WHAT IS MEDIGAP?Medigap is Medicare Supplement Insurance. This is sold by private insurance companies. It helps pay some of the extra out of pocket costs that are not paid by Medicare. Some of these extra costs include co-payments, deductibles, and co-insurance.

A few key things to know about Medigap:

  • In order to have Medigap, you need to have Medicare Part A & Part B
  • Medigap only covers 1 person. If your spouse would like coverage as well another policy will need to be purchased.
  • Medigap typically doesn’t cover dental, vision, eyeglasses, hearing aids, private nursing, or long-term care.
  • Medigap policies do not include prescription drug coverage.You will pay the insurance company a monthly premium for your Medigap policy and you must still pay your Part B (and Part A if applicable) premium to Medicare.
  •  

MEDIGAP ELIGIBILITY

To be eligible, you must be enrolled in Part A (hospital coverage) and Part B (medical coverage) of Medicare. Are you under the age of 65 but on Medicare due to disability or end-stage renal disease? You may be eligible depending on what state you reside in.

If you fall into one of these categories, you are NOT currently eligible for Medigap coverage if you:

  • Have a Medicare Advantage Plan (If so and you wish to switch you must make sure your MA plan ends before your Medigap coverage starts)
  • Have an employer group health plan, or union coverage along with Original Medicare.

Read Next: What is Medicare Supplement Insurance?
Learn more: When to Enroll in Medicare Supplement Insurance
Return to: Medicare Supplement

YourMedicare.com takes pride in providing you as much information as possible concerning your Medicare options, but only a health insurance broker licensed to sell Medicare can help you compare your plan options from various insurance companies. When you’re ready, we recommend you discuss your needs with a YourMedicare.com Licensed Sales Agent.

This content was created and copyrighted by the Medicare Rights Center ©2019. Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities. These materials are presented here with support from YourMedicare.com and may not be distributed, modified or edited without Medicare Rights’ consent.