Medicare Supplements

A Medicare supplement (Medigap) insurance, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.

Some Medigap policies also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.

A Medigap policy is different from a Medicare Advantage Plan. Those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Original Medicare benefits.

Medigap policies do not cover everything!

Medigap policies generally don't cover long-term care, vision or dental care, hearing aids, eyeglasses, or private-duty nursing.

FOR 2021: The Following Deductibles and/or Co-Pays apply:

PART "A" (Hospital)
Days 1-60 = $1,484 per Hospital Stay
Days 61-90 = $371 per day
Days 91-150 = $742 per day
Skilled Nursing Facility Benefit (Days 21-100) = $185.50 per day

PART "B" (Medical) 
Annual Deductible = $203.00

PART "D" - Prescription Drug Plans (PDP)
Annual Deductible for 2021 is $445.00 for Most Plans
Initial Coverage Limit or Threshold = $4,130 (Now you are in the Donut Hole or Coverage Gap)
Out of Pocket Threshold = $6,550. Once this is reached, you pay the greater of 5% of the retail drug cost or $3.70 copay for a Generic Drug or $9.20 for a Brand Name Drug.
There are 28 Available Drug Plans in South Florida for 2021 and they vary in premium from approx. $7.30 per month to $172.00 per month.

IMPORTANT: DO NOT PICK A PLAN THAT HAS LESS THAN A 3 STAR RATING OR IS LISTED AS “TOO NEW TO BE MEASURED” AS IT IS NOT RECOMMENDED.

BE AWARE THAT SOME OF THE PLANS LISTED ARE DIRECT TO CONSUMER PRODUCTS AND AN AGENT CANNOT SELL IT.

Insurance plans that aren't Medigap

Some types of insurance aren't Medigap plans, they include:

  • Medicare Advantage Plans (like an HMO, PPO, or Private Fee-for-Service Plan)
  • Medicare Prescription Drug Plans
  • Medicaid
  • Employer or union plans, including the Federal Employees Health Benefits Program (FEHBP)
  • TRICARE
  • Veterans' benefits
  • Long-term care insurance policies
  • Indian Health Service, Tribal, and Urban Indian Health plans

Dropping your entire Medigap policy (not just the drug coverage)

If you decide to drop the entire Medigap policy, you need to be careful about the timing. For example, you may want a completely different Medigap policy (not just your old Medigap policy without the prescription drug coverage), or you might decide to switch to a Medicare Advantage Plan that offers prescription drug coverage.

If you drop your entire Medigap policy and the drug coverage wasn't creditable or you go more than 63 days before your new Medicare coverage begins, you have to pay a late enrollment penalty for your Medicare Prescription Drug Plan, if you choose to join one.