Medicare Supplement Plan (Medigap) is health insurance sold by private insurance companies to fill the gaps in Original Medicare coverage (Medicare Part A & B). Medicare Supplement Plan helps some of the health care costs that the Original Medicare Plan does not cover.
If you are in the Original Medicare with a Medigap policy, then Medicare and your Medigap policy will each pay its share of covered health care costs. Insurance companies can only sell you a standardized Medigap policy, and they must follow Federal and state laws.
Blue Shield offers five Medicare Supplement plans, Plan A, Plan F Extra, Plan N, Plan G, Plan G Extra in California.
Plan A
This plan is the basic affordable Medicare Supplement plan which includes coverage for Medicare Part A and Part B copayments and coinsurance. This plan does not cover skilled nursing facility coinsurance, Part A deductible, and foreign travel emergency.
Plan F Extra
Plan F Extra offers the most extensive coverage including coverage for Medicare Part A and Part B deductibles, copayments and coinsurance, plus:
- Skilled nursing facility care
- Foreign travel emergencies
- 100% coverage of Medicare Part B excess charges
- Hearing Aid benefits
- Personal Emergency Response System (PERS)
- Vision benefits
Plan F Extra is only available to applicants who attain age 65 or first become eligible for Medicare benefits due to disability before January 1, 2020.
Plan N
This plan includes coverage for Medicare Part A deductibles, copayments and coinsurance, and it also covers:
- Medicare Part B Medical expenses that you will be responsible for paying:
- Up to $20 copayment for some office visits.
- Up to $50 copayment for visits to the emergency room.
- Skilled nursing facility care
- Foreign travel emergencies.
Plan G
This plan offers more benefits than Plan A and Plan N. Plan G includes coverage for Medicare Part A deductibles, Medicare Part A and Part B copayments and coinsurance, plus:
- Skilled nursing facility care
- Foreign travel emergencies
- 100% coverage of Medicare Part B excess charges
Plan G Extra
This plan offers everything our regular Plan G offers plus a few additional benefits, including:
- Hearing aid benefits
- Vision benefits
- Physician consultation benefits.
- Over the counter (OTC) items benefit
Summary of Benefits-Blue Shield Medigap
Guaranteed Issue Rights
When you first enroll in Medicare, which is the seven-month initial enrollment period, insurance companies cannot deny your coverage or charge more for any preexisting condition. After your initial enrollment period, insurance companies may be able to turn you down based on your health status or set prices higher due to a preexisting condition. For this reason, the perfect time to buy your Medicare Supplement Plan is when you first enroll in Medicare. Click here to get an instant quote on your Medicare Supplement plans.
If you are turning 65 or have questions about your Medicare plan options, call Skyline Benefit’s Medicare team at (714) 888-5112 or you can schedule a virtual meeting by clicking here.