Introduction to Medicare Supplement in Illinois (Medigap)

“Medigap” is a type of Medicare supplement insurance coverage intended to fill in the coverage gaps associated with Original Medicare Parts A & B. While Medicare attempts to be comprehensive, there are many healthcare basics that it doesn’t cover. And if you don’t have any Medigap insurance to cover those necessities, you could wind up spending thousands in out-of-pocket healthcare bills. In order to acquire Medigap insurance, you have to first be enrolled in Original Medicare.

Federal Regulations for Medicare Supplements

The CMS (Centers for Medicare and Medicaid Services) is the government body accountable for controlling the 10 Medigap plans that are available for purchase. Because plans are regulated, you can rest assured that Plan C or G policy coverage in Illinois is the same as it would be in any alternative state. What you need to be concerned about is selecting the best company, and acquiring an inexpensive premium.

Medigap Enrollment In Illinois

There are well over half a million senior citizens in Illinois who prefer to cover their Medicare coverage gaps with a Medigap policy. In the chart below, you will see that Plan F, as in many other states, is the most popular plan. Plan D is still fairly popular as well.

Plan Type A B C D E F G H I J K L M N
Enrollment 5,170 6,262 28,644 36,768 3,045 453,875 29,335 309 1,878 16,839 1,349 2,909 19 18,943

Plan Coverage & Cost

A number of elements will determine how much your insurer could charge you for your Medicare supplement plan. As an example, a 75 year-old, female non-smoker in New York will pay a substantially different premium from a 66 year old man in Illinois who chewed tobacco for 20 years. Check out the chart below for approximated costs on common plans locally:

Most Popular Medicare Supplement Plans in Illinois

Just like several states, Illinois inhabitants have a preference for Medigap Plan F over the majority of Medicare supplemental insurance plans. It’s reasonably easy to see the reason why: Plan F covers 100% of the coverage gaps which can be found in Traditional Medicare and offers more benefits than the alternative 9 plans. However, because Plan F is so comprehensive, it is also the most expensive Medigap plan on the market.

Illinois does differ in that Plan D is relatively popular among seniors who do not sign up for Plan F. If you do not anticipate expensive rates from your Medicare Part B, especially with regard to your Part B Deductible and potential Part B excess charges, then Plan D might be a more affordable option than Plan F.

Helpful Medigap Tips & Tricks

Doctor/Provider Network Restrictions

One of the main reasons Medigap coverage is well liked among seniors is due to the flexibility of such plans. Compared with other supplement programs, Medigap insurance doesn’t include any restricted PPO or HMO provider networks. You can utilize any doctor which will accept Medicare, in any state, wherever you are. If you want to travel, if you are living in a non-urban area, or in case you are one of millions of “snow birds” who travel south every winter, your access to suitable medical care isn’t going to be limited.

Doctors List

Drug, Vision and Dental Coverage

In the year 2010, the US government passed legislation which changed how Medicare supplement insurance dealt with prescription drug coverage. Since Medicare Part D is out there, All Medigap plans which provided prescription drug coverage are being eliminated. Vision and dental benefits are a different matter entirely. They have never been included in either Medicare or Medigap, and should be purchased on their own from a private company in case you have a need for those services.

Enrollment Options & Best Time To Enroll

When you register for a Medigap policy, you will need to first be signed up for Medicare Parts A & B. Then you can start the Medigap enrollment process. The quicker you register, the less difficult the process will be. But in case you delay, you may have to answer personal questions regarding your health to be considered qualified to receive coverage.

  • Initial Enrollment Period: You will be guaranteed coverage, with no hassle, if you obtain a Medicare supplement plan within your first 6 months of registering for Medicare.
  • Guaranteed Issue: You won’t be turned down for coverage, despite a health issue. This is a popular option among golden-agers transferring from an employer or group plan.
  • Annual Enrollment Period (AEP): Contrary to many types of insurance, you can enroll in a Medicare supplement policy whenever you want. You’re not restricted by an annual enrollment period.
  • Underwritten: In the event you miss the IEP and don’t meet the requirements for Guarantee Issue, you might have to go through the underwriting process. This typically involves queries about your overall health, and even a medical exam in order to evaluate whether or not your insurance company can cover you.

Free Look Period

If you enroll in a Medigap plan but eventually realize that it isn’t the right fit, there’s no need to worry – as long as you make that discovery inside the first 30 days of coverage. The “Free Look Period” gives senior citizens the authority to terminate their coverage for a full refund within the first 30 days if they aren’t totally satisfied with their plan.

What Medigap Plan Is Best For Me?

Compare Medigap Plans Online