Medicare Supplement Plans (Medigap) for 2021

Robert J. Stillwell offers Medicare Supplements in the following states:

  • Alaska
  • Delaware
  • Florida
  • Iowa
  • Maryland
  • New Jersey
  • Ohio
  • Pennsylvania
  • Wyoming

What is a Medicare Supplement Plan?

A Medicare Supplement Plan, also know as Medigap, is a private health insurance policy that helps supplement Original Medicare. A Medicare Supplement helps cover healthcare costs not covered by Original Medicare, such as co-payments and deductibles.

Medicare Part A

Medicare Part A is hospital insurance and covers cost associated with confinement in a hospital or skilled nursing facility.

Days 1-60: Medicare covers most confinement costs when you are hospitalized after the required Medicare deductible. You are responsible for a deductible of $1,484.

Days 61-90: Medicare covers all eligible expenses after the patient pays a per day co-payment which is $371 a day.

Days 91-150: Medicare pays all eligible expenses after patient pays a per day co-payment which is $742 a day.

Days 151 or more: Medicare pays nothing and you pay all costs.

Download our resource for Medicare Part A and B here.

In regards to Skilled nursing confinement when you are hospitalized for at least three days and enter a Medicare-approved skilled nursing facility within 30 days after hospital discharge and are receiving skilled nursing care Medicare pays all eligible expenses for the first 20 days; then all eligible expenses for days 21-100 after patient pays a per day co-payment. After 20 days, $185.50 a day co-payment.

Medicare Part B

Medicare Part B is medical insurance and covers physician services, outpatient care, tests and supplies.

For incurred medical expenses from physicians services for in-patient, outpatient, medical/surgical services; physical/speech therapy and diagnostic tests, Medicare covers 80% of approved amount after you pay the annual Part B deductible of $148.50. 

You are then responsible for the remaining 20% of the approved amount.  Clinical laboratory services like blood tests or urinalysis Medicare generally covers 100% of  the approved amount.

As far as Home Health Care is concerned part-time or intermittent skilled care or home health aide services, Medicare pays 100% of approved amount.  Durable medical supplies is covered 80% of approved amount and you pay 20% of approved amount.  

Download our resource for Medicare Part A and B here.

Benefits of Medicare Supplement Plans

Medicare Supplement Insurance plans have different benefits that are covered. Premiums vary among Insurance companies , but the benefits of each standard Medigap plan are always the same. You pay a monthly premium to insurance company in addition to your Medicare Part B premium. The cost of Medigap policy depends on the type of plan you buy, the insurance company, your location, your age and tobacco use.

For Ex. Plan G for a female age 70 zip code 18914 non-smoker with Aetna would be $143.86 per month.  Plan G for the same client with Mutual of Omaha would be $200.86.

As you can see there is quite a difference in premium. Each company has different underwriting questions  which is also another factor in deciding on a Medicare Supplement company based on your health and medications you may take.

Please see attached grids for each plan’s benefits. C&F phasing out for new Medicare eligible effective 1/1/2020.