Best Maryland Medigap Medicare Supplement Plans
In this Article
A Medigap plan can help you pay some out-of-pocket costs in Original Medicare (Parts A and B). In this article, you will discover what Medicare Supplement plans in Maryland cost, which Medicare plans are available, the gaps each plan fills, when and how to enroll, how to avoid underwriting, and how to get discounts and premiums on Medicare supplemental insurance where you live.
What You Need to Know
- Medicare supplemental insurance policies in Maryland are offered by private insurance companies and are designed to help cover some of the out-of-pocket costs not covered by Original Medicare.
- Maryland supplemental insurance policies are standardized, meaning each plan letter offers the same basic benefits regardless of the insurer.
- Medicare supplemental insurance is available to Maryland residents at age 65 and over who have enrolled in both Medicare Part A and Part B.
- All supplemental plans offer coverage for Medicare Part A coinsurance and hospital costs, Medicare Part B copayments and/or coinsurance, and the first three pints of blood.
- All but two supplements cover the Medicare Part A deductible and Skilled Nursing Facility coinsurance.
- Supplemental insurance policies do not cover long-term care, vision, dental, hearing aids, or private-duty nursing.
- Policies are available in 10 different plan options, labeled A through N.
- Medicare SELECT plans require enrollees to use a local Maryland provider network.
- Some insurers offer a household discount when both you and your spouse have a policy.
Do You Need a Medigap Plan in Maryland?
Even though Medicare Part A and Part B (Original Medicare) will pay about 80% of all medically necessary healthcare costs, you are responsible for the remaining 20%. These health bills come to you as deductibles, coinsurance, and copayments, and they can add up fast.
Most Medicare-approved health services have a deductible and/or a copayment or coinsurance. If you need hospital inpatient care, out-of-pocket expenses are considerable, creating bills most Maryland seniors simply can't afford.
For instance, the Medicare Part A deductible is $1,600 per benefit period. Plus, you are responsible for 20% of all Part B medical costs.
That's where supplemental Medicare coverage in Maryland comes in. Supplemental insurance, or Medigap, helps you with these Medicare coverage expenses. It's called Medigap because it fills many of the cost gaps in Original Medicare.
Also See: Is Supplemental Medicare Insurance a Waste of Money?
Is a Medicare Supplement Right for You?
Yes, if you:
- Expect the need for frequent healthcare services now and/or in the future and want to limit your deductibles and co-pays.
- Can afford the monthly premiums of Medicare Supplement insurance and don't qualify for Medicaid.
- Want the freedom to choose your doctors and other Medicare providers without network restrictions.
- Need nationwide coverage and/or travel abroad and need coverage for emergency care.
- Are in your initial enrollment period and have guaranteed issue rights to join a plan regardless of your health condition.
- Don’t want a Medicare Advantage plan and the hassle of referrals and pre-authorization to receive services.
No, if you:
- Don’t expect the need for frequent healthcare now or in the future.
- Missed your Medigap open enrollment period and can't pass medical underwriting to get the Medigap policy you want.
- Want a Medicare Advantage plan with low or no monthly premiums.
- Have Medicaid, VA, or retiree benefits that will pay for most of your Medicare out-of-pocket expenses.
- Prefer an all-in-one HMO or PPO plan that includes a Part D prescription drug plan, SilverSneakers, and routine care for dental, vision, and hearing.
- Can adhere to the rules and restrictions of a Medicare Advantage.
Benefits of Medicare Supplemental Insurance in Maryland
All Medicare Supplement insurance carriers in Maryland are required to follow both federal and state laws designed to protect you. Insurers must offer the standardized Medigap plans identified by letters A through N.
For example, a Plan F from Aetna Medicare has exactly the same health coverage as a Plan F from Mutual of Omaha, AARP Medicare, United Healthcare, Humana, Cigna, or Blue Cross Blue Shield. This is what makes Medigap plans easier to compare vs. an HMO or PPO style plan through Medicare Advantage.
Medicare Supplement policies may include the following benefits:
- Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
- Part A inpatient deductible
- Part A hospice care coinsurance or copayment
- Skilled nursing facility care and hospice care coinsurance
- Part B deductible
- Part B coinsurance or copayment
- Part B excess charges
- The first three pints of blood
- Foreign travel emergency services
- Out-of-pocket limits
By looking at the chart below you can easily make a Medicare Supplement plans comparison.
There are two plan types with a high-deductible option, Plan F and Plan G. If you choose this option, this means you pay all Medicare-covered out-of-pocket costs up to the annual deductible amount before your Medigap plan pays anything.
Related: 9 Facts About High Deductible Plan G and How it Works
Insurance companies are free to choose their plans, although Maryland state laws might affect which ones they can offer. For more information, visit the Maryland Department of Insurance website at http://www.mdinsurance.state.md.us/.
Most Popular Medigap Plans in Maryland
A Medigap plan is gap coverage you can buy from a private insurance company. A Medigap policy will lower or eliminate your hospital coverage (Medicare Part A) and medical coverage (Medicare Part B) costs.
The three best-selling Medigap plans in Maryland are Plan F, Plan G, and Plan N, the latest plan. The coverage they provide is what makes them the most popular. They offer the best protection against Original Medicare's out-of-pocket costs.
Plan F covers all gaps in Original Medicare. Plan G covers all gaps except the Part B deductible. And Plan N doesn't cover the Part B deductible or Part B excess charges. It also has a small copay when you see your doctor or use the emergency room.
NOTE: You do not qualify for Plan F if you became eligible for Medicare on or after January 1, 2020. Plan G is the most comprehensive coverage new Medicare beneficiaries can buy. The good news is that Medicare G plans cost less than F, even when you factor in the deductible Plan G does not cover.
- Best Medicare Supplement Plan F in Maryland
- Best Medicare Supplement Plan G in Maryland
- Best Medicare Supplement Plan N in Maryland
Also See: Medicare Plan F vs Plan G: Which is Better in 2023?
Looking for a different Medicare Supplement plan? Ask us for a free Medigap Rate Comparison Report in Your Area on the plans that interest you.
Top 10 Plan F in Maryland
Medicare Supplement Plan F is the most popular Medigap plan available in Maryland. Here are the 10 best Plan F policies available in Maryland based on our reviews (click for details):
Top 10 Plan G in Maryland
Medicare Supplement Plan G is rapidly gaining popularity with Maryland seniors. With Plan F no longer available to new Medicare beneficiaries, Plan G is the new gold standard. Here are the 10 best Medigap Plan G policies available in Maryland based on our reviews (click for details):
Top 10 Plan N in Maryland
Medicare Supplement Plan N is similar to Plan D, but covers Medicare Part B coinsurance costs differently. Due to its lower cost and good coverage, it's catching the attention of many Maryland seniors. Here are the 10 best Medigap Plan N policies available in Maryland based on our reviews (click for details):
Cost of Medigap Plans in Maryland
The Medicare.gov website shows the average cost of Medicare supplemental insurance in Maryland on the plan finder page. What the tool does not show is the exact price, the rate increase history for Medigap plans, AM Best rating score, and household discounts.
Our FREE Medicare Supplement Plan Rate Quote Service gives you your exact cost on all carriers, discounts, ratings, rate increase history, and more.
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).
How to Choose the Right Medicare Supplemental Insurance
Maryland is a diverse state and individuals on Medicare in Maryland have diverse needs. Age, gender, zip code, use of medical services, providers, emergency care, supplies, and durable medical equipment are all factors consumers need to consider.
All of these things play a role in the plan types you should consider. Let's explore how to find the best plan for you.
When "Best" Means "Most Coverage Available"
If you are signing up for Medicare with chronic health issues, or if you have done a good job saving for your retirement, most experts agree that Plan G is the best option in Maryland. It offers the most coverage you can buy if you're getting your Medicare benefits in 2023.
When "Best" Means "Good Coverage and Monthly Savings"
If you are signing up for Medicare in excellent health, or if you need good coverage but can't handle the cost of Plan G, Plan N is a good option. Plan N offers comprehensive inpatient coverage for hospital stays, while also covering most medical care expenses.
When "Best" Means "Lowest Cost Coverage"
Not everyone in Maryland can afford or needs the comprehensive coverage provided by Plans F, G, and N. When the amount of your monthly premium is a concern, ask your insurance agent to give you advice about Plan K and High Deductible Plan G (HDG). These are the two lowest-cost plans available.
Medicare Supplement Eligibility Requirements
You can apply for supplemental Medicare insurance in Maryland during your Medigap Open Enrollment Period (OEP). Your OEP is a six-month window of time that begins at age 65 when you enroll in Medicare Part B.
Federal law guarantees your right to buy insurance during your OEP. This Medigap protection will allow you to choose the Medicare Supplement plan that best suits your needs, regardless of your health history or chronic health conditions.
Once your open enrollment period is over, getting Medicare supplemental insurance is more difficult. This is one of the disadvantages of Medicare supplemental insurance.
An insurance company can ask you health questions, charge you a higher premium, or reject your application due to your health history. The carrier also has the option to offer coverage with a six-month waiting period before your coverage begins.
NOTE: You are not eligible for Medicare at 62 if you retire early to go on Social Security.
Maryland Enrollment Process for Medicare Supplements
Maryland Medigap plan enrollees require the assistance of a licensed insurance agent. Before you can apply, you need to be enrolled in both Medicare Part A and Part B. You can do this through the Social Security Administration website, or by calling them directly at 800-772-1213.
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 major Maryland plans. There's no obligation.
Another option is your local SHIP. The State Health Insurance Assistance Programs (SHIPs) provide free, one-on-one insurance counseling and assistance to Medicare beneficiaries. Maryland's SHIP is available by phone (1-800-243-3425 (in state only); (844) 627-5465 (out of state)) or through their website.
Adding a Medicare Prescription Drug Plan
In the past, Medicare Supplements sold in Maryland were allowed to add extra benefits, including prescription drug coverage. This is no longer the case.
The only way to get coverage on prescriptions with a Medigap policy now is to get a Maryland Medicare Part D plan. In most areas of Maryland, basic prescription drug plans start at less than $20 per month.
Maryland Medicare Supplements vs. Medicare Advantage
It's natural to compare Medicare supplemental insurance products with other health insurance plans, like Medicare Advantage. On the surface, Medicare Advantage plans appear to cost less. And, in some cases, they do save money. However, the out-of-pocket expenses in most Maryland Medicare Advantage plans are as much or more than Original Medicare. The difference is that Medicare Advantage plans have an out-of-pocket maximum.
Can I Get a Policy If I'm On Medicaid in Maryland?
It is not legal for a health insurance company or insurance agents licensed in Maryland to sell individuals a Medigap policy if you have Medicaid benefits.
If you can't afford a Medigap plan or the co-insurance costs in a Medicare Advantage plan, there is a third option. Many areas of Maryland have access to dual-eligible Medicare Special Needs Plans (D-SNP). If you qualify for both Medicare and Medicaid, a Maryland Special Needs Plan plan might be your best option.
What About Dental, Vision, and Hearing Benefits?
We all need routine dental care and dental restoration work as we age, but it's not covered by Original Medicare or a Medigap plan. For coverage, you'll need a stand-alone Maryland dental insurance policy.
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).
Frequently Asked Questions (FAQs)
It's different for everyone who applies. Monthly premiums on Maryland Medigap plans are based on your age, gender, zip code, tobacco use, and more. Use our Free Medigap Quote Service to find the lowest price Plan G and discounts in your area.
Here are your top choices in Maryland:
- Thrivent
- AARP
- Cigna
- MassMutual
- CareFirst BlueCross BlueShield
Citations & References
medicare.gov- Medicare.gov: the official U.S. government site for Medicare | Medicare https://www.medicare.gov/
- Medicare costs at a glance | Medicare https://www.medicare.gov/your-medicare-costs/medicare-costs-at-a-glance
- Find a Medigap policy that works for you https://www.medicare.gov/find-a-plan/questions/medigap-home.aspx
- Drug coverage (Part D) | Medicare http://www.medicare.gov/part-d/index.html
- The United States Social Security Administration https://www.ssa.gov/
- Medicare Benefits | SSA https://www.ssa.gov/benefits/medicare/
The Medicare insurance plans and Medicare Supplement companies on this page originate from CMS Data Files. Content is maintained by David Bynon, and was last updated on .