Medicare insurance is a government medical insurance program meant to provide older persons living on a fixed income with inexpensive health coverage. Original Medicare involves Part A, which generally covers hospital visits, and Part B, which relates to visits to the doctor and outpatient procedures. Unfortunately, Medicare doesn’t cover every single cost, and the high-priced gaps in Original Medicare coverage which exist currently could cause catastrophically high hospital bills if you aren’t insured. One cost-effective remedy to this challenge is to purchase supplemental coverage through a Medicare supplemental insurance (a.k.a. “Medigap”). Policy. For anyone who is at least 65 years old and currently participating in Medicare, it’s easy to enroll in a Medigap policy.
Federal Regulations for Medicare Supplements
To make sure than a senior citizen in New Jersey has the very same benefits as a senior in New York, the CMS (Centers for Medicare and Medicaid Services) are in command of regulating the ten offered Medicare supplemental insurance plans. Plans A, B, C, D, F, G, K, L, M, and N are now available for purchase (E, H, I, and J have already been discontinued). Since each plan is regulated, the only real distinction between Plan G in New Jersey and plan G in any other state is price, and provider. The benefits are the same in all 50 states.
Medigap Enrollment In New Jersey
Unlike most other states, Plan F has some stiff competition in New Jersey. The 100,000+ Plan F members are nearly tied with Plan C, which has just under 94,000 enrollees. But once you look at what each plan offers, it’s easy to see why – their benefits are nearly identical.
Plan Coverage & Cost
The cost you pay for Medicare supplement coverage is decided by a wide selection of variables. Do retirees who live in your city get medical treatment frequently? Have you been a tobacco smoker? Are you relatively young, and in very good health? Even your gender may determine the price of your monthly charges.
Getting the best monthly premium depends on two major factors: how healthy you are and where you live in New Jersey. Living near specific providers or a good network of healthcare facilities can help you get a better price. Likewise, being younger and healthier (especially if you are a non-smoker) will help get you a lower rate. We’d be happy to help you shop around. Just look at this list of premiums that other New Jersey seniors near you are paying right now for their coverage:
Most Popular Medicare Supplement Plans in New Jersey
Like several states, New Jersey locals like Medigap Plan F above all of the other offered plans. The reason for this is fairly simple: Plan F covers every single gap in Medicare coverage, and all seniors have to do to safeguard themselves is pay out one inexpensive monthly premium. It’s a simple way to give themselves peace of mind.
Of course, your own personal circumstances may influence that Plan F isn’t the best choice. For thousands of New Jersey golden-agers, plan C is the inexpensive choice simply because opting to pay the Medicare Part B excess charges out of pocket is cheaper for some than the higher premium they might pay under plan F.
How do Medicare Plan Ratings Work?
The higher the rank, the better the plan, basically. Companies can earn a maximum of 5 stars by showing things like strong financial stability, stellar customer service, and charging affordable rates. The companies who also show competent management of their customers’ treatments, tests, and other care needs will get the highest scores if they perform well in every other department.
Helpful Medigap Tips & Tricks
Doctor/Provider Network Restrictions
The benefit of Medigap insurance has to do with how it enables retirees to choose their own medical doctors and facilities. Medicare supplement isn’t your only choice for supplementing your Medicare coverage. Even so, it is one of the few policies which won’t control your choices to a restricted network of physicians and facilities which are pre-approved through your plan. Any physician or hospital which takes Medicare will be accessible to you with a Medicare supplement policy. This is a great alternative for older persons who vacation, or dwell a long way away from large cities, where these types of confined provider networks can be found.
Does the doctor you want to see accept Medicare? Does the hospital you want to visit also accept Medicare? What about an outpatient facility for a minor procedure? Medigap insurance is almost always accepted wherever Medicare is. This Medicare assignment promises that the doctor or facility you visit will only charge the Medicare-approved price and that they will file most of the paperwork for you. Just be prepared to take care of your deductibles, coinsurance payments, or co-pays if you owe them.
Drug, Vision and Dental Coverage
Since 2010, insurance agencies discontinued selling Medicare supplement policies that supplied prescription drug coverage (specifically, Plans E, H, I, and J). That benefit can now be available by applying for Medicare Part D. Additionally, if you require vision or dental coverage, you will unfortunately not be able to get those in your Medigap policy. With a bit of investigation, you could be able to get a low-cost solution from a private organization close to you.
Enrollment Options & Best Time To Enroll
When you enroll in a Medigap policy, you must first be participating in Medicare Parts A and B. Only then can you start the Medigap enrollment process. The sooner you sign up, the less of a challenge the process will be. But in the event you wait, you might have to answer personal questions regarding your health just to be considered qualified to receive coverage.
- Initial Enrollment Period: In your first 6 months of enrolling in Medicare, it’s also possible to sign up for a Medicare supplement policy with automatic approval and no health questions asked.
- Guaranteed Issue: Much like the IEP mentioned previously, you will end up immediately approved without needing to answer invasive health questions or go through an exam. Guarantee Issue is commonly for senior citizens who don’t enroll during the IEP since they were previously insured by an employer or group health plan
- Annual Enrollment Period (AEP): You are able to sign up for or modify your Medicare supplement plan whenever you want; nevertheless, this is the recommended window for most forms of insurance policies (including, but not limited to, Medicare supplement policies).
- Underwritten: Perhaps the hardest form of enrollment. Your insurer will ask you personal health questions and perhaps call for a physical exam prior to they accept you as a beneficiary.
Free Look Period
If you sign up for a Medigap plan but eventually recognize that it isn’t the right fit, there’s no need to fret – so long as you make that discovery within the initial 30 days of coverage. The “Free Look Period” gives seniors the right to get rid of their coverage for a full refund within the first 30 days if they aren’t fully happy with their policy.
What Medigap Plan Is Best For Me?
The first thing you need to know about choosing the right Medicare Supplement insurance plan is that you need to choose the right company to get the right service from. We happen to know a lot about the Medigap providers near you and we would be more than happy to help you find an affordable company in your zip code if you’re currently in the market.
The next thing you need to know is that choosing one of the 10 available Medigap plans is a very important decision – and should not be taken lightly. This plan will most likely be with you for the rest of your life, so you need to make sure you choose enough coverage to protect you from those eventual gaps in Medicare. We have more detailed information about what each plan covers if you keep browsing our site.