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Medicare Supplement Plans in Pennsylvania : What's the Difference?
Most Medicare experts 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 Medicare supplemental insurance, provides the best Medicare insurance coverage Pennsylvania seniors can get. But, which supplement is the right one for you?
This is a complicated question. After all, we're all different and have different needs. For most of us, it boils down to what we can afford and our health. Although there are 10 standardized plans, most seniors choose one of the three best Medigap plans available in Pennsylvania : F, G, and N. Keep reading and we'll explain 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):
About our Pennsylvania Supplemental Medicare Insurance Reviews
We review all major 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 servicing Medigap policies in Pennsylvania. Our reviews are unbiased. We use a balanced formula that looks at 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. Our current formula does not take rate increase history into account.
Our review of Medicare Supplement Plans in Pennsylvania is based on a statewide analysis, not nationwide. 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 Pennsylvania Medigap Plans Cost?
To get an accurate rate on Medicare Supplement plans, Pennsylvania 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.
Medicare Supplement Plans in Pennsylvania are Standardized
The Pennsylvania Department of Insurance and the federal government have worked together to standardize Medicare supplemental insurance policies. Insurance companies must clearly identify plans as Medicare Supplement Insurance and each Medigap policy must use a standardized letter code, A through N. Each lettered plan offers the same benefits, regardless of the carrier offering it. Only the rates are different. That means that a Plan F from AARP (UnitedHealthcare) has exactly the same health coverage as a Plan F from Blue Cross. The lettered plans make supplemental insurance easy to compare and understand vs. the HMO or PPO plans you can get through 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)..
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 Pennsylvania 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 Pennsylvania Department of Insurance website at http://www.pahealthoptions.com/.
Pennsylvania Medigap 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 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.
Are Medigap Plans Better Than Medicare Advantage Plans in Pennsylvania?
Getting Prescription Drug Coverage (Part D) with a Pennsylvania Medigap Plan
To get prescription drug coverage with a Medigap policy you need a stand-alone Pennsylvania Medicare Part D plan. The most basic plans start at less than $20 and are worth getting, even if you don't have regular prescriptions.
You can join 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 as soon as you have both your Part A and Part B benefits. But, don't delay. Once your initial enrollment has passed, you won't be able to join a plan until the next 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.. Medicare's Annual Election Period for Part D plans every Fall from 15 October through 7 December.
CRITICAL: If you don't enroll in a Part D plan when you are first eligible, the The Centers for Medicare & Medicaid Services (CMS) is the U.S. Federal agency that runs the Medicare, Medicaid, and Children’s Health Insurance Programs. will penalize you with additional fees when you want to join a plan later on. You may not have regular prescriptions now, but it pays to join a basic plan as soon as you can to avoid the penalty later.
Still have questions about Medicare Supplement Insurance in Pennsylvania?
Figuring out how to lower your health care costs by reducing 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. is critical for most retirees. Try one of these topics:
- What are Medicare Supplement Plans?
- Best Medicare Supplement Plans
- Medicare Supplement Plans for Disabled Under 65
- Can I Change Medicare Supplement Plans Anytime?
- Medicare Supplement Plans With No Premiums
- How to Choose a Medicare Supplement Plan
Common Questions About Medigap Plans in Pennsylvania
Here are some common questions we answer about Medicare Supplement plans in Pennsylvania.
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.
You have many options in Pennsylvania. Here are some of the best:
- United Commercial Travelers
- Continental Life
Your Individual Enrollment Period (IEP) is the ideal time to get a Medicare Supplement. Your IEP starts on your Medicare Part B effective date and ends six months later. So, if your Part B coverage begins June 1st, your IEP goes from June 1st to November 30th. these Pennsylvania carriers can help you get enrolled. FYI, there is no 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 with Medigap plans. You can apply anytime.
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 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. 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/