California's Best Medicare Supplement Plans & Companies
California residents enrolled in Original Medicare have the option to enhance their Part A and Part B coverage by choosing from a range of Medicare Supplement (Medigap) Plans. In California, there are ten distinct plan options, each designed to cover varying out-of-pocket expenses.
In this article, we provide an in-depth analysis of the top California Medigap plans and insurance companies for 2024.
Table of Contents
What You Need to Know
- Private insurance companies offer Medicare Supplement Plans in California, not the government.
- Medicare Supplements are available in 10 different plan options, labeled A through N. Each plan offers a different level of Medicare coverage.
- Medicare Supplements are available to California residents 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 cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- Medicare Supplements do not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
- Average costs for a 65-year-old vary widely based on gender, tobacco use, where you live in California, and the coverage you choose.
- Medicare Supplements are not health insurance. They are indemnity insurance and have their own rules.
The 5 Best California Medigap Plans
There are ten distinct Medigap plans, A through N, all of which adhere to federal Medicare program standards.
For the 2024 plan year in California, the top-rated plans are Medicare Supplement Plan F, Plan C, Plan D, Plan G, and Plan N. These plans are considered the best because they provide the most comprehensive coverage.
However, the key question is, which one of these plans is the most suitable choice for you?
RELATED: What is the Difference Between Medicare Plan G and Plan N?
An effective way to gain insights into each of these ten plans is to refer to a Medicare Supplement Plan chart. This chart shows how each plan covers expenses such as Medicare Part A and Medicare Part B deductibles, coinsurance, and copayments.
NOTE: Medicare Part A and Medigap Plan A can be confusing, as are Medicare Part D and Medigap Plan D. Medicare benefits come in “parts,” whereas insurance companies sell “plans.”
Understanding Your Medigap Plan Options in California
Individuals covered by Medicare have unique requirements. Your age, gender, California zip code, utilization of medical services, choice of healthcare providers, emergency care needs, as well as your requirements for supplies and durable medical equipment all contribute to the factors you should take into account.
These elements are essential as they significantly impact your available plan choices. It's crucial to thoroughly evaluate your outpatient and inpatient care needs as part of this consideration.
When Best = Maximum Coverage Throughout California
Most Medicare experts agree Plan G is the optimal choice for California 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 California
- See All Companies Offering Plan G in California
When Best = Good Coverage & Monthly Savings
If you're enrolling in Medicare and find yourself in excellent health or in need of solid coverage but are concerned about the cost of Plan G, consider Medicare Supplement Plan N as a viable option. Plan N provides comprehensive coverage everywhere in California for inpatient hospital stays and most medical expenses.
Plan N is a suitable choice for healthy individuals due to its cost-sharing feature. In exchange for lower monthly premiums, beneficiaries in this plan are responsible for a modest copayment for doctor's office visits (up to $20) or emergency room visits (up to $50).
When Best = Cheapest Plan Available in California
Many California beneficiaries don't require comprehensive coverage or simply can't manage it in their budget. If you're concerned about the monthly premium burden, consult with your insurance agent regarding Medicare Supplement Plan K and the High Deductible Plan G (HDG).
RELATED: How Does High Deductible Plan G Work?
These two plan options represent the most economical choices available. Many well-informed California seniors prefer these plans over a Medicare Advantage plan.
Are Plan A, B, C, D, L and M Available in California?
In California, Medicare Supplement Plan A is the most basic coverage option available. Interestingly, in many areas, its cost surpasses that of Plan N. Would you pay more to get less coverage?
While Medicare Supplement Plan C and Plan D offer coverage similar to Plan G, they come with a higher price tag. Furthermore, akin to Plan F, Plan C is exclusively available to California beneficiaries who enrolled in Medicare prior to 2020.
It's important to note that only a handful of insurance companies in California offer Plan L or Plan M. They rarely pan out as a good option.
Health Insurance Company vs. Life Insurance Company: Which is Best?
Every Medicare Supplement Insurance provider operating in California 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.
California state laws may influence the plans offers, rating methods available, and enrollment qualification. Visit the California Department of Insurance website at http://www.insurance.ca.gov/ for more information.
Medicare Supplement Plan F Companies in California
Medicare Supplement Plan F (Medigap Plan F) is California’s most popular Medigap plan. Here are the 10 best companies that offer Plan F policies in California based on our reviews (click for details):
Required Benefits of Plan F in California
Medigap Plan F is standardized like all Medicare Supplement Plans in California. 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 California
Medicare Supplement Plan G (Medigap Plan G) is rapidly gaining popularity with California 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 California based on our reviews (click for details):
Required Benefits of Plan G in California
All Medigap plans in California, 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 California
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 California based on our reviews (click for details):
Required Benefits of Plan N in California
All Medicare Supplement Plans in California 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
You can apply for Medigap coverage in California during your Medigap Open Enrollment Period (OEP). Your OEP is a six-month period that begins when you enroll in Medicare Part B. Your Medicare eligibility date will determine which plan types are available to you.
Federal law grants you guaranteed issue rights during your Medigap Open Enrollment Period. You can get a Medicare Supplement Plan during this period, regardless of your health history and chronic health conditions. You cannot be turned down, and you can go with the company of your choice, so long as they sell policies in California.
California Medigap plan enrollees require the assistance of a licensed insurance agent. If you don't have an insurance agent, we recommend HealthCompare, an Allstate company. Call them at 1-855-728-0510 (TTY 711). They work with all of the top California insurance companies. There's no obligation.
Is a Medicare Supplement Insurance Plan Right for You?
Why You Should Consider a Medicare Supplement Insurance Plan:
- You expect the need for frequent healthcare services now and/or in the future and want to limit your deductibles and co-pays.
- You can afford the monthly premiums of Medicare Supplement Insurance and don't qualify for Medicaid.
- You want the freedom to choose your doctors and other Medicare providers without network restrictions.
- You need nationwide coverage and/or travel abroad.
- You are in your Initial Enrollment Period and have guaranteed issue rights to join a Medigap plan regardless of your health condition.
- You don’t want a Medicare Advantage plan and the hassle of referrals and pre-authorization to receive healthcare services.
Explore Alternatives to a Medicare Supplement When:
- You don’t expect the need for frequent healthcare now or in the future.
- You missed your Medigap open enrollment period and cannot pass medical underwriting to get the Medigap policy you want.
- You want a Medicare Advantage plan with low or no monthly premiums.
- You have Medicaid, TRICARE, VA, retiree benefits, or other coverage options that will pay for most of your Medicare out-of-pocket expenses.
- You prefer an HMO or PPO plan with a Part D prescription drug plan, Silver Sneakers, and routine dental, vision, and hearing care.
- You can adhere to the rules and restrictions of a Medicare Advantage plan.
Alternatives to California Medicare Supplement Plans
If you've determined that a California Medicare Supplement Plan isn't the best choice for your situation, or if none of the 10 plan types align with your budget, you have several alternative options to consider:
- You can choose to stick with Original Medicare, add a Medicare Part D plan to cover prescription drugs, and be responsible for all Part A and Part B deductibles, coinsurance, and copayments out-of-pocket.
- If you meet the qualifications for both Medicare and Medicaid or have a serious health condition, enrolling in a Medicare Advantage Special Needs Plan may be the best alternative.
- For individuals with VA health benefits, using healthcare services exclusively from the nearest VA hospital is an option. In such cases, the VA will bill Medicare and cover the remaining costs.
- Consider enrolling in a Medicare Advantage Plan with a low maximum out-of-pocket (MOOP) limit and affordable deductibles and copayments.
Your Medicare coverage decision is a crucial one, and it can greatly influence your healthcare and financial stability. It's essential to evaluate your individual requirements and priorities carefully. If you find yourself seeking more information or guidance on the choices accessible to you in California, don't hesitate to reach out to our preferred agency, HealthCompare, at 1-855-728-0510 (TTY 711). They can provide personalized support, ensuring that you make an informed choice that aligns with your unique healthcare needs and preferences.
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.
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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