Medicare News

What's New in Medicare

March 23, 2010

Medigap Changes 2010: Four Plans Out & Two Plans In

June 2010 brings big changes to the menu of Medicare supplemental insurance plans.  The biggest alteration will be the elimination of four plans (five if you count the high-deductible Plan J separately) and the addition of two new plans, Plan M and Plan N.  There are also changes to other plans’ benefits, but we’ll deal with them in a separate blog post.

4 Plans Out

Going away are plans E, H, I, J and, as mentioned above, the high-deductible Plan J.  A brief review of these five plans will help put the eliminations and additions into perspective.

Medicare supplement insurance plans E, H, I and J all include the benefits found in Medicare supplement insurance Plan A.  That is, they cover inpatient hospital care; Medicare Part A coinsurance; 365 additional days of care after Medicare coverage ends; medical costs, including Medicare Part B coinsurance; and blood, including the first three pints each year.

Plan E adds skilled nursing facility coinsurance, the Medicare Part A deductible, foreign travel emergency and preventive care not covered by Medicare.  Plan H also adds skilled nursing facility coinsurance, the Medicare Part A deductible and foreign travel emergencies, but does not include preventive care.

Plan I offers skilled nursing facility coinsurance, the Medicare Part A deductible, Medicare Part B excess charges (100 percent), foreign travel emergencies and at-home recovery, but does not offer preventive care.  Plan J has all the benefits of Part I and also includes the Medicare Part B deductible and preventive care.

2 Plans In

The new Plan M will include all the benefits of Medicare supplement insurance Plan A, just as its predecessors have.  In addition, Plan M will cover half of the Medicare Part A deductible and a portion of the cost of foreign travel emergencies.

Coverage under the new Medicare supplement insurance Plan N will include the Plan A benefits, except it will require a $20 co-payment for office visits and a $50 co-payment for emergency room visits.  Also covered are foreign travel emergencies and the Medicare Part A deductible.

The reasoning behind these changes has to do with streamlining the plans and getting rid of benefits that are seldom used, such as preventive care and at-home recovery.  However, all Medicare supplement insurance plans will include a hospice care benefit beginning in June.

Most experts in the field of Medigap insurance agree that these changes are both necessary and beneficial to consumers.  The potential savings in out-of-pocket costs and the valuable new benefits will make Medicare supplement insurance plans M and N popular choices in the marketplace.

For more information, talk to one of the experts at Richardt Insurance, and be sure to ask for a Medicare supplement insurance quote.