Last Updated on
October 6, 2016
Medicare Supplement plans (Medigap) in Iowa may help you pay for health-care costs associated with Original Medicare, Part A and Part B. There are various Medicare Supplement plan options available in Iowa, depending on where in the state you live. Read this article to understand what Medigap in Iowa covers.
In Iowa and the rest of the United States, a Medigap insurance policy can help you pay for Medicare-related out-of-pocket expenses, like copayments, coinsurance, and deductibles. There are 10 standardized Medicare Supplement plans available in 47 states, including Iowa, each of which is identified by one of 10 letters (A, B, C, D, F, G, K, L, M, and N), with plans of the same letter offering the same benefits. Massachusetts, Minnesota, and Wisconsin offer different kinds of standardized Medigap plans. Also note that some companies may offer additional innovative benefits.
To join Medigap in Iowa, you must be enrolled in Original Medicare, Part A and Part B. Your Medigap Open Enrollment Period starts the first day you are both age 65 or older and enrolled in Medicare Part B and lasts for six months. This period is generally the best time frame for you to join Medigap. During the Medigap Open Enrollment Period, you can join any Medigap plan available in your area, with the insurance company of your choosing, without being denied coverage for pre-existing conditions or medical underwriting (although waiting periods may apply). If you decide to apply for Medigap in Iowa at a later date, you may be denied coverage or charged more for your insurance plan.
Medigap plans in Iowa, like those in the rest of the United States, are meant to supplement and not replace Original Medicare, so you must remain enrolled in Original Medicare, and go on paying your Medicare Part B premium, in order to retain your health insurance coverage. Also note that Medigap plans do not offer prescription drug coverage, so if you need help paying for your medications, you may want to consider enrolling in a stand-alone Medicare Part D Prescription Drug Plan.
It may be smart for you to familiarize yourself with the 10 standardized Medicare Supplement plans prior to choosing one that may suit your needs. Here at the types of Medigap plans available in Iowa. In this chart, X indicates that the service (or item) is 100% covered; a percentage indicates what percent of the service/item is covered; and a blank cell indicates it is not covered.
|Medicare Supplement Plans|
|Medicare Supplement Benefits||A||B||C||D||F*||G||K||L||M||N|
|Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are exhausted||X||X||X||X||X||X||X||X||X||X|
|Medicare Part B copayment or coinsurance||X||X||X||X||X||X||50%||75%||X||X***|
|First three pints of blood||X||X||X||X||X||X||50%||75%||X||X|
|Medicare Part A hospice care coinsurance or copayment||X||X||X||X||X||X||50%||75%||X||X|
|Skilled nursing facility care coinsurance||X||X||X||X||50%||75%||X||X|
|Medicare Part A deductible||X||X||X||X||X||50%||75%||50%||X|
|Medicare Part B deductible||X||X|
|Medicare Part B excess charges||X||X|
|Foreign travel emergency coverage (up to plan limits)||80%||80%||80%||80%||80%||80%|
|Out-of-pocket limits apply.**|
*Medicare Supplement Plan F offers a high-deductible version in which beneficiaries pay a certain deductible amount before the plan begins coverage. This amount may change from year to year.
**Once you reach the out-of-pocket limits (including the Part B deductible), both Medicare Supplement Plans K and L pay 100% of covered services in the above chart for the remainder of the calendar year.
***Medicare Supplement Plan N pays 100% of the Medicare Part B coinsurance, except for a copayment of up to $20 on doctor visits and up to $50 on emergency room visits that don’t result in an inpatient admission
As stated earlier, Medicare Supplement plans in Iowa with the same letter designation don’t vary in coverage or benefits. However, premiums may vary among plans. This means that a resident of Sioux City in Woodbury County may pay more or less than a resident of Iowa City in Johnson County for an identical Medicare Supplement plan. Considering the possible difference in costs, it may be smart to compare all Medicare Supplement plans available in your area, and then select a Medigap plan in Iowa based on your personal requirements.
For more information about Medicare in Iowa, you can access the following resources:
Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.