If you’re concerned about Medicare-related expenses, you may want to think about joining a Medicare Supplement (Medigap) plan in Indiana. Medigap plans are designed to help you pay for health-care costs you may have with Original Medicare, Part A and Part B. There are various Medicare Supplement plan options in Indiana, depending on the zip code you live in. Understanding what Medigap in Indiana covers may help you choose a plan that fits your personal health and budget needs.
Please note that Medicare Supplement insurance only helps pay for costs associated with Original Medicare; Medigap plans can’t be used to pay for Medicare Advantage costs.
How Medigap plans work in Indiana
If you’re enrolled in Original Medicare, you may not realize that even after Medicare has paid its share, you’re still responsible for certain “gaps” in coverage, such as cost sharing. Medigap in Indiana can help you pay for some of these out-of-pocket expenses, including copayments, coinsurance, and deductibles. There are 10 standardized Medicare Supplement plans available in 47 states, including Indiana, 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. In other words, the main difference between plans of the same letter type will be cost. Three states – Massachusetts, Minnesota, and Wisconsin – offer different kinds of Medigap plans.
In order to join Medigap in Indiana, you must first 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 it lasts for six months. This period is the best time to join a Medicare Supplement plan in Indiana. During the Medigap Open Enrollment Period, you can join any Medigap plan available in your area, with the insurance company of your choosing, and you cannot be denied coverage altogether for pre-existing conditions or required to undergo medical underwriting. Keep in mind that while Medigap insurance companies aren’t allowed to reject you because of health, they are allowed to make you wait up to six months before covering pre-existing conditions. After your Medigap Open Enrollment Period has passed, you may have more difficulty joining a Medigap plan in Indiana or switching plans. Outside of this period, except for certain situations, you may be denied coverage or charged more for your insurance plan.
Since Medigap plans in Indiana, like those in the rest of the United States, are meant to supplement and not replace Original Medicare, you have to remain enrolled in Original Medicare and go on paying your Medicare Part B premium, in order to retain your health insurance coverage. These plans are meant to work alongside your Original Medicare coverage to pay for certain costs, and you’ll still get your hospital and medical coverage through Part A and Part B. Also, Medigap plans in Indiana do not offer coverage for prescription drugs, so if you need prescription drug coverage, you may want to enroll in a stand-alone Medicare Part D Prescription Drug Plan.
Types of Medigap plans in Indiana
It’s important for you to familiarize yourself with the 10 standardized Medicare Supplement plans prior to choosing one. Take a look at the 10 types of Medigap plans available in Indiana. Keep in mind that not every plan type may be available in your service area. 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.
Choosing a Medigap plan in Indiana
Medicare Supplement plans in Indiana with the same letter designation don’t vary in coverage or benefits, as explained above. However, premium costs may vary, depending on the insurance company and where you live. One big factor that determines cost is how the insurance company prices, or “rates,” its plan premiums. Some Medigap insurance companies have all plan enrollees pay the same premium, while others base the premium cost on your age when you enroll in the plan. If you’re not sure how the insurance company’s premium pricing may affect your costs, always be sure to clarify with the insurance company which method they use.
Variation in costs means that if you live in Gary, in Lake County, you may pay more or less than a resident of Indianapolis in Marion 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 Indiana based on your individual health and budget requirements.
Would you like help finding a Medigap plan option in Indiana that suits your budget and health needs? You can do that in a few ways. If you’d like to browse plans on your own, simply enter your zip code into the plan finder tool to view plan options right away. If you’d prefer to speak with someone over the phone, you can get one-on-one assistance with a licensed insurance agent by dialing the number on this page.