Medico Medicare Supplement plans (Medigap) are a popular option for Medicare Supplement coverage, albeit not a household name to most people. If you are researching Medigap plans in a truly unbiased way and not just signing up for United Healthcare or BCBS because they sent you the most junk mail, you will find that there are some less familiar names that pop up as solid options. But… should you consider Medico Medicare Supplements even though you may not have previously heard of them? Are Medico plans worth your consideration? Let’s take a look.

Medico Medicare Supplement Coverage – What Do They Cover?

First and foremost, Medico Medicare Supplement plans cover the exact same “gaps” in Medicare as the other Federally-standardized Medigap (Medicare Supplement) plans. They go by the regular Medigap coverage chart. What this means for the Medico policyholder is that there is no difference in coverage with Medico plans vs. other plans from other companies. To put it simply, a Medico Plan G would be the exact same as a Plan G from any other company.

Typically, in most states, Medico offers both the Plan G and the Plan N (Choosing between Plan G and Plan N). Plan G is the most common and comprehensive Medigap plan, paying everything that Medicare A & B do not cover except for the Medicare Part B deductible (currently $257/year). Plan N is also a popular option, however, because it gives a lower premium in exchange for some minimal co-pays and out-of-pocket costs.

Additionally, Medico Medicare Supplement plans are still available as Plan F. In fact, in many states, Medico Plan F is one of the lowest premium Plan F options available. With the phase out of Plan F in 2020, some Medigap companies stopped offering the Plan F altogether. However, there are some companies, including Medico, that still offer the Plan F. Medico Plan F is frequently a competitive player in the remaining Plan F marketplace.

In some states, Medico Medicare Supplements do also offer the high deductible Plan G as an option. This plan is different than the regular/standard Plan G. It is a high deductible alternative with a $2870 that must be met before the plan pays anything.

Who Is the Medico Medicare Supplement Company?

Medico, headquartered today in Des Moines, IA, has been offering various types of insurance since 1929. They started small, withstood the Great Depression and expanded out from there. Today, they are known for affordable and reliable coverage and offer Medicare Supplement (Medigap) plans, final expense insurance, short-term recovery insurance, dental, vision and hearing insurance, and some other types of ancillary insurance products. Their plans are offered in 49 states and the District of Columbia.

In June of 2023, Medico and other Medico subsidiary companies became unified under one brand name, Wellabe. That re-branding was intended to unify the company under one brand name. However, in most locations, their Medicare Supplement plans are still sold using the name Medico.

What Makes Medico Medicare Supplements Stand Out?

Medico Medigap plans are the same as the Federally-standardized plans offered through other insurers. However, there are few aspects of the Medico plans that are unique:

• Very competitive pricing in most markets – Medico plans are frequently one of the lowest priced offerings in many areas of the country where they are available. If they are not the lowest priced option, they are generally within the lowest 3-4 companies in most markets.
• Household discount just for being married or having a household resident – In most states, Medico Medigap plans offer a 12% discount just for being married or having a household resident. In other words, it is not required that two people in the same household have a plan with them in order to qualify for this discount (state-specific laws may vary so it is always advisable to check with your broker for your exact rate). Should You Use a Medigap Broker?
• No waiting period for pre-existing conditions – There are no waiting periods for pre-existing conditions under Medico plans. This applies whether you are applying during your initial open enrollment period or if you already have a Medigap plan and are just looking to reduce your costs. You do have to go through medical underwriting to change from one Medigap plan to another (Medigap Underwriting), but if you are approved, there is no waiting period for coverage to begin.
• Great financial strength ratings – As outlined above, Medico has very solid AM Best ratings (A). This gives assurance that their plans are backed by a solid company with a solid financial backing. They have historically been a solid and well capitalized company.

Medico Medigap Reviews

Reviews of Medigap plans online cannot always be trusted – full stop. The one unique characteristic of Medigap plans, across all companies, is that they pay claims through the Medicare “crossover” system. This ensures that claims are paid in the same amount and on the same time schedule with all companies. So, any reviews about that aspect of a Medigap plan can be deemed negligible.

It is, however, worthwhile to consider Medigap reviews on the stability of a company over time (i.e. rate increases) and ease of contacting them for customer service. On those aspects, Medico Medicare Supplements do stand out as a leader among Medigap options. 65Medicare.org clients that have selected Medico as their Medigap company have been very pleased with service and stability of the company (Sign up for an Medico plan by sending us a message or by calling us at 877.506.3378).

Should You Consider Medico Medigap Plans?

If you are in the market for Medigap, whether new to Medicare or just looking to get a better rate, Medico Medigap plans are certainly a viable option to consider. Read More: What is the best Medigap plan? It is always prudent to check the rates for all plans in your area before selecting a Medigap plan. You can get a list of the Medigap plans, with prices and company ratings, delivered by email here: Medigap quotes by email.

If you landed on this page because you were already considering Medico Medigap as an option, allow us to help you get everything set up. As an independent broker, our service is free and we act as an ongoing advocate for you if you have any problems, questions or want to evaluate plans in the future.

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post Medico Medicare Supplement (Medigap) appeared first on 65Medicare.org.

In this guide, we’ll walk you through everything you need to know about how to appeal IRMAA, who qualifies, and the exact steps to take to file a successful appeal.

What Is IRMAA?

IRMAA is a surcharge that Medicare beneficiaries must pay if their income exceeds a certain threshold. The Social Security Administration (SSA) determines this amount based on your Modified Adjusted Gross Income (MAGI) from your tax return two years prior.

For example, if you’re enrolling in Medicare in 2025, the SSA reviews your 2023 tax return to assess whether you owe IRMAA.

2025 IRMAA Thresholds for Individual Filers

Thresholds are higher for married couples filing jointly.

When Can You Appeal IRMAA?

There are two main reasons the SSA will allow an appeal:

1. You Experienced a Life-Changing Event

Certain qualifying life events can cause your income to drop significantly, which may allow you to appeal IRMAA. These include:

• Retirement or reduced work hours
• Death of a spouse
• Divorce or annulment
• Marriage
• Loss of pension or income-producing property
• Settlement from an employer

If one of these events has occurred and your income is now below the IRMAA threshold, you may be able to request a lower premium.

2. SSA Used Incorrect Income Data

In cases where the IRS or SSA made an error or used outdated income information, you can appeal to have the correct data reviewed.

How to Appeal IRMAA: Step-by-Step Instructions

If you’re ready to learn how to appeal IRMAA, follow these four simple steps:

Step 1: Review the SSA Notice

You’ll receive an “Initial Determination” letter from the SSA if you’re being charged IRMAA. This letter explains your current premium amount and the income level it’s based on.

Step 2: Complete Form SSA-44

To appeal based on a life-changing event, use Form SSA-44, titled “Medicare Income-Related Monthly Adjustment Amount – Life-Changing Event.”

You can download it directly from the SSA website:
Download SSA-44 Form (PDF)

On this form, you’ll:

• Select the qualifying event
• Provide the date of the event
• Estimate your current or future income
• Attach supporting documentation (e.g., retirement letters, tax documents, death certificates)

Step 3: Submit the Form to the SSA

Once you complete Form SSA-44, submit it along with documentation to your local Social Security office. You can deliver it:

• In person
• By mail
• By fax (call your office first to confirm)

Always keep copies of your submission and get a receipt when possible.

Step 4: Wait for a Response

The SSA typically takes a few weeks to a few months to process your appeal. If approved, your IRMAA adjustment will be reduced or removed, and any overpaid premiums may be refunded.

What to Do If Your Appeal Is Denied

If your appeal is denied, you have the right to request a further review:

1. Submit Form SSA-561-U2 – This is a Request for Reconsideration.
2. Request a Hearing – If reconsideration is unsuccessful, you can ask for a hearing before an Administrative Law Judge (ALJ).

It’s rare for IRMAA cases to go this far, but the option is available if needed.

Tips for a Successful IRMAA Appeal

Here are a few expert tips on how to appeal IRMAA effectively:

• Act Fast – You have 60 days from the date on the SSA letter to appeal.
• Be Precise – Carefully estimate your current or future income. SSA may request tax documents later to verify.
• Attach Proof – The more documentation you provide, the stronger your case.
• Seek Help If Needed – Medicare advisors, elder law attorneys, or financial professionals can guide you through the appeal process.

Real-World Example of Appealing IRMAA

Linda, age 67, retired in 2023. Her tax return from that year showed a MAGI of $155,000 due to a large severance package. In 2025, she received a notice from SSA indicating she owed over $170/month in IRMAA surcharges.

Since her 2024 income dropped to $42,000 after retiring, she filled out Form SSA-44 and submitted a retirement letter and recent tax documents. Within six weeks, her appeal was approved, and her IRMAA was removed.

What If You Don’t Qualify to Appeal IRMAA Right Now?

Even if you don’t meet the criteria for an IRMAA appeal at this moment, you’re not necessarily stuck paying higher premiums forever.

• IRMAA is reassessed annually. If your income drops in a future tax year, the surcharge may be removed automatically.
• Plan your income carefully. Consider financial planning strategies like Roth conversions or managing capital gains to stay under IRMAA thresholds.

Final Thoughts

If you’re wondering how to appeal IRMAA, the process is straightforward—but timing and documentation are key. Many Medicare beneficiaries don’t realize that IRMAA isn’t necessarily permanent and is re-evaluated annually. If your circumstances change, you may be eligible for a lower premium.

By filing Form SSA-44 and providing clear evidence of your income reduction, you can potentially save hundreds—if not thousands—of dollars annually.

Additional Resources

• SSA-44 Form: Medicare IRMAA Appeal
• Find Your Local SSA Office
• Medicare.gov – IRMAA Info

Need help appealing IRMAA or navigating Medicare enrollment? 65Medicare.org can help. We serve Medicare clients through all aspects of enrollment in Medicare and Medicare plans and ongoing, free support.

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. We have worked with 10,000+ Medicare-eligible individuals over the last 10+ years, assisting with understanding and comparing the plans. You can get a list of Medigap quotes in your area. Or, if you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post How to Appeal IRMAA: Step-by-Step Guide to Lowering Medicare Premiums appeared first on 65Medicare.org.

This guide will break down the steps and considerations for moving with Medicare, with specific sections on:

• Moving with Original Medicare and Medigap
• Moving with Medicare Advantage (Part C)
• Moving with Medicare Part D (Prescription Drug Plans)

Let’s look at each scenario in detail.

Moving with Original Medicare and Medigap

Original Medicare includes Part A (hospital insurance) and Part B (medical insurance). It’s federally administered, which means it works the same way anywhere in the United States. However, if you also have a Medigap (Medicare Supplement) policy, moving may require a few additional steps.

How Moving Affects Original Medicare

Original Medicare travels with you. Since it’s a national program run by the federal government, you can see any doctor or healthcare provider in the U.S. who accepts Medicare, without worrying about network restrictions or needing a referral. (Read More: Medicare and Medigap – How Do They Work Together? | 65Medicare.org)

Key Points:

• No need to change your Part A or Part B enrollment if you move within the U.S.
• You should update your address with Social Security or the Railroad Retirement Board, depending on where you get your benefits. Updating your address with Social Security takes care of notifying Medicare of your new address.
• Make sure to find new healthcare providers in your new area that accept Medicare if you’re moving a significant distance.

How Moving Affects Medigap Policies

Medigap plans are sold by private insurance companies to help cover costs like copayments, coinsurance, and deductibles that Original Medicare doesn’t pay. The plans are Federally-standardized in most states, so it is easy to compare “apples to apples”. In other words, a Plan G, for example, is the exact same coverage regardless of the insurer.

When you move:

• If you stay within the same state, you should be able to keep your current Medigap policy.
• If you move to another state, especially one with different Medigap rules or pricing (community-rated vs. issue-age-rated vs. attained-age-rated plans), your plan options may change, and it is wise to check your options to ensure your current plan is still the right plan for you in your residence.

Possible Scenarios:

1. You can keep your Medigap policy:
   Some companies allow you to keep your current plan even if you move, although premiums might change to reflect the current premiums of your new location.
2. You may want to switch plans:
   If better or more affordable options are available in your new location, you might be able to switch, though depending on your situation, you could be subject to medical underwriting (health questions). An independent broker can help you evaluate whether a move to a new state would call for a corresponding move to a new insurer. Get Medigap rates for your new state delivered by email.
3. Special Rights:
   If you’re moving out of the service area of a Medicare SELECT policy (a type of Medigap policy that requires using specific hospitals and doctors), you have a guaranteed right to buy a standard Medigap policy without medical underwriting.

Action Steps:

• Notify your Medigap insurer of your move. You can do this by calling the number on your Medigap insurance card or contacting your Medigap broker.
• Review plan options and premiums in your new area. This can be done online through an independent broker or, in some states, through the state department of insurance.
• Consider enrolling in a different Medigap plan if it offers better coverage or lower premiums.

Moving with Medicare Advantage

Medicare Advantage (Part C) plans are offered by private insurance companies and must cover at least what Original Medicare covers, but often include extra benefits like dental, vision, or hearing. These plans are regional, network-based, and they have specific service areas.

How Moving Affects Medicare Advantage Plans

Because Medicare Advantage plans depend on local networks of doctors, hospitals, and pharmacies, moving outside your current plan’s service area usually requires changing your plan.

Key Points:

• If you move outside your plan’s service area, you must switch plans.
• If you move within your plan’s service area but to a different county or ZIP code, you might still be allowed (or even encouraged) to change plans because different options may be available.
• You will get a Special Enrollment Period (SEP) to choose a new plan, as a result of a move outside of your plan’s service area.

Special Enrollment Period (SEP) Details

• You can switch to a new Medicare Advantage plan or return to Original Medicare (and enroll in a Part D plan separately).
• The SEP starts the month before your move and continues for two full months after you move.
• If you notify your current plan after you move, your SEP begins the month you notify them and lasts two additional months.
• If you have previously been “stuck” in Medicare Advantage due to medical conditions, a move outside of your Advantage plan’s service area represents an opportunity to move back to original Medicare and add a Medigap plan on a guaranteed issue basis.

Action Steps:

• Notify your current Medicare Advantage plan about your upcoming move.
• Research plans in your new area ahead of time.
• Choose a new Medicare Advantage plan or switch to Original Medicare with optional Part D and Medigap coverage.
• Be sure to avoid gaps in coverage by making timely decisions.

Moving with Medicare Part D (Prescription Drug Plans)

Medicare Part D offers prescription drug coverage through private plans that operate within specific regions. Like Medicare Advantage, Part D plans have networks, so moving could require a change depending on your destination.

How Moving Affects Medicare Part D Plans

Each Part D plan has a designated service area, and moving outside that area means you need to enroll in a new plan.

Key Points:

• You must be enrolled in a Part D plan that operates in your new location.
• Moving gives you a Special Enrollment Period (SEP) to join a new Part D plan.

Special Enrollment Period (SEP) Details

• SEP begins the month before you move and lasts two full months after you move.
• If you notify your plan after you move, the SEP begins the month you notify your plan and lasts for two months.
• If you don’t choose a new plan during the SEP, you could face a gap in coverage and a potential late enrollment penalty if you go without prescription drug coverage for 63 days or more.

Action Steps:

• Notify your current Part D plan provider. If your new location is outside the plan’s service area, you will be disenrolled as of the 1^st day of the next month.
• Compare available Part D plans in your new area using the Medicare Plan Finder tool or by working with a licensed broker.
• Check that your medications are covered under your new plan’s formulary.
• Enroll promptly to maintain continuous coverage.

Important Things to Remember When Moving with Medicare

• Update Your Address: Contact Social Security (1-800-772-1213) or update your information online at ssa.gov.
• Keep Documentation: Save any notices and correspondence from your Medicare plan and Social Security Administration.
• Evaluate Your Options Carefully: Moving gives you a unique opportunity to reassess your healthcare needs and possibly find a plan that better fits your situation or reduces your monthly premiums.
• Timing Matters: Acting quickly ensures you don’t experience a lapse in healthcare or prescription drug coverage.

Moving with Medicare: The Bottom Line

Moving, in general, can be stressful, but staying informed about how Medicare is affected helps simplify the transition.

• If you have Original Medicare, it’s mostly just updating your address — but if you have a Medigap policy, you’ll want to review it closely and possibly make a change to a plan that offers a lower premium in your new location.
• If you have Medicare Advantage or Part D, you’ll need to use your Special Enrollment Period to pick a new plan.
• Always act within your Special Enrollment timelines to prevent interruptions in your health or prescription coverage.

By staying proactive and organized, you can ensure that your move is smooth not only for your personal life but for your healthcare coverage as well.

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65Medicare.org is a leading, independent Medicare insurance 

agency for people turning 65 and going on Medicare. We have worked with 10,000+ Medicare-eligible individuals over the last 10+ years, assisting with understanding and comparing the plans. You can get a list of Medigap quotes in your area. Or, if you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post Medicare and Moving to Another State – What You Need to Do appeared first on 65Medicare.org.

Medigap Plan G rates can vary widely, depending on several variables including what part of the country you are in, your age, and your gender (Get Plan G pricing in your area by email).

The short answer for “how much does Plan G cost” is “it depends on where you live, how old you are and what gender you are”. In most areas of the country, Plan G rates start at around $100-125/month (65 year old female rates). However, some states that are lower than that and some that are much, much higher. To give you an idea, here are a few examples of current (May 2025) Plan G (or Medicare G) prices in different parts of the country.

Important note: The Plan G rates below are for example purposes only. Rates can change monthly and are dependent on a handful of factors. What we do is provide all Plan G rates and ratings and help Medicare beneficiaries compare and sign up for the best Plan G deal in their area. Don’t trust other websites that require you to provide your phone number just to obtain the rates. For a list of up to the minute current Plan G rates in your area delivered by email, click here: Medigap Plan G Rates by Email.

The Plan G rates shown below are for a 65-year old, non-smoking, female, with no household discount applied, and they are the lowest current rates in that respective area (every insurance company charges different prices):

EXAMPLE 1 (ALL OF NC): Medigap Plan G Rates start at $97/month.
EXAMPLE 2 (PANHANDLE FL): $182/month
EXAMPLE 3 (SOUTHERN CA): $173/month
EXAMPLE 4 (WESTERN PA): $131/month
EXAMPLE 5 (DALLAS TX): $117/month
EXAMPLE 6 (CENTRAL INDIANA): $112/month
EXAMPLE 7 (DENVER CO): $133/month
EXAMPLE 8 (UPSTATE SC): $104/month
EXAMPLE 9 (IOWA): $105/month

In addition, Medigap Plan G prices can vary within the same geographical area by as much as $100/month with different insurance companies, although the coverage is completely identical. With Medicare Supplement plans, the companies are allowed to determine what they charge for their plans, although the coverage is Federally-standardized. In other words, you can end up paying much, much more for the exact same coverage that works the same way. If you have been with the same Medigap Plan G since you started on Medicare, it is almost certain that you can reduce your costs for equivalent coverage that works the exact same way.

Click here to receive a list of Medigap Plan G Rates by Email

How Can I Get Medicare Supplement Plan G Prices?

Unfortunately, most insurance companies no longer openly publish their rates online without requiring you to meet with an agent or enter your personal information first. So, although some companies put their Medicare Supplement Plan G prices online, the information will be slanted towards that one company and will not be a full picture of what is available to you.

Medicare.gov has recently started listing information about Medigap G prices online; however, Medicare has no oversight of Medigap (the states do) and their information is not always up to date, does not always reflect all applicable discounts/rate actions and is generally not a 100% accurate source.

There are two options for obtaining the prices for a Medicare Supplement Plan G. One, you can contact your state department of insurance to get a list of all the companies offering supplement plans in your state – usually around 30-35 companies. From there, you can contact each insurance company’s call center and set an appointment to have an agent from each company come to your home so you can meet with them and obtain the rates for their plans. Sounds enjoyable, right?!?!

The much-simpler, more consumer-friendly alternative is to contact a trusted, verified independent Medicare insurance broker. Whether that broker is 65Medicare.org or someone else, using an independent broker gives you the opportunity to compare multiple options in a centralized, unbiased place. It costs you nothing and can help you make a prudent choice initially as well as provide ongoing service. The broker works with you based on your needs and is incentivized to put you in a plan that you are happy with and that fits your needs, not one that helps their employer’s bottom line. [Click here to use us to get Medicare Plan G prices]

What Does Plan G Cover?

If you are already looking into Medicare Supplement Plan G prices, you likely are already familiar with what Plan G covers. But if not, here’s a brief overview.

First and foremost, here is the Medigap standardized plans chart – this chart shows the plans that all insurance companies are allowed to offer. If a company is going to sell Medicare Supplement plans, it has to be one or more of the plans listed on this chart.

Plan G, in particular, covers all the “gaps” in Medicare, with the one exception of the Medicare Part B deductible. This deductible is currently (2025) $257/year. So, if you have a Plan G, the plan will pay the Medicare co-pays, coinsurance, and the Medicare Part A deductible – your only out-of-pocket costs would be the Medicare Part B deductible amount, currently $257/year.

How Do I Sign Up for a Plan G?

So, once you understand what Plan G covers and have obtained the Medicare Supplement Plan G prices, you can move to the next step of comparing the specific options in your area and enrolling in a plan. Although this is the most important step, it is also the easiest one to do.

The days of the 20+ page insurance application are long gone (unless you like that sort of thing). Most insurance companies now offer online applications that are streamlined, easy to do and painless. In particular, if you are turning 65, you in your initial open enrollment period. During this time period, you do not have to answer any medical questions or “qualify” to obtain a plan.

If you are already working with an independent broker, that broker can provide you the application or the online link to your customized application so you can enroll. If you are not working with a broker yet, you can contact the specific company you want to sign up for and they will (in most cases) direct you to a broker that can enroll you. If you want our service and assistance enrolling, find out what our clients say/why you should work with us and contact us to get started.
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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

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Signing up for Medicare online is done through Sign up for Medicare | SSA. Once you go there, you will have two options – signing up for both parts of “original” Medicare, Part A and Part B OR signing up for only Part B (if you already have Part A). You would start by selecting whichever of those options applies to your situation.

There are a few things that you would need to have and provide when you are signing up. Those are listed here:

Basic information about yourself

• Social Security number
• Where you were born (city, state, country)

Health insurance information

• Start and end dates for any current group health plans
• Start and end dates for any group health plans after age 65

For Part B only

• Valid email address
• Your existing Medicare number

Once you start the process of signing up for Medicare online, you will be prompted for various pieces of this information. Also, as a part of that process, you will be prompted to create a login for the ssa.gov website if you do not already have one.

The alternatives to signing up for Medicare online would be going to a local Social Security office. You can find a local office near you using this tool: Social Security Office Locator, SSA Office Locator Social Security Office Locator, Social Security. However, it is strongly recommended, both by Social Security themselves and by us, that you apply for Medicare online if possible. Long wait times and other inconveniences associated with visiting a Social Security office in person are long-documented. You can also call Social Security at 1-800-772-1213 as an alternative, although many tasks cannot be completed by phone.

Once you have enrolled in Medicare, you would need to decide whether you are going to stay with “original” Medicare and possibly get a Medigap plan or whether you are going to consider going with a Medicare Advantage plan. Either way, we are an independent brokerage that can help you compare all of your options in a centralized place.

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post How To Sign Up for Medicare Online? appeared first on 65Medicare.org.

While this can be unsettling to some, there are protections in place, and you do still have options. Read on to learn more about what to do when your Medicare Advantage drops you.

What Type of Plan Can You Get When Your Medicare Advantage Non-Renews?

When your Medicare Advantage plan drops you, you have two options for coverage moving forward. We’ve detailed both of those options below:

A New Medicare Advantage Plan: One option that you have when your Medicare Advantage plan non-renews is to choose a new Medicare Advantage plan that IS going to be offered in your county for the following calendar year. You can do this during the annual election period (October 15-December 7) and it would take effect on January 1 of the following year. The transition would be seamless in that the current plan will cover you through the end of the calendar year, and the new plan would start on 1/1. 

It is very important, when considering/comparing Advantage plans, that you do your due diligence to make sure that the plan you are choosing is accepted by your doctors, covers your medications and just altogether meets your medical coverage needs. There are many variables to consider when comparing this type of plan.

Return to “Original” Medicare with a Medigap Plan: The 2nd option that you have when your Medicare Advantage plan non-renews is to return to “original” Medicare (Part A – hospital coverage; Part B – doctor/outpatient coverage) and add a Medigap plan, sometimes called a Medicare Supplement. Medicare gives you a mandated “guaranteed issue” right into certain Medigap plans, when your Medicare Advantage drops you through no fault of your own. So, many Medicare beneficiaries take the opportunity, when dropped by their Advantage plan, to get the comprehensive Medigap coverage that they may have not otherwise qualified for. 

Normally, to switch from an Advantage plan to a Medigap plan, you would have to go through medical underwriting and get approved. However, this is one of the few instances that would allow you to make this change with no medical underwriting or restrictions. Medigap plans pay the 20% that Medicare does not cover, and the most comprehensive Medigap plans (Plan F and Plan G) essentially pay all of your medical costs with no co-pays or out of pocket (with the exception of the Medicare Part B deductible of $240/year on the Plan G). Moreover, the Medigap plans do not ever non-renew and don’t change from year to year. They also do not have networks so you can go anywhere in the country that accepts Medicare. 

How Do You Get Another Plan After Your Medicare Advantage Plan Drops You?

So, if your Medicare Advantage drops you for 2025, you have options to get another plan. Here are a few tips:

• You should save all documentation that comes to you via mail regarding your plan’s changes, as you may need it to prove your eligibility for another plan.
• Make sure you read any documentation carefully and observe all deadlines and requirements.
• When choosing a new Advantage plan, make sure that the Advantage plan is accepted by your doctors/hospital. Also, make sure that your medications are covered under it and review any restrictions on coverage. 
• If choosing a Medigap plan, the plans are standardized (same coverage with every company) so you should compare the rates and pick the one with the best rates and ratings. A Medigap broker can provide you with a list of all the options. 

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post What To Do When Your Medicare Advantage Plan Drops You? appeared first on 65Medicare.org.

What Happens to Existing CSI and Central States Policyholders?

With Medigap plans, any time your company stops selling new plans, you are still “grandfathered in” to your current plan. So that is the case for existing CSI Life Medigap and Central States Medigap policyholders. As long as the company has not completely gone out of business due to inability to pay claims, then your policy will continue to be serviced and you can keep the policy.

You do have the option to change plans if you’d like to do so. You would, however, be subject to the normal underwriting guidelines applicable in your state. This just means that you would have to answer some basic medical questions to be eligible to change. There are some states that have annual open enrollment rules, though, which would allow you to change without being subject to medical underwriting (What is the Medigap Birthday Rule and Which States Have It?).

Should You Change Plans if You Have a CSI Life or Central States Medigap Plan?

For existing CSI Life and Central States Medigap policyholders, you have the option of either keeping your existing policy or changing companies, if eligible, to a different insurer offering the same Medigap policy. All Medigap policies are standardized, and in most states, the plans go by the standard Medigap coverage chart. This makes it easy to compare plans “apples to apples” and switch to a “like” plan without sacrificing coverage if there is a better premium available elsewhere.

When a company stops offering plans, existing policyholders are in a closed “block”. This means that no new, often younger, policyholders are being added, and this can lead to more frequent and/or larger rate increases in the future (How Much Do Medigap Premiums Increase Each Year?).

So, it is usually prudent to compare your Medigap options and at least consider changing your plan if your Medigap company stops offering plans and if you are eligible to do so. You can get a list of Medigap options here.

Why Did the Central States Companies Stop Selling Medigap?

Companies entering and existing the Medigap market is not an unusual occurrence. Typically, when they stop offering plans, no real reason is given. It could because they did not find this line of business as profitable as projected or that they intended to focus more on other lines of insurance or segments of their business. In the case of CSI Life and Central States, their official release did not give specific reasons. They did announce another affiliate, Central States Health and Life Insurance of Omaha, but that affiliate company also pulled out of Medigap a couple of years later.

Will This Happen with Other Companies that Sell Medigap?

The short answer is “yes”. It has happened, is happening and will likely to continue to happen, as new companies enter and exit the Medigap market all the time. There is no way to know for certain if a specific Medigap company will exit the market at any given time. The best predictor of future stability is past stability, but even that is not always certain. As always with Medigap, it is a good idea to compare current prices, company ratings and past rate stability when comparing and choosing a Medigap policy.

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post What Happened to CSI Life Medigap and Central States Medigap? appeared first on 65Medicare.org.

ACE Medigap plans

ACE Medigap Coverage – What Do They Cover?

First and foremost, ACE Medigap plans are the same as other Federally-standardized Medigap plans. They go by the regular Medigap coverage chart. This means that there is no difference in coverage with ACE plans vs. other plans from other companies. In other words, an ACE Plan G would be the exact same as a Plan G from any other company.

Typically, in most states, ACE offers both the Plan G and the Plan N (Choosing between Plan G and Plan N). Plan G is the most common and comprehensive Medigap plan, paying everything that Medicare A & B do not cover except for the Medicare Part B deductible (currently $257/year). Plan N is also a popular option, however, because it gives a lower premium in exchange for some minimal co-pays and out-of-pocket costs.

In some states, ACE Medigap does also offer the high deductible Plan G as an option. This plan is different than the regular/standard Plan G. It is a high deductible alternative with a $2870 that must be met before the plan pays anything.

Who Is the ACE Medigap Company?

ACE as they are commonly called has the full name of ACE Property and Casualty Insurance Company. They are a Chubb company. Chubb operates in 54 countries and is one of the largest insurance companies in the United States. Medigap plans are one small part of what they do – they are also active in commercial insurance, property and casualty, life insurance, reinsurance and other types of insurance.

They have more than $225 billion in assets and had $57.5 billion in premium written in 2023. ACE inherits Chubb’s solid ratings from AM Best (A++) and Standard and Poor’s (AA).

Medigap plans are a relatively new offering through ACE and Chubb. They started offering them in 2021 in most states. However, they are well-positioned in the markets where they operate, having a low premium and solid rating.

What Makes ACE Medigap Unique?

As previously mentioned, ACE Medigap plans are the same as the Federally-standardized plans offered through other insurers. However, there are few aspects of the ACE plans that are unique:

• Competitive pricing in most markets – ACE plans are one of the lowest priced offerings in many areas of the country where they are available.
• Household discount just for being married or having a household resident – In most states, ACE Medigap plans offer a 7% discount just for being married or having a household resident. In other words, it is not required that two people in the same household have a plan with them in order to qualify for this discount (state-specific laws may vary so it is always advisable to check with your broker for your exact rate). Should You Use a Medigap Broker?
• No waiting period for pre-existing conditions – There are no waiting periods for pre-existing conditions under ACE plans. This applies whether you are applying during your initial open enrollment period or if you already have a Medigap plan and are just looking to reduce your costs.
• Great financial strength ratings – As outlined above, ACE has very high AM Best ratings (A++), one of the highest of any Medigap plan available. This gives assurance that their plans are backed by a solid company with a solid financial backing.

ACE Medigap Reviews

Reviews of Medigap plans online cannot always be trusted. The one unique characteristic of Medigap plans, across all companies, is that they pay claims through the Medicare “crossover” system. This ensures that claims are paid in the same amount and on the same time schedule with all companies. So, any reviews about that aspect of a Medigap plan can be deemed negligible.

It is, however, worthwhile to consider Medigap reviews on the stability of a company over time (i.e. rate increases) and ease of contacting them for customer service. On those aspects, ACE Medicare Supplements do stand out as a leader among Medigap options. They are a reputable company with a solid track record and the backing of a large, international insurer (Chubb). 65Medicare.org clients that have selected ACE as their Medigap company have been very pleased with service and stability of the company (Sign up for an ACE plan by sending us a message or by calling us at 877.506.3378).

Should You Consider ACE Medigap Plans?

If you are in the market for Medigap, whether new to Medicare or just looking to get a better rate, ACE Medigap plans are certainly a viable option to consider. Read More: What is the best Medigap plan? It is always prudent to check the rates for all plans in your area before selecting a Medigap plan. You can get a list of the Medigap plans, with prices and company ratings, delivered by email here: Medigap quotes by email.

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

The post ACE Medigap Plan – Is It a Good Option for You? appeared first on 65Medicare.org.

There are several factors which should be considered when choosing between a Medigap Plan G or Plan N.  It basically comes down to making an informed decision based upon your personal situation, finances and lifestyle.  Below I will explain some similarities and differences between these two plans, so that you will be better informed to make your choice.

I already understand the plans… Email me the list of Medigap options with rates and ratings for my area

What Do Plan G and Plan N Have in Common

There are many similarities between Plan G (some people call it “Medicare G“) and Plan N. In fact, they are more alike than they are different (which may be why you are considering these two plans). Many people consider them to be the two best Medigap plans. Here is a list of the primary similarities:

• Medicare Part A deductible IS covered
• Medicare Part B deductible of $257 (2025) per year is NOT covered
• Hospitalization, skilled nursing facility care, blood, hospice care, foreign travel ARE covered
• An application must go through medical underwriting unless you are enrolling during open enrollment or have a guaranteed issue situation

What are the Differences Between Plan G and Plan N

Although there are many similarities, there are also a few significant differences between Plan G and Plan N:

Plan G has:

• No Part B doctor/outpatient copays
• No emergency room copay
• No Part B excess charges of 15% (the difference in cost between the Medicare-approved payment amount for services and the amount your health care provider charges).  They cannot charge more than 15% above the assigned rate and still be reimbursed by Medicare.

Plan N has:

• Part B doctor/outpatient copay of up to $20 per office visit
• Part B copayment of up to $50 per each emergency room visit.  Note: If you are admitted to the hospital, then this copayment is waived.
• Part B Excess charges of up to 15% (if the provider charges Part B excess charges and does not accept Medicare “assignment”)

Medigap Plan G Premiums vs. Medigap Plan N Premiums

In most states, Plan G generally runs about $20-25 more per month than Plan N (More about Plan G prices).  Depending upon the condition of your health, it might be a better idea to sign up for Plan N, even though there is a copay and may be 15% in excess charges associated with it.

Example 1:    Tom is a 72-year old man, who lives a healthy lifestyle.  He does not take any medications, except for vitamins and herbs, and works out almost daily at the YMCA.  The only time he sees a doctor is when he goes for his annual physical.  In his case, it would be more cost effective for Tom to choose Plan N over Plan G.  Why?  Because even though he will have had to pay a copay and perhaps more if his doctor doesn’t accept Medicare assignment, it will amount to less than if he paid that higher premium for Plan G.

Example 2:    Linda is 69-year old woman, who lives a sedentary life.  She’s a smoker, slightly overweight, and has high blood pressure.  She only works out about 1 to 2 times per week.  She’s on medication for her blood pressure, and takes an antidepressant daily as well.  She visits her doctor at least four times a year, if not more.  In Linda’s situation, it would be more beneficial for her to enroll in a Plan G.  Why?  Because by the time she adds up all her doctor visits, possibly incurring lab copays and 15% in excess charges, she will have paid out more annually, even though her monthly premium is lower.

Other Considerations Between Plan G and Plan N

When choosing between Plan G and Plan N, another consideration that you must make is about the future. The initial open enrollment selection of a Medigap plan is not necessarily a “final” choice. You can always change plans or companies in the future. However, and this is an important and commonly misunderstood point, you have to answer medical questions and be “approved” if you change plans later.

So, what this means is that, even if your current health dictates that you enroll in a Plan N (or possibly even in an Advantage plan), you should think about that decision on a long-term basis. What you enroll in initially, if you have or develop health problems, may be what you keep out of necessity.

Choosing the right plan to meet your needs may either be an easy decision or more complicated than you imagined it to be.  The bottom line is that it all depends on your current personal health profile and what you anticipate your health status to look like in the near and distant future.  You may have an elective surgery coming up that might increase the amount of times you will need to see a health care provider.  Your finances may also be impacted.  So, these are all things that should be taken into consideration in your final decision between Plan G and Plan N.

Bottom-line, there is no right or wrong answer to choosing between Plan G and Plan N. The right decision depends on your unique situation. What we do is provide the list of options – companies, rates, and ratings – for both Plan G and Plan N so you can make an informed choice. Get a list of Plan G and Plan N quotes, delivered by email, here. 

The post Choosing Between Medigap Plan G and Plan N appeared first on 65Medicare.org.

How Does High Deductible Plan G Work?

High Deductible Plan G works very similarly to other Medigap plans. Like other Medigap options, the plan works with regular Medicare Part A and B and fills in the gaps in Medicare. There are no networks on HDG or any other Medigap plans – you can use the plan at any doctor or hospital that accepts Medicare.

High deductible Plan G has a deductible of $2800 (for 2024 – this deductible changes each year).  What this means is that, when you use medical services, Medicare will pay their 80%, and you will be responsible for the other 20% until you meet the $2800 deductible. In other words, you will pay 20% of Medicare-approved charges up to $2800 per calendar year.

After you have paid out $2800 in a calendar year, your HDG plan will act exactly like a “regular” Plan G. The plan will pay what Medicare does not pay (the 20%). HDG, like standard Plan G, does not cover the Medicare Part B deductible ($240/year in 2024); however, that deductible goes towards the larger HDG deductible so you would have already met it by the time you reach the $2800 HDG deductible.

The deductible for HDG resets each calendar year, so you would have to start over with meeting the deductible each year. High deductible Plan G, just like any other Medigap plan, can never be cancelled for reasons other than non-payment of premium. The plan is ‘guaranteed renewable’ and does not have to be renewed annually, nor does it have any sort of annual renewal period.

What are the Advantages of High Deductible Plan G?

The appealing thing about the HDG is the premium. It is considerably lower in premium than the traditional Medigap plans – usually about half of Plan N rates and up to $100/mo lower than Plan G rates (rates vary considerably depending on the state and your age). That is the most significant advantage of HDG – it can save you a good bit of money off of the premiums on other Medigap options.

Additionally, it is easy to use, just as any Medigap plan. You don’t have to file claims or worry about whether claims will be processed/paid. The Medicare “crossover” ensures that everything will work seamlessly, once you have met the deductible.

Medigap rates vary considerably from one area to the next (Why Do Medigap Premiums Vary?), and the premiums are determined by other factors like gender and age. But to give you a general idea, we’ve included current (as of October 2023) High Deductible Plan G rates for the lowest premium company in a few different areas (rates are for a 65-year-old female):

• Bradenton, FL = $67.77/mo
• San Antonio, TX = $31.82/mo
• Charlotte, NC = $30.60/mo
• San Francisco, CA = $38.12/mo
• Denver, CO =$46.61/mo
• Lansing, MI = $34.15/mo
• Richmond, VA = $35.82/mo
• Harrisburg, PA = $34.47/mo
• Topeka, KS = $29.39/mo

*Note: Rates are subject to change at any time. They do not go by the calendar year and can change from month to month. There’s no “enrollment period” for Medigap plans other than the one when you first start on Medicare. For current Medigap rates specific to your area and situation, get Medigap rates by email or call us at 877.506.3378.

What Are the Downsides of High Deductible Plan G?

While High Deductible Plan G is very appealing in terms of monthly premium, there are some factors to be aware of if you are considering this plan. First and foremost, the plan does not pay anything until you have met the initial HDG deductible. You are responsible for any and all out of pocket costs that aren’t covered by Medicare (the 20%).

Second, and maybe most importantly, you do always have to ‘qualify medically’ to switch from one Medigap plan to another after your initial open enrollment period, which is when you first turn 65 or start on Medicare (NOTE: There are a few states that have unique annual open enrollment periods). So, while HDG may be a good fit for someone who has few health problems or doctor visits when they turn 65, it is important to think about your initial Medigap selection on a long-term basis since there is no guarantee that you can change plans in the future. Weekly, we talk to someone who is trying to ‘upgrade’ their Medicare coverage from an HDF or Plan N or Advantage plan but is unable to do so due to some health condition or ongoing medical treatment.

Lastly, you should be aware that the deductible on the high deductible Plan G changes every year. In the last five years, it has gone from $2200 to $2800, a 27% increase in that time period. It is not likely that this trend of the increasing deductible will lessen over time.

This is not to say that High Deductible Plan G is not a good option in some situations – it is. However, it is crucial to think through and be aware of the future implications of selecting HDG and be okay with it on a long-term basis.

How Do I Enroll in a HDG?

If you do decide that a High Deductible Plan G is the right plan for you, you should definitely compare rates from different insurers rather than jumping at the first offer on this plan. There are fewer companies that offer this plan than some of other plans. Some states only have 3-4 companies that do this plan, as it historically has not been a plan with a large market share (between 3-4% historically by most reports). That said, you should compare multiple options since rates can vary considerably on Medigap plans. If you want a list of plans and rates by email, you can contact us through our website or by phone.

Once you pick a HDG, you can enroll online or by phone through us or through another broker like us (Why Use a Broker).

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65Medicare.org is a leading, independent Medicare insurance agency for people turning 65 and going on Medicare. If you have any questions about this information, you can contact us online or call us at 877.506.3378.

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