Medigap policies are supplemental insurance plans that help pay for the costs you owe in Medicare.
Get the answers you need when speaking to insurance representatives about Medigap policies.
Asking these questions, developed for us by the Medicare Rights Center, can help you consider whether a Medigap policy is right for you.
A Medigap insurance policy helps "fill the gaps" in your Original Medicare Plan coverage and is sold by private insurance companies. When speaking to insurance representatives about Medigap policies, here are some questions to keep In mind:
- Am I enrolling while I am in my open enrollment period? If not, do I have a guaranteed issue right?
- What is the Medigap policy’s monthly premium?
- Is this premium based on my:
- Health status, gender, smoking, marital status, or anything else?
- Are the premiums:
- No-age-rated (community-rated), meaning everyone in my area pays the same premium regardless of their age?
- Issue-age-rated, meaning the premium is based on how old I was when I bought the policy?
- Attained-age-rated, meaning the premium increases based on my age?
- Will the company refuse to sell me a Medigap based on my health status?
- Does the policy impose a pre-existing condition waiting period?
- How long is the waiting period before my coverage begins?
- Do I have prior creditable coverage to reduce my waiting period?
If you do not have the right to buy a Medigap policy, ask the insurance representative how much extra you will be charged for purchasing one.
If you are under 65, make sure the company you are considering sells to individuals under 65.
Remember to keep track of who you spoke with, when you spoke with them, and the outcome of the call.
You can find different Medigap policy options using Medicare.gov's Medigap Policy Finder.