What Medicare supplement insurance (Medigap) plans help pay

 

To help pay some of the costs that Original Medicare (Parts A and B) don't pay, some people purchase Medicare supplement insurance plans.

Ten standard plans are available, labeled "A" through "N," although not all plans are available in all states. For information about plans available in your area, call your State Health Insurance Assistance Program (SHIP).

What Original Medicare costs will you get help with?

  •  Part A deductibles
  •  Part B deductibles
  •  Coinsurance and providers' excess charges
  •  Cost of blood transfusions
  •  Cost of additional hospital days after you've used up your Part A benefits
  •  Hospital and skilled nursing facility coinsurance
  •  Some preventive care benefits
  •  Foreign emergency medical benefits
  •  Some drugs the provider must give you

These are examples of items Medicare supplement insurance plans will help you with. For a complete list of what benefits are provided, see the specific plan's details.

Benefit limits

All Medicare supplement insurance plans provide an additional 365 days of hospital care during your lifetime, beyond your Original Medicare lifetime reserve.

No Medicare supplement insurance plan pays for days in a 

Nursing care that should be provided only by a licensed nurse.

skilled nursing

Nursing care that should be provided only by a licensed nurse.

facility beyond the 100 days Part A pays for.

As long as the care is received in the United States, there are no geographic limits on where you receive the care. Some plans do offer emergency care outside the United States.

What won't you get help with?

In general, Medicare supplement insurance plans help only with your cost sharing for Original Medicare, like deductiblescopays and coinsurance. They don't pay for long-term care (like nursing home care), routine vision, dental or hearing care, hearing aids, eyeglasses, or private-duty nursing.

These plans do not pay for prescription drugs. If you choose one of these plans and want drug coverage, you'll need to buy a standalone Medicare Part D prescription drug plan.

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Compare Medicare plans.
Start with this simple chart to find the plan that best fits your needs.

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Plan Type Comparison

 Plan Comparison

<span style="font-size:10px">View Decision Guide</span>

This simple chart shows you how the different parts of Medicare work together.

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Which Medicare plan is right for you?

Original Medicare (Parts A & B)

A federal health insurance program for people 65 and older, and for those younger with a qualifying disability or special circumstances.

Part A

Medicare Part A

Helps cover hospital stays and skilled nursing services, plus other skilled care—including hospice care.

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Part B

Medicare Part B

Helps pay for doctor visits and other outpatient services, like lab tests and diagnostic screenings.

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Optional add-ons to Original Medicare

Original Medicare doesn't cover everything and it doesn't include prescription drug coverage. You may want a Medicare plan offered by private insurance companies to fill the gap:

Part D

Part D (Prescription Drug Plan)

Plan costs, drugs covered and pharmacy choices vary.

Learn More
Medicare Supplement

Medicare Supplement Insurance Plan (Medigap)

Pays for some of the costs Original Medicare (Parts A and B) does not pay. Benefits vary. You must have Original Medicare to apply for a Medicare supplement insurance plan.

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OR

Medicare Advantage (Part C)

Costs and benefits vary by plan and location.

Part C

Medicare Advantage

Includes the same coverage you would get with Original Medicare and may include extras like vision, hearing and dental care, as well as gym memberships, often for no additional cost. Most plans include prescription drug coverage. You must be enrolled in Original Medicare and continue to pay your Part B premium.

Part A + Part B + Part D + Extras

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Included Additional Add-Ons to Medicare Advantage


Vision

Dental

Fitness

Optional add-ons to Medicare Advantage

Not all Medicare Advantage plans offer prescription drug coverage. If the Medicare Advantage plan you're interested in does not include drug coverage, you may choose to switch to a Medicare Advantage plan that offers drug coverage. Some Medicare Advantage plan types (PFFS plans) allow members to enroll in a standalone Part D prescription drug plan, as well.

Part D

Part D (Prescription Drug Plan)

Plan costs, drugs covered and pharmacy choices vary.

Learn More