Pennsylvania Medigap Plans: What's the Difference?
When talking about 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.... and getting additional coverage, your best option in Pennsylvania is a Medicare supplement. It all comes down to choice and control. But, which plan is best for you?
We're all different, and so are our health needs and budget. What's best for you is very different than what's best for your neighbors, or even your spouse. It all comes down to what you can afford and your health. That said, you can narrow your search to what's most popular, plans: F, G, and N. Read on to learn why.
Top 3 Medicare Supplements in Pennsylvania
Looking for the three best Medigap plans available in Pennsylvania? 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 Pennsylvania
- 10 Best Medicare Supplement Plan G in Pennsylvania
- 10 Best Medicare Supplement Plan N in Pennsylvania
Looking for a different plan? Compare the best Medicare supplement plans in Pennsylvania. You can also write a Medicare supplement review and let others know about a good or bad experience with a particular carrier.
Pennsylvania Medicare Supplement Plan F Comparison Chart
Medicare Supplement Plan F is the most popular Medigap plan available in Pennsylvania. Here are the 10 best Plan F policies available in Pennsylvania based on our reviews (click for details):
Pennsylvania Medicare Supplement Plan G Comparison Chart
Medicare Supplement Plan G is rapidly gaining popularity among Pennsylvania 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 Pennsylvania based on our reviews (click for details):
Pennsylvania 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 Pennsylvania seniors. Here are the 10 best Medigap Plan N policies available in Pennsylvania based on our reviews (click for details):
Best Pennsylvania Medicare Supplement Plans Reviews
We review all major Medigap insurance carriers selling policies in Pennsylvania. Our 5-star ratings are unbiased. We use a complex formula that evaluates 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. Currently, our formula does not take rate increase history into account, so be sure to ask your agent for this information.
Our analysis of 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.... plans in Pennsylvania is based on a statewide review, not national. We recommend consumers use our 5-star ratings as one aspect of their decision-making process. It helps compare insurance carriers at-a-glance.
How Much do Medicare Supplement Plans Cost in Pennsylvania?
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 Medicare supplement cost information annually. We show estimated monthly premiums for all Medicare supplement insurance plans in Pennsylvania. Premiums shown come from our most recent review of each carrier and are based on a 65-year-old, non-smoking woman. Use our rates to compare carriers. Your agent will quote your final rate based on where you live, your current age, sex, and use of tobacco. Call 1-855-728-0510 (TTY 711) to speak with an agent and get a quote.
Pennsylvania Medigap Plans are Standardized
Pennsylvania Medicare Supplement insurance 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.
Each of the lettered Medicare supplement insurance plans offers the core coverage provided by Plan A. Plans B through N have a varying range of additional coverage. This makes it easier to choose just the right amount of additional insurance you need to pay the gaps in your Medicare Parts A and B benefits.
Insurance companies are free to choose the policies they offer, although Pennsylvania state laws might affect which ones they can offer. Carriers offering Medicare Plans:
- 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 Pennsylvania Department of Insurance website at http://www.pahealthoptions.com/.
Pennsylvania Med Supp Plan Comparison Chart
The comparison chart below shows the benefits offered by each standardized Medigap 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 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 inpatient coverage for people with Original Medicare, whereas Part B is medical coverage for doctor visits, tests, etc.... 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.
Are Medigap Plans Better Than Medicare Advantage Plans in Pennsylvania?
It is natural to want to compare supplemental Medicare insurance plans with Medicare Advantage. After all, on the surface, it appears that 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).... cost less. And, if your employer or former employer assists you with the cost of copays, they do cost less. But, if you're like most people, and have to pay these costs out-of-pocket, they can be very expensive.
There are trade-offs with both types of plans, and it pays to learn the difference between Medicare supplements and Medicare Advantage plans so you can choose the right plan option for your needs. Medicare Advantage plans have many advantages and disadvantages.
Enrolling in Part D to Get Prescription Drug Coverage with a Pennsylvania Medicare Supplement
To get your prescriptions covered with your Medigap policy, you need to buy a Medicare prescription drug plan in Pennsylvania. 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 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, 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 is Medicare's prescription drug plan program. Plans are offered by private insurance companies and cover outpatient prescriptions.... 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 Pennsylvania?
If you're looking for more ways to lower your health care costs by reducing your Out-of-pocket costs (aka, out-of-pocket medical expenses) are costs that a beneficiary must pay because their health insurance does not cover them. Out-of-pocket costs are found in the deductibles, copayments, and coinsurance outlined in each health..., 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 Pennsylvania
We get a lot of great questions regarding Medigap plans in Pennsylvania. Here are the most common questions we answer.
A Pennsylvania 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 Pennsylvania dental insurance policy.
It's different for everyone who applies. Monthly premiums on Pennsylvania Medigap plans are based on your age, gender, zip code, the plan you choose, and more. Use our free quote service to find the best rate on your plan.
Here's a list of top carriers by cost in Pennsylvania:
- United Commercial Travelers
- Continental Life
Unlike Medicare Advantage, there isn't an annual open enrollment period for Medicare Supplement plans. But, in many areas, you only have one chance to apply for a Pennsylvania 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 Pennsylvania 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 Pennsylvania. 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/