Medicare has much in common with other types of health insurance. Premiums are only part of the total cost. You also pay deductibles and copayments, and you pay for uncovered services. A Medigap policy can close or eliminate the gap between what Medicare pays and what your healthcare costs.
The federal government has established 10 plans for Medigap policies: A, B, C, D, F, G, K ,L M ,and N. Plan F is the most comprehensive plan, and it is the most popular in Nevada and through the entire United States. Regardless of which insurance company sells you a policy or how much you pay for it, a plan with any given letter is identical to the same plan sold by another insurance company. To find out which plan will best fit your personal health care needs, fill out the zip code form to compare plans instantly, or, visit our Medigap Plans Page to learn more about what each specific plan offers.
Unbiased help for selecting a plan is available through the state. You can meet with a Medicare counselor to discuss your options. The free service is provided by volunteers trained through the Nevada State Health Insurance Assistance Program (SHIP). Counseling services are provided at senior centers and similar locations throughout Nevada. Call SHIP at 1-800-307-4444 or call the State Insurance Department at 1-800-992-0900.
To find the best Medigap policy for you, start by reviewing the Medigap Benefits Chart and determining which health care coverage you need.
Check marks in the chart denote a coverage of 100% of the described Medigap benefit. If there is no check mark and instead a percentage marker, Medigap policies on each plan cover up to that percentage for the according benefit provision. If a box is blank, the Medigap policy is not sufficient for that benefit. You should also note that Medigap plans from MedicareSupplementalInsurance.com providers only cover your coninsurance premiums if you have already paid the deductible.
Check marks in the chart denote a coverage of 100% of the described Medigap benefit. If there is no check mark and instead a percentage marker, Medigap policies on each plan cover up to that percentage for the according benefit provision. If a box is blank, the Medigap policy is not sufficient for that benefit. You should also note that Medigap plans from MedicareSupplementalInsurance.com providers only cover your coninsurance premiums if you have already paid the deductible.
Medigap Plans Effective June 1, 2012 |
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Medigap Benefits Chart |
Plan A |
Plan B |
Plan C |
Plan D |
Plan F * |
Plan G |
Plan K |
Plan L |
Plan M |
Plan N | |
| Medicare Part A Coinsurance and Hospital Costs up to an Additional 365 Days After Medicare Benefits are Used Up. |  |
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| Medicare Part B Coinsurance or Copayment | |
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50% | 75% | |
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| Blood (First 3 Pints) | |
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50% | 75% | |
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| Part A Hospice Care Coinsurance or Copayment | |
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50% | 75% | |
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| Skilled Nursing Facility Care Coinsurance | |
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50% | 75% | |
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| Medicare Part A Deductible | |
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50% | 75% | 50% | |
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| Medicare Part B Deductible | |
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| Medicare Part B Excess Charges | |
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| Foreign Travel Emergency (Up to Plan Limits) | |
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| Out-of-Pocket Limit ** | |||||||||||
| $4,620 | $2,310 | ||||||||||
* Medigap Plan F also has a high deductible option available for your policy. Under the high deductible choice, it is your responsibility to cover the $2,070 for the 2012 period before your Medigap plan covers any additional cost.
** Medigap Plans K and G have additional out of pocket limits that will only require you pay $4,620 and $2,310, accordingly. Once that is covered by you (and you have also paid your yearly Part B deductible), the MedicareSupplementalinsurance.com provider Medigap plans will pay 100% of your covered services the rest of that calendar year.
*** Medigap Plan N will pay for 100% of your Part B consinsurance payment, up to a maximum of $20 for office visitations, as well as a $50 copayment for unexpected emergency room hospital visits that don't conclude in an longer duration stay at the hospital.
** Medigap Plans K and G have additional out of pocket limits that will only require you pay $4,620 and $2,310, accordingly. Once that is covered by you (and you have also paid your yearly Part B deductible), the MedicareSupplementalinsurance.com provider Medigap plans will pay 100% of your covered services the rest of that calendar year.* Medigap Plan F also has a high deductible option available for your policy. Under the high deductible choice, it is your responsibility to cover the $2,070 for the 2012 period before your Medigap plan covers any additional cost.
*** Medigap Plan N will pay for 100% of your Part B consinsurance payment, up to a maximum of $20 for office visitations, as well as a $50 copayment for unexpected emergency room hospital visits that don’t conclude in an longer duration stay at the hospital.
As previously stated, Plan F is the most comprehensive, as well as the most commonly purchased, plan available. Just because it is the most common plan, however, does not mean that it is the best plan for you. Remember to consider your specific needs, price range, and coverage desires when choosing a plan.
Insurance companies use one of three methods to establish prices for each plan. In Nevada, 88% of the 148 plans available are priced using the attained-age method. This method utilizes age to determine how much your monthly premiums will be. Because those who are older generally require more health care coverage, they have higher premiums. Additionally, as you grow older, your plan may be adjusted and the price may go up to reflect your age and health care needs.
There are several companies that are licensed to issue Medigap insurance plans in the state of Nevada. If you are interested in discussing plan details and prices with an insurance professional, fill out the zip code form and start comparing plans and prices instantly.
Equitable Life & Casualty Insurance Company sells issue-rated plans. Premiums are based on your age on the date you initially purchase the policy. They will not increase just because the insurance company’s risk increases. Physicians Mutual Insurance Company sells a mix of issue-age-rated and attained-age-rated plans
AARP HealthCare Options (United Healthcare Insurance Company) sells the only community-rated plans in Nevada. With this method, premiums are the same for all plan members, and not based on age.
All other carriers in Nevada use the attained-age rating method. Anthem Blue Cross is the only insurance company that sells Medigap policies to Nevada residents under 65.
You can save money with a Medicare Select version of a Medigap plan. The catch is that the insurance company limits which doctors, hospitals, and other providers you can use. Medicare Select is somewhat analogous to managed care.
The average annual premium paid for Medigap coverage in Nevada in 2010 was $2,148, but given that most people have attained-age-rated policies, you can expect to pay much less. It is very helpful to have a professional guide you through the Medicare Supplemental Insurance selection and purchase process. To speak with a professional, fill out the zip code form and compare plans and rates instantly.
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