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Original Medicare FAQs (Parts A & B)

What is Original Medicare?

Original Medicare is the federal health insurance program that consists of two parts:

Part A (Hospital Insurance) which covers all or part of:

  • Hospital stays

  • Emergency room visits

  • Care in a skilled nursing facility

  • Hospice

  • Some at-home health care

Part B (Medical Insurance) which covers all or part of:

  • Primary & Specialist doctor visits

  • Outpatient care

  • Medical supplies

  • Preventive services

Is Prescription Drug coverage (Part D) included in Original Medicare?

No. You must have a separate qualifying drug plan through a private insurance company. You are required to have one in place once when you become eligible for Medicare, otherwise you could face permanent penalties.

See the Prescription Drug Plan FAQ section below for more detailed information about Part D

Who is eligible for Medicare?

Original Medicare is designed for those who are:

  • U.S. citizens age 65+

  • Legal residents who have lived in the U.S. for at least 5 years and are age 65+

  • Younger than 65, and have been declared disabled for 24 consecutive months by the Social Security Administration

  • Younger than 65, and diagnosed with End-Stage Renal Disease (ESRD) or Lou Gehrig's Disease (ALS)

How do I sign up for Medicare?

Individuals who took Social Security prior to turning 65, those who have been disabled for two or more years, or those who have certain qualifying diseases are auto-enrolled into Medicare.

Those who have delayed taking their Social Security benefits until after they turn 65 will need to enroll themselves.

The recommended way to enroll is to first register for a free MySSA account by following these steps:

  1. Visit ssa.gov & click the "Sign in" link in the top righthand corner

  2. Click the blue "Sign in with Login.gov" button

  3. Click "Create an Account" and enter the email you will use to access your account & receive important paperless notices from the Social Security Administration

  4. Verify your email (which will be your Username from now on)

  5. Once your email is verified, you will be prompted to create a password & log in for the first time

  6. When logging in, SSA.gov uses two-factor authentication security codes that you will receive either by text or email to finalize the login process each time

To enroll in Original Medicare:

  1. Login to your MySSA.gov account when you reach your Initial Enrollment Period (see the FAQ above regarding that timeframe)

  2. Click the blue "Apply for Medicare Benefits" button that will automatically populate once you are inside your IEP

  3. Complete the application. Allow yourself at least 45 minutes to an hour to finish

  4. Check your mailbox for mail from SSA acknowledging the receipt of your application, and if they require any other information from you

  5. You can expect to receive your Medicare card in the mail 60-90 days after applying. You will also have an electronic version of your card in your MySSA.gov account in as little as 30 days

  6. You may also enroll by visiting your local Social Security office or calling them at 1-800-772-1213

If you'd like some assistance, we are available to help guide you through the process at no cost to you. Simply book an appointment and we'll discuss what you need to do to get started

What are the costs for Original Medicare?

While Original Medicare covers some healthcare costs, it doesn't cover everything.

Here is a breakdown of the common costs you need to be aware of:

  • Part A Premiums: For the majority of working Americans, you will be eligible for Part A benefits without a premium if you or your spouse paid Medicare taxes for at least 10 years(40 quarters) and are eligible to receive Social Security benefits now or in the future. In some rare instances, a beneficiary may have to pay a monthly premium.

  • Part A Deductibles/Coinsurance: This is the amount you must pay out-of-pocket before Medicare pays for eligible services.

  • Part B Premiums: Every person who is eligible to receive Medicare will face a Part B premium. Part B premiums are set by CMS(Centers for Medicare & Medicaid Services) on a yearly basis, but may be higher depending on your yearly household income. For more on this aspect of Part B premiums, please see the FAQ below regarding IRMAA.

  • Part B Deductible: This is the amount you must pay out-of-pocket before Medicare will cover qualifying services.

What else should I know about delaying Medicare?

There are some important points you should know when considering whether or not to delay Medicare:

  • Some employers allow you to stay on their plan, however, they may charge extra fees onto your monthly premiums once you turn 65

  • If your employer plan meets the requirements and you decide to delay Medicare, you do NOT need to notify Social Security unless:

  1. You are already receiving Social Security Retirement benefits, or

  2. You were auto-enrolled into Medicare prior to age 65

  • If either of these apply to you, you will need to visit your local SSA office or call 1-800-772-1213

  • It is recommended that you still take Medicare Part A(Hospital Insurance) when you first become eligible. If you or your spouse have paid taxes for 10 years, or 40 quarters, then your Part A will not have a premium, and may be used in addition to your employer coverage

  • If you delay Medicare and you either have a planned retirement date, or were terminated short-notice, you have an 8-month window that begins the day after your last day of work, to complete the following steps in this order:

  1. Download and print the "Request for Employer Information" form

  2. Turn it in to your employer's HR Department. Do NOT fill it out. They must complete it and return it back to you

  3. Apply for Part B Medicare (or Both A&B) by using your MySSA.gov account, visiting your local SSA office or by calling 1-800-772-1213.

  4. Include the completed form with your Medicare application

  • If your retirement date is planned, it is recommended you start the the process 2 months prior to your retirement date to avoid a lapse in coverage

  • Failure to complete the above steps within the 8-month timeframe means you will have to wait until the next year's Medicare Open Enrollment Period (Jan 1-March 31) to enroll. You will also accrue permanent monthly Part B & Part D penalties for every month outside of that window where you are without Medicare

  • You are allowed to have COBRA during the 8-month window, however, it doesn't exclude you from accruing late enrollment penalties if you keep it beyond that timeframe

If you have any other questions, or would like assistance with this process, please book an appointment with us so we can help you navigate the transition.

When is my Initial Enrollment Period (IEP)?

For seniors turning 65, once you become eligible for Medicare, the Initial Enrollment Period(IEP) is a 7-month timeframe that includes the 3 months prior to your 65th birthday, the month of your birthday, and the 3 months after your birthday.

For those with disabilities, it is the 7 months that includes the month you receive your 25th disability check, the 3 months before and the 3 months after.

For those delaying Medicare until after 65, you have 8 months from the time you either lose employer coverage or you stop working, whichever comes first. For more on this topic, see the "Can I delay Medicare?" & "What else should I know about delaying Medicare? FAQs below.

*Note: If your IEP happens to run concurrently with the Medicare Annual Enrollment Period (October 15-December 7), your IEP will have priority. This means that you can ignore the annual enrollment dates for that year, because they do not apply to you

What do I need to know about IRMAA?

IRMAA, or Income-Related Monthly Adjustment Amount, is an additional amount tacked onto Part B & Part D premiums for beneficiaries who exceed certain income limits.

Here's some important points to know:


  • IRMAAs are determined by the Social Security Administration(SSA) by looking back at your tax information from 2 years ago

  • IRMAAs most often apply to high income earners

  • IRMAAs are assessed by SSA on a yearly basis. It is possible to have an IRMAA occur one year(for instance, as a result of receiving an inheritance)and then have it dropped the next year when your income falls below the limits

  • You will receive a predetermination letter in the mail, followed by an initial determination letter explaining the nature of your IRMAA

  • If you are drawing Social Security Retirement income, your Part B & D premiums with the IRMAA will automatically be deducted from your check

  • If you are not yet drawing your Social Security benefit, then you will receive a quarterly invoice where you will be given options on how you'd prefer to pay your bill in the future

  • IRMAAs can be appealed if you have experienced a qualifying life change or hardship that has impacted your current income, or if an error in your tax information is found

Should I have any other coverage on top of Original Medicare?

Technically no, but it's important to understand that there is no cap on how much your out-of-pocket expenses could be using Original Medicare only.

As an example:

  • In 2024, Original Medicare has a deductible of $1632 you must pay out-of-pocket before any services are covered

  • If you had a unplanned hospitalization that cost $30,000, you would be subject to pay 20% of the bill after the deductible is met

Using the example above, here's how you would be charged if you had Original Medicare only:

  • $30,000 (Total bill) - $1632 (Deductible) = $28,368 (Balance)

  • $28,368 x 20% = $5673.60 (Your share)

  • $1632 (Deductible) + $5673.60 (Your share) = $7305.60 Out-of-pocket

To fix this and lower your overall costs, it is recommended that you add either a:

Can I delay Medicare if I work past 65?

Yes, you can, but only under certain circumstances:


  • The employer-based plan must be considered "creditable". Short-term medical, medical discount/reimbursement programs and hospital indemnity plans do NOT qualify as "creditable coverage". Your employer is required by law to disclose to you whether or not the coverage they offer meets the federal minimum standard to be considered "creditable"

  • The employer must have 20 or more employees

  • The employer doesn't require you to take Medicare in order to stay on their plan

If your employer plan meets these requirements, then you may delay Medicare until you stop working without penalty

Do I qualify for financial assistance?

There are two programs that may be available to you if you meet certain income requirements:

1.) Medicare Savings Program (MSP)

  • A federal program administered by your state's Medicaid system that eliminates part or all of your Part B Premium, co-pays, deductibles and coinsurance depending on what level you qualify for

  • Is designed for those who have very limited income and resources

  • Allows for Part B late enrollment penalties to be forgiven

  • Eligibility is the same as for Original Medicare (See "Who is eligible for Medicare" FAQ above), as well as that you must be a resident of the state where you will apply for the MSP

  • The federal government decides the income limits, while each state sets its own resource/asset limits. You will need to call either the Social Security Administration at 1-800-772-1213 or your state's local Medicaid office for more information on what the limits are and what information you need to apply

  • The Medicare Savings Program is separate from your state's Medicaid system. Go here to see if you qualify for Medicaid and start the application process with your state

2.) Low Income Subsidies(LIS), also called "Extra Help with Part D"


  • A federal program that reduces the cost of your out-of-pocket prescription drugs

  • Is designed for lower income individuals

  • Waives or lowers Part D Premiums, co-pays & deductibles

  • Allows for Part D late enrollment penalties to be forgiven

  • If you qualify for Medicaid, are receiving Social Security Income (SSI), or are enrolled in the Medicare Savings Program, you'll be auto-enrolled into LIS

  • To find out if you qualify and to apply, visit https://secure.ssa.gov/i1020/start . Scroll to the bottom of the page to get started. Once completed, you can expect to receive a decision in the mail within 2-4 weeks

If you'd like some assistance, we are available to help guide you through the process at no cost to you. Simply call or book an appointment and we'll discuss what you need to do to get started.

Medicare Advantage Plans (Part C) FAQs

What is Medicare Advantage?

Medicare Advantage plans are a "bundle of services" offered by private insurance companies that include your Part A & B coverage, and sometimes Part D.

Medicare Advantage plans also have added benefits* not included in Original Medicare, such as:

  • Generous Dental Benefits

  • Comprehensive Hearing coverage, including Hearing Aids

  • Vision Benefits

  • Complimentary Gym Membership

  • Over-the-Counter Spending Money

  • Healthy Food Allowance

  • Complimentary Transportation

  • Flex Spending Account to use toward certain healthcare or utility costs

  • Capped out-of-pockets costs

  • And more

*Benefit availability varies by plan and county of residence

How much does Medicare Advantage cost?

Most Part C plans have a $0 monthly premium.

As long as you are up to date with paying your Medicare Part B premium, you will stay enrolled in your Advantage plan

Who can enroll in Medicare Advantage

Anyone who is actively enrolled in Original Medicare Parts A & B can enroll into a Medicare Advantage Part C plan.

See the "Who is eligible for Medicare" FAQ above for more info on who qualifies for Original Medicare

Is prescription drug coverage included in Medicare Advantage plans?

Most of the time, yes. These plans are referred to as MAPDs

What is the difference between an HMO & PPO plan?

In an HMO, or Health Maintenance Organization plan

  • Coverage is limited to a smaller network of providers

  • You are required to get a referral by your Primary Physician in order to see any specialists or get certain tests/images

  • Out-of-pocket cost are typically lower

  • Plan benefits are often more generous(ex: $2000 dental benefit with an HMO vs. $1000 with a PPO)

  • Preventative healthcare is limited to your county of residence.

  • No out-of-network coverage, except in the event of an emergency

In a PPO, or Preferred Provider Organization plan:

  • Access to a larger network of providers

  • No referrals are required to see specialists

  • Nationwide coverage

  • Benefits are less generous

  • Out-of-pocket costs may be higher

  • May have an additional monthly premium

Can I get a Medicare Advantage plan with pre-existing conditions?

The great news is, yes, you can.

There are no disqualifying pre-existing conditions, and in fact, some Part C plans are tailored to lower out-of-pocket costs for those with certain chronic illnesses* such as diabetes, COPD, high blood pressure, heart disease & dementia.

If you would like to see about switching to one of these types of plans, please call or book an appointment and we'd be glad to help

*Plan availability varies by county of residence

Can I opt out of my Employer's Medicare Advantage plan?

Yes. Some employers offer a Medicare Advantage plan as part of their retirement package, but you are not obligated to take it.

Here's some important things to consider:

  • Employers often charge an additional monthly premium for their Part C plan

  • Employers use the same private insurance companies for their plans as the Medicare Advantage plans available to the public

  • Employer Medicare Advantage plans often do not have a "donut hole" (See Prescription Drug Plan FAQs below for a more detailed explanation)

  • Some employers charge an additional premium for the prescription drug portion of their plan

  • If you opt out of enrolling into your employers Medicare Advantage Part C plan, typically you will not be allowed to re-enroll in the future

  • It's important to speak with your employer's administrator about the costs and timelines that you may be facing before making any decisions

If you'd like a no obligation cost comparison or have other questions about switching to a private Part C plan, please call or book an appointment and we'd be happy to help

When do I enroll in Medicare Advantage?

Only during certain times of the year, or under qualifying circumstances.

If you are New to Medicare or decide your Part C plan is no longer a good fit, you may switch during the following:

Initial Enrollment Period (IEP)

  • A 7-month window only available to those who are new to Medicare beginning 3 months prior to your birthday, the month of your birthday, and the 3 months following (See the "When is my Initial Enrollment Period" FAQ above for more on IEPs)

  • The plan you have chosen at the end of this window is the one you will be enrolled in until next year's annual enrollment

Medicare Annual Enrollment Period (AEP)

  • Runs annually October 15th-December 7th

  • The plan you have chosen at the end of this window is the one you will be enrolled in which becomes active January 1

Medicare Advantage Open Enrollment Period (OEP)

  • Runs annually January 1 - March 31

  • You are allowed a one-time change that you must keep until next year's Medicare Annual Enrollment Period


Special Enrollment Period (SEP)

  • Can occur at any time during the year

  • Is triggered by a qualifying event, which includes, but is not limited to:

  1. Retiring and losing your employer coverage

  2. Moving to a new county of residence, even if it's within the same state

  3. Become newly qualified for extra financial assistance(such as gaining Medicaid)

  4. Have been diagnosed with certain qualifying chronic health conditions

  5. Live in a federally declared disaster area

For further guidance on this topic, or if you believe you have experienced a qualifying event, please call or book an appointment and we'd be happy to help

How do I enroll in a Medicare Advantage plan?

When you are within a qualifying enrollment period, there several way

If you'd prefer a more tailored approach, please call or book an appointment and we'd be happy to help you get started

I like to do my own research. Where can I compare Medicare Advantage plans on my own time?

You easily view and compare Medicare Advantage plans in your area by going here. (TX, NM, LA only)

Simply input your doctors, meds and any health conditions to get a list of options that could be a good fit for you.

And remember, we're only a phone call away if you get stuck or have questions

Prescription Drug Coverage (Part D) FAQs

Is prescription drug coverage included in orginal medicare?

No. Prescription drug plans are offered by private insurance companies and are separate from Original Medicare

What are some common costs associated with Part D drug coverage
  • Premium* - The monthly cost to keep your plan active**

  • Deductible - The amount you must spend out of pocket before insurance covers its share**

  • Copay - Your share of the cost to fill the prescription after the deductible is met. You will pay this amount at the pharmacy or through your mail order company**

  • Coverage gap (see Donut Hole FAQ below)

*See IRMAA FAQ above regarding part D premium adjustments

** Varies by plan

What are the tiers of prescription drug coverage?

Prescription drugs that are covered by your insurance will fall into 1 of 5 different tiers.


It's important to understand which tier your prescriptions are in because it also affects how much you pay at the pharmacy:


Tier 1: Preferred Generic Drugs -

  • Generic drugs are a low cost equivalent to Name Brand drugs. If there are multiple generic options available, Preferred Generics are the least expensive for you out-of-pocket because they are the option your insurance company would prefer you take

Tier 2: Generic Drugs -

  • These are also low cost options to Name Brand drugs, however, the cost to fill them will be slightly higher than Preferred Generic drugs

Tier 3: Preferred Brand Name Drugs -

  • The same as with Generics, Preferred Name Brand drugs are less expensive for you out-of-pocket because they are the option your insurance company would prefer you take

Tier 4: Non-Preferred Name Brand Drugs -

  • These are covered Name Brand drugs, however, the cost to fill them will be slightly higher than Preferred Name Brand drugs

Tier 5: Specialty Drugs -

  • These are typically the highest out-of-pocket Name Brand drugs. They are usually Biologics, which treat certain complex or rare conditions such as Rheumatoid Arthritis, HIV, IBD, and some cancers to name a few and have no generic equivalent

Plans update which drugs they cover on an annual basis, so it's important for you to review if there have been any changes to your insurance company's list of covered drugs, especially if you are prescribed a new one, in order to help keep your costs down

What is the Donut Hole?

The Donut Hole is one of 4 phases of coverage for prescription drugs. These are important to know about because depending on which phase you are in will determine how much your out-of-pocket costs are.

They occur in this order:


The Deductible Phase -

You pay 100% of the full retail cost of covered prescriptions until you meet the deductible. The most a deductible can be in 2024 is $545, and for some plans it is as low as $0.

Once you have met the deductible, you enter the Initial Coverage Phase.


The Initial Coverage Phase -

The insurance company picks up the majority of the cost, and you only pay a pre-set copay or percentage.


If the full retail value of your total drug costs (split between you and your insurer) have reached $5030 for the year, you enter the Donut Hole.


The Donut Hole Phase - You must pay 25% of the full retail cost of your prescriptions until you have paid $2970 out-of-pocket for the year.


As an example, if the retail price of X prescription is $1500/fill, you would pay $375 (25% of $1500) at the pharmacy for 8 fills before you would exit the donut hole for the year, since:

  • $375 x 8 fills = $3000 (meets the additional out-of-pocket requirement)

In 2024, once you meet a total of $8000 in drug costs($5030 retail price + $2970 out-of-pocket), you enter the Catastrophic Coverage Phase.


The Catastrophic Coverage Phase - Once you have exited the Donut Hole, 100% of your prescription costs are covered, with the exception of your premium, if you have one

Do I need prescription drug coverage (Part D)?

Yes, you are required to have a qualifying drug plan in place while in Medicare, regardless of whether or not you take any prescriptions.


You will need to either enroll in a standalone drug plan or a Medicare Advantage plan with drug coverage (MAPD).


Failure to do so means you may face a permanent penalty if you are without qualifying drug coverage for too long

When can I enroll in a standalone Part D plan?

You may only be enrolled in a standalone Part D plan during certain qualifying periods:


Initial Enrollment Period (IEP)

  • A 7-month window only available to those who are new to Medicare beginning 3 months prior to your birthday, the month of your birthday, and the 3 months following (See the "When is my Initial Enrollment Period" FAQ above for more on IEPs)

  • The plan you have chosen at the end of this window is the one you will be enrolled in until next year's annual enrollment


Medicare Annual Enrollment Period (AEP)

  • Runs annually October 15th - December 7th

  • The plan you have chosen at the end of this window is the one you will be enrolled in which becomes active January 1

Special Enrollment Period (SEP)

  • Can occur at any time during the year

  • Is triggered by a qualifying event, which includes, but is not limited to:

  1. Retiring and losing your employer coverage

  2. Moving to a new county of residence, even if it's within the same state

  3. Become newly qualified for extra financial assistance(such as gaining Medicaid)

  4. Have been diagnosed with certain qualifying chronic health conditions

  5. Live in a federally declared disaster area

For further guidance on this topic, or if you believe you have experienced a qualifying event, please call or book an appointment and we'd be happy to help

I do not want an MAPD. What is a standalone Part D plan?
  • Has a separate monthly premium with a private insurance company

  • Satisfies the minimum requirement for drug coverage to be paired with Original Medicare Parts A & B

  • It recommended that you take a Medigap Supplement alongside Original Medicare & Part D in order to cap your medical out-of-pocket expenses. To learn more about why, see the Medigap Supplement FAQ section below

Is Part D included in Medicare Advantage plans?

Most of the time, yes.

These plans are referred to as MAPDs and typically have $0 monthly premium

How is the Donut Hole changing in 2025?

The Inflation Reduction Act, which was signed into law in 2022, requires that covered out-of-pocket prescription drug costs will be capped at $2000/year beginning in 2025

This amount will be adjusted yearly based on inflation

Will all my prescriptions be covered?

It depends.

Each insurance company has a formulary - which is a list of all the prescriptions they cover. If you take a prescription drug that is not on your insurance's formulary, you will be charged full price at the pharmacy.

It's also important to note that insurance companies update their lists of covered drugs annually, and sometimes a drug that was covered in the past is no longer and vice versa.

There is good news though! See the FAQs below to learn the overlooked ways you can save on your prescription drug costs

Can I compare Part D plans and prices on my own time?

You can easily view and compare Part D drug plans & prices in your area by going here. (TX, LA, NM)

Simply input your doctors, meds and any health conditions to get a list of options that could be a good fit for you.

And remember, we're only a phone call away if you get stuck

Do I qualify for financial assistance for Part D?

You may qualify for Low Income Subsidies(LIS), also called "Extra Help with Part D", if you meet certain low-income requirements

LIS is a federal program that:

  • Reduces the cost of your out-of-pocket prescription drugs

  • Is designed for lower income individuals

  • Waives or lowers Part D Premiums, co-pays & deductibles

  • Allows for Part D late enrollment penalties to be forgiven

  • If you qualify for Medicaid, are receiving Social Security Income (SSI), or are enrolled in the Medicare Savings Program, you'll be auto-enrolled into LIS

  • To find out if you qualify and to apply, visit https://secure.ssa.gov/i1020/start . Scroll to the bottom of the page to get started. Once completed, you can expect to receive a decision in the mail within 2-4 weeks

Medicare Supplents (Medigap) Plans FAQs

What are Medicare Supplements?

Medigap plans, also called Medicare Supplement Insurance:


  • Are optional standalone plans that work alongside your Original Medicare Parts A & B


  • Offer nationwide coverage with no networks or referrals needed (excludes elective surgeries)


  • Help lower your out-of-pocket costs that you might face with Original Medicare alone


  • Typically have no or limited additional benefits that Medicare Advantage plans have (dental, hearing, transportation, etc.)

What are the costs associated with Medigap Supplements?
  • Separate monthly premiums in addition to your Part B & Part D premiums (vary by state and company)

  • May have a deductible up to $1632 in 202

  • Some plans have co-pays and coinsurance

To view this year's cost chart, go to https://www.medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits

When can I enroll in a Medigap Supplement?

You can enroll in a Medigap Supplement when you first become eligible for Original Medicare Parts A & B regardless of your age.

Here are some other things to know:

  • You have a 6 month open enrollment window to enroll in a Medigap plan , starting from the date of when your Part B becomes active

  • If you enroll within the 6 month timeframe, you are guaranteed acceptance and no pre-existing conditions will disqualify you

  • It's important to note that this open enrollment period is a once in a lifetime event

  • You may switch plans during the enrollment window, but whichever one you have at the end, is what you will stay enrolled in

See the "Who is eligible for Original Medicare FAQ" for more on who qualifies

Can I change Medigap plans in the future?

Yes. There are no enrollment period restrictions, meaning, you may enroll or choose a new plan at anytime of the year.

However, once you switch plans outside of your open enrollment, you will be subject to underwriting where insurers look at your current & past health conditions, procedures and medications.

Unlike with Medicare Advantage, it is possible to be denied or charged a higher premium

I enrolled in Medicare Advantage when I was first eligible. Can I switch to a Medigap Supplenmens?

Yes. If you are new to Medicare and initially signed up for Medicare Advantage, you trigger what's called your "Trial Rights Period".

Here's what that means

  • Since switching to Medicare is a big life change, you are allowed to "try-out" both Medicare Advantage and Medigap Supplements to see which is a better fit for you

  • You are not required to try out both

  • If you do, you must enroll in the Medigap Supplement of your choice within 12 months of when your Part B started, or

  • Within 12 months of when your Medicare Advantage plan became active, whichever comes later

  • You are guaranteed acceptance during your Trial Rights Period and cannot be denied due to pre-existing conditions

  • If you are beyond these timeframes, then your Trial Rights Period has ended and is no longer available to you

  • You may switch to a Medigap supplement from a Medicare Advantage plan after your Trial Rights Period has ended, but you will be subject to underwriting

What else should I know about Medigap Supplements?

Plans of the same type are structured uniformly across all 50 states, however the monthly premiums will vary from company to company

As an example:

  • A Plan N Supplement in New York state must have the same coverage benefits as a Plan N in Nevada, however, the monthly premium will vary between those states and the companies that offer them

  • Similarly, a Plan N in the same state may be offered by many companies, but the premiums will likely differ


Lastly, it's important to note that your monthly premiums are occasionally reassessed by your supplement company, and are likely to increase as you age.


If you'd like help further understanding your options, feel free to call or book an appointment and we'd be happy assist