New York Medigap Plans: What's the Difference?
Most seniors agree that Original Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage., combined with one of the top three Medigap plans, offers the very best Medicare health insurance coverage New York seniors can get. But, which Medicare supplement is right for you?
The answer to that question is complex. What's best for you is very different than what's best for your spouse or your neighbor. It all comes down to your finances (what you can afford) and your health (how much risk you can take). At MedicareWire is a Medicare insurance consulting agency. We founded MedicareWire after seeing and hearing how confusing and frustrating it is to find, understand, and choose a plan. Our services are free to the consumer., we believe most seniors can narrow their search to three plans: F, G, and N. Read on and we'll explain why.
Top 3 Medicare Supplements in New York
Looking for the three best Medigap plans available in New York? They are Medicare Supplement Plan F is the most comprehensive Medicare supplement plan available. This plan covers all Original Medicare deductibles, coinsurance, and copayments, leaving you with no out-of-pocket costs on all Medicare-approved services., If you're turning age 65 this year, Medicare Supplement Plan G is the most comprehensive Medicare supplement you can buy. It's also the most popular. You might be thinking that Medicare Supplement Plan F is..., and Medicare Supplemental Plan N is one of the ten standardized Medigap plans. Although it is one of the newest plans available, Medicare Plan N is quickly becoming a favorite with Baby Boomers aging into their.... Here are the 10 best insurance companies that offer these plans:
- 10 Best Medicare Supplement Plan F in New York
- 10 Best Medicare Supplement Plan G in New York
- 10 Best Medicare Supplement Plan N in New York
Looking for a different plan? Compare the best Medicare supplement plans in New York. You can also write a Medicare supplement review and let others know about a good or bad experience with a particular carrier.
New York Medicare Supplement Plan F Comparison Chart
Medicare Supplement Plan F is the most popular Medigap plan available in New York. Here are the 10 best Plan F policies available in New York based on our reviews (click for details):
New York Medicare Supplement Plan G Comparison Chart
Medicare Supplement Plan G is rapidly gaining popularity among New York seniors. With Plan F going away in 2020, it is expected to be the new gold standard. Here are the 10 best Medigap Plan G policies available in New York based on our reviews (click for details):
New York Medicare Supplement Plan N Comparison Chart
Medicare Supplement Plan N is similar to Plan D, but covers Medicare Part B Coinsurance is a percentage of the total you are required to pay for a medical service. costs differently. Due to its lower cost and good coverage, it's catching the attention of many New York seniors. Here are the 10 best Medigap Plan N policies available in New York based on our reviews (click for details):
About our New York Supplemental Medicare Insurance Reviews
The Centers for Medicare and Medicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States. updates their Medigap cost information annually. We evaluate all Medicare Supplement companies servicing policies in New York. Our reviews are unbiased. We use a mathematical formula that considers years in business, A.M. Best financial strength rating plans serviced, plan A premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. , and fees. We do not evaluate rate increase history for all Medicare insurance plans, so be sure to ask your agent to provide this information.
We review Medicare Supplement Plans in New York head-to-head, statewide. We recommend consumers use our 5-star ratings as one aspect of their decision-making process. It helps compare insurance carriers at-a-glance. Call 1-855-728-0510 (TTY 711) to speak with an agent and get a quote.
How Much do Medicare Supplement Plans Cost in New York?
To get an accurate rate on Medicare Supplement plans, New York agents will ask for your address, age, sex, and use of tobacco products. The rates we list are samples based on a 65-year-old, non-smoking woman, and include applicable household discounts. Use our rates for comparison purposes only. Call 1-855-728-0510 (TTY 711) to get quote.
New York Medigap Plans are Standardized
New York Medicare Supplements are additional insurance policies that Medicare beneficiaries can purchase to cover the gaps in their Original Medicare (Medicare Part A and Medicare Part B) health insurance coverage. carriers are required to adhere to state and federal laws that are designed to protect consumers. Medigap plans must be clearly identified as Medicare Supplement Insurance. Each standardized Medicare policy is identified by letters A through N and must offer the same identical benefits as all other plans with the same letter. The only variance is the monthly premium. So, for instance, a Plan F from Blue Cross has exactly the same health coverage as a Plan F from Humana. This standardization makes supplements much easier to compare vs. an HMO or PPO type of plan that you get through Medicare Advantage.
NOTE: Medigap, Medicare Supplements, and Medicare Plans are all names used interchangeably for supplemental insurance that fills the gaps (i.e., copay, coinsurance, and other major medical expenses) in Original Medicare coverage.
All New York Medicare supplement policies offer the same basic benefits, however, some offer additional gap coverage. This lets you get the additional insurance you need to cover the gaps in your Medicare Parts A and B benefits.
Each insurance company decides which policies it wants to sell, although state laws might affect which ones they offer. Insurance companies that sell Medicare supplemental insurance:
- Don't have to offer every Medigap plan
- Must offer Medicare Supplement Plan A is often confused with Medicare Part A, which is the Medicare coverage that pays for your inpatient hospital care. Medicare Supplement Plan A, which is also known as Medigap Plan A,... if they offer any Medigap policy
- Must also offer Plan C or Plan F if they offer any plan
For more information, visit the New York Department of Insurance website at http://www.dfs.ny.gov/.
New York Medicare Supplement Plan Comparison Chart
The following chart offers a quick look at the benefits provided by each standardized plan.
|Medicare Part A Coinsurance and hospital costs up to an additional 365 days after Medicare benefifits are used up||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Medicare Part B Coinsurance or Copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes**|
|Blood (First 3 Pints)||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A Hospice is a special way of caring for people who are terminally ill. Hospice care involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Care Coinsurance or Copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Skilled Nursing Facility Care Coinsurance||No||No||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Medicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. Deductible||No||Yes||Yes||Yes||Yes||Yes||50%||75%||50%||Yes|
|Medicare Part B Deductible||No||No||Yes||No||Yes||No||No||No||No||No|
|A Medicare Part B excess charge is the difference between a health care provider’s actual charge and Medicare’s approved amount for payment.||No||No||No||No||Yes||Yes||No||No||No||No|
|Foreign Travel Emergency (Up to Plan Limits)||No||No||Yes||Yes||Yes||Yes||No||No||Yes||Yes|
* Medicare Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,240 before your Medigap plan pays anything.
** Medicare Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 copayment for emergency room visits that don't result in an inpatient admission.
*** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year.
It's important to compare Medigap insurance with Medicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B).. At first glance, it looks like Medicare Advantage plans are less expensive and offer more benefits. But, you need to dig deeper to get to the truth. If you are simply comparing the monthly premiums, you may be in for a very big surprise with a Medicare Advantage plan in most areas of New York.
To really understand the difference between Medicare supplements and Medicare Advantage plans you need to look at total cost. It's true, Medicare Advantage plans have many advantages and disadvantages, but your Out-of-Pocket Costs for Medicare are the remaining costs that are not covered by the beneficiary's health insurance plan. These costs can come from the beneficiary's monthly premiums, deductibles, coinsurance, and copayments. are not one of its advantages.
Enrolling in Part D to Get Prescription Drug Coverage with a New York Medicare Supplement
To get your prescriptions covered with your Medigap policy, you need to buy a Medicare prescription drug plan in New York. Basic plans start at less than $20 per month in most places.
If you are getting your Medicare benefits for the first time, you can enroll in a prescription drug plan as soon as you have both Part A and Part B. However, after your initial enrollment, you will need to wait until the Annual Election Period (AEP), also called the During the Medicare Open Enrollment Period, Medicare Advantage and Part D plan members can change, switch, or drop a plan they chose during the Annual Election Period. OEP starts on January 1 and ends on March 31., to switch to a new plan. AEP is every Fall, starting 15 October and ending on 7 December.
WARNING: If you do not enroll in a Medicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... plan when you are first eligible, Medicare will penalize you with additional fees if you want to join a plan later on. So, even if you do not take regular medications, it pays to join a basic plan.
Still Unsure About How Supplemental Medicare Insurance Works in New York?
If you're looking for more ways to lower your health care costs by reducing your out-of-pocket costs, these articles may help:
- What are the Different Medicare Supplement Plans?
- What is the Best Medicare Supplement Plan for 2021
- Can you get a Medicare Supplement if you are on disability?
- When can I change my Medicare supplemental insurance plan?
- Are there any free Medicare Supplement plans?
- How to Pick the Best Medicare Supplement Plan
Top Questions About Medicare Supplement Plans in New York
We get a lot of great questions regarding Medigap plans in New York. Here are the most common questions we answer.
A New York Medigap Plan Does Not Cover Dental
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 New York dental insurance policy.
It all depends. Your age, gender, zip code, use of tobacco, and the exact plan you choose all need to be factored in. You can take advantage of our free quote service to find the lowest prices in your area.
Here's a list of top carriers by cost in New York:
- Globe Life
- Mutual of Omaha
- Bankers Life and Casualty Company
Unlike Medicare Advantage, there isn't an annual In health insurance, open enrollment is a period during which a person may enroll in or change their selection of health plan benefits. Health plan enrollment is ordinarily subject to restrictions. period for Medicare Supplement plans. But, in many areas, you only have one chance to apply for a New York Medigap plan without having to answer any health questions. You can learn more here.
Need Local Help?
The State Health Insurance Assistance Programs (SHIPs) provide free, one-on-one insurance counseling and assistance to Medicare beneficiaries, their families and caregivers. The New York SHIP is a grant-funded project of the federal U.S. Department of Health and Human Services (HHS). You can reach them by phone or on their website:
Additional Foot Notes
 The sample premium is for a 65-year-old, non-smoking, woman living in New York. The rate was accurate on the date of publication. Rates change frequently and they are priced by county. You must contact a licensed agent to get a current rate for your situation.
 Review rating stars are derived from MedicareWire reviews on our Medigap Plan pages.
Citations & Referencesmedicare.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/