
- Your Medicare coverage choices, Medicare.gov, Last Accessed October 4, 2023