As an Original Medicare beneficiary in Kentucky, you may consider enrolling in a Medicare Supplement (Medigap) plan to help with out-of-pocket costs. Medigap in Kentucky can help you pay for health-care costs associated with Original Medicare, Part A and Part B, such as copayments, coinsurance, and deductibles. In addition, these plans may help with other costs Original Medicare doesn’t cover, such as overseas emergency health coverage or Part B excess charges; these are normally expenses you’re responsible for.
Medicare Supplement plan options in Kentucky vary according location, so it’s a good idea to find out what each plan covers and to get help choosing the plan best suited to your needs.
How Medigap plans work in Kentucky
In 47 US states, including Kentucky, there are 10 standardized Medicare Supplement plans available, each of which is identified by one of 10 letters (A, B, C, D, F, G, K, L, M, and N). Plans of the same letter offer the same benefits across all 47 states. Three states – Massachusetts, Minnesota, and Wisconsin – offer different kinds of standardized Medigap plans.
To sign up for Medigap in Kentucky, you must first be enrolled in Original Medicare, Part A and Part B. You can join Medigap during your Medigap Open Enrollment Period, which starts the first day you are both age 65 or older and enrolled in Medicare Part B. This enrollment period lasts for six months. During that time, you can join any Medigap plan available in your area with guaranteed issue. This means that insurance companies cannot deny you coverage because of pre-existing conditions or require medical underwriting. If you enroll in or try to change plans outside of your Medigap Open Enrollment Period, you may be denied coverage or charged more for your insurance plan.
It’s important for you to understand that Medigap plans in Kentucky are designed to supplement Original Medicare and not replace it. You have to remain enrolled in Original Medicare and keep paying your Medicare Part B premium to keep your health insurance coverage. In addition, Medigap plans in Kentucky do not offer prescription drug coverage, so you may want to consider enrolling in a stand-alone Medicare Part D Prescription Drug Plan to get help paying for your medication.
Types of Medigap plans in Kentucky
To choose a Medigap plan that meets your health and budget needs, it may be a good idea for you to familiarize yourself with the 10 standardized Medicare Supplement plans in Kentucky, and understand what each one has to offer. 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 Kentucky
Medicare Supplement plans in Kentucky with the same letter designation don’t vary in coverage or benefits, as stated earlier. In other words, you’ll get the exact same coverage for plans of the same letter, no matter which insurance company you decide to purchase from. However, each insurance company offering Medicare Supplement plans can determine its own monthly premium structure, so costs may vary from plan to plan (even for the same benefits). This means that if you live in Louisville in Jefferson County, you may pay more or less than a resident of Elizabethtown in Hardin County for an identical Medicare Supplement plan. Knowing about the probable differences in costs, it may be a good idea to compare all Medicare Supplement plans available in your area, and then select a Medigap plan in Kentucky based on your personal requirements.
Medigap plan options in Kentucky are numerous, so it may be smart to get help choosing the plan that’s best suited to your individual health and budget needs. Start browsing plans now by entering your zip code on this page.