Medicare Supplement Insurance, also known as Medigap, is designed to fill the gaps left by Original Medicare (Part A and Part B). As we approach the 2025 Medicare enrollment period, many are considering whether Medigap is the right choice for them.
At Skyline Benefit, we specialize in guiding individuals through their Medicare options, ensuring they receive the personalized attention and support they need. In this article, we’ll explore what Medigap is, its benefits, and how to determine if it’s the best choice for your healthcare needs in 2025.
What Is Medicare Supplement Insurance (Medigap)?
Medicare Supplement Insurance, also known as Medigap, is additional coverage that can be purchased from a private health insurance company. This insurance helps pay for out-of-pocket costs not covered by Original Medicare, such as copayments, coinsurance, and deductibles. Each Medigap plan offers different benefits, allowing you to choose one that best fits your needs.
Who Is Eligible for Medicare Supplement Insurance in 2025?
To be eligible for Medicare Supplement Insurance in 2025, you must have both Medicare Part A (Hospital Insurance) and Part B (Medical Insurance). If you and your spouse both want Medigap coverage, each of you will need to purchase separate policies, as Medigap policies cover only one person. If you are enrolled in a Medicare Advantage Plan, you cannot purchase a Medigap policy unless you switch back to Original Medicare.
What Does Medigap Cover?
Medigap policies help cover costs associated with Original Medicare, such as copayments, coinsurance, and deductibles. Some policies offer additional benefits, like emergency medical care during travel outside the United States. However, Medigap does not cover everything. Typically, it does not include long-term care, vision or dental care, hearing aids, eyeglasses, or private-duty nursing.
How Does Medigap Work with Original Medicare?
Medigap works alongside Original Medicare. Medicare first pays its share of the approved healthcare services, and then your Medigap policy covers its portion of the remaining costs. This coordination helps reduce out-of-pocket expenses for covered services under Part A and Part B.
What Are the Different Types of Medicare Supplement Insurance in 2025?
Medigap plans are standardized, meaning each plan with the same letter offers the same basic benefits, no matter where you live or which insurance company you buy from. The primary difference between plans with the same letter is the price. There are ten types of Medigap plans available in most states, named A-D, F, G, and K-N. Plan F and Plan C are unavailable to individuals who turned 65 on or after January 1, 2020.
Learn more about Medicare Supplement Insurance Plans in 2025
What Should You Know About Medigap Policies and Prescription Drugs?
Medigap policies sold after 2005 do not include prescription drug coverage. You must enroll in a separate Medicare Part D plan if you need prescription drug coverage. Evaluating your healthcare needs and choosing a combination of plans that best suits you is crucial.
How Are Medigap Policies Renewed?
Once you purchase a Medigap policy, it is automatically renewed each year as long as you pay your premiums. This holds true even if you develop health problems. Your Medigap insurance company cannot drop you unless you fail to pay your premiums, were untruthful on your application, or if the company goes out of business.
When Is the Best Time to Buy a Medigap Policy?
The ideal time to purchase a Medigap policy is during your Medigap Open Enrollment Period. This period lasts six months, starting when you turn 65 and are enrolled in Medicare Part B. During this time, you can buy any Medigap policy available in your state, regardless of your health status. After this period, obtaining a Medigap policy may be more difficult and expensive.
Need help with Medicare Supplement Insurance in 2025?
Skyline Benefit is an independent Medicare insurance broker that offers affordable and flexible Medicare options. Selecting the best Medicare Supplement Insurance in 2025 can be overwhelming; our mission is to simplify the process and help our clients every step of the way.
Schedule a consultation today. Call us at: (714) 888-5112