Original Medicare doesn’t cover everything, which is where Medicare Supplement (Medigap) plans help. They can pay for out-of-pocket costs like deductibles, copays, and coinsurance. This gives you more predictable expenses and freedom to see providers nationwide.
If you're turning 65 and exploring your Medicare options, you've likely discovered that Original Medicare (Parts A and B) doesn’t cover everything. While it helps with hospital and medical expenses, it leaves you responsible for out-of-pocket costs such as deductibles, copayments, and coinsurance. This is where Medicare Supplement plans, also known as Medigap, can make a big difference.
This guide will help you understand what Medicare Supplement plans are, what they cover, and how they can provide peace of mind and financial predictability as you enter retirement.
Medicare Supplement plans are insurance policies offered by private companies that are designed to fill the "gaps" left by Original Medicare. These gaps include expenses like:
The Medicare Part A deductible and coinsurance for hospital stays.
The Medicare Part B deductible and coinsurance for doctor visits and outpatient care.
Costs associated with skilled nursing facilities.
Emergency medical care while traveling outside the U.S. (in some plans).
All Medicare Supplement plans are standardized by the federal government. This means that each type of plan (such as Plan G or Plan N) offers the same basic benefits, regardless of the insurance company offering it. The difference comes down to the company’s reputation, customer service, and pricing.
There are several reasons why a Medicare Supplement plan might be the right choice for you:
More Predictable Costs: These plans help manage your healthcare expenses by covering many of the costs that Medicare doesn’t. This allows for more predictable monthly spending.
Freedom to Choose Providers: You can visit any doctor or hospital in the United States that accepts Medicare, with no network restrictions and no referrals needed.
Guaranteed Renewability: As long as you pay your premiums, your coverage cannot be canceled due to changes in your health.
Two of the most popular Medicare Supplement options are Plan G and Plan N.
Plan G is currently the most comprehensive plan available to new Medicare beneficiaries. It covers almost all out-of-pocket costs except for the Medicare Part B deductible, which is relatively small.
Plan N offers slightly lower premiums in exchange for small copays when you visit the doctor or emergency room. It still provides strong coverage and may be a better fit for those in good health or looking for lower monthly premiums.
The best time to enroll in a Medicare Supplement plan is during your Medigap Open Enrollment Period. This period starts the month you turn 65 and are enrolled in Medicare Part B and lasts for six months. During this time:
You cannot be denied coverage due to pre-existing conditions.
You will receive the most competitive rates available.
If you apply after this period, you may have to undergo medical underwriting, which means you could be denied coverage or charged more based on your health status.
Many people compare Medicare Supplement plans to Medicare Advantage plans, but they function very differently. Medicare Supplement plans work alongside Original Medicare to reduce out-of-pocket costs and allow for nationwide provider access. You retain all the benefits of Original Medicare with added financial protection.
Medicare Advantage plans are bundled plans offered by private insurers that replace your Original Medicare coverage. They typically come with networks, referral requirements, and potentially higher out-of-pocket costs, though they may include additional benefits like prescription drug coverage or dental and vision.
Your decision between these two types of plans depends on your healthcare needs, travel preferences, and how much flexibility you want in choosing providers.
Navigating Medicare can feel overwhelming, but you don’t have to do it alone. Whether you're turning 65 or helping a loved one prepare for Medicare, expert guidance can make the process easier and more reassuring.
Reach out to Jim Cable or Steve Milton today for your free Medicare consultation and get the peace of mind you deserve.
Choosing a Medicare Supplement plan is a smart way to protect your health and your wallet. With the right plan and proper timing, you can enjoy the freedom, simplicity, and security that Medigap plans offer.
Whether you're considering Plan G, Plan N, or just starting to explore your Medicare options, Jim Cable and Steve Milton are here to guide you every step of the way.
FAQ's
Most people sign up when they turn 65. Your Initial Enrollment Period lasts for 7 months — 3 months before your birthday month, your birthday month, and 3 months after.
If you miss your Initial Enrollment Period, you may face late penalties and gaps in coverage. The good news is, we can review if you qualify for a Special Enrollment Period.
Medicare Advantage (Part C) is an all-in-one alternative to Original Medicare that may include extra benefits. Medicare Supplement (Medigap) works alongside Original Medicare to help pay out-of-pocket costs.
Yes, unless you already have creditable drug coverage. Medicare Part D helps cover prescription costs — and enrolling on time avoids late penalties.
That depends on the type of plan you choose. Some plans have networks, while others let you see any provider who accepts Medicare. We’ll help you find a plan that works with your preferred doctors.
Yes — you can review and switch plans during the Annual Enrollment Period each fall, or in certain cases with a Special Enrollment Period.
We provide reliable Medicare guidance designed to give you peace of mind. At Senior Health Insurance, we help secure your future—so you can focus on what truly matters.
Our Location
📍 3401 Enterprise Parkway Suite 340 Beachwood, Ohio 44122
🌐 https://www.seniorhealthinsurance.net/
Your Local Medicare Specialists in Ohio
Jim Cable
📞 (440) 454-0726
Steven Milton
📞 (330) 388-6177
Contact
FAQ
Privacy Policy