California Medigap insurance policies are offered by licensed insurance companies authorized by the California Department of Insurance. Original Medicare often leaves seniors to pay overages, coinsurance, copayments and deductibles. It’s time-consuming and expensive to track all of those out-of-pocket expenses. Medicare Supplement insurance plans in California allow you to pay one monthly premium instead.
All Medicare Supplement plans are standardized by the federal government, so all plan types offer the same benefits. It’s still important to understand how the Medigap system works so that you select the best Medicare Supplement plan in California based on your healthcare needs and budget.
What are the Top 5 Medicare Supplement Plans in California?
1. Best full coverage: Plan F
Medicare Plan F has the most comprehensive benefit level; however, the beneficiary must have a Medicare start date prior to 1/1/20. It includes both the Medicare Part A deductible and Medicare Part B deductible.
2. Best comprehensive coverage: Plan G
Medicare Plan G has the most comprehensive coverage for those with an effective date post 1/1/20. Compared to Plan F, it has great cost savings, especially for those who can choose either.
3. Best value: Plan N
Medicare Plan N is great for those who want comprehensive coverage and are okay with trading certain benefits for monthly savings. This plan has $50 ER visit copays, but they will be waived if admitted. Also, doctor visits will cover up to $20 for copays.
4. Best deductible plan: High Deductible Plan F
The high deductible version of Plan F is the same as the original, but the annual deductible of $2,370 must be met before coverage starts. This version of Plan F is much more affordable than the regular Plan F.
5. Best for lowest premiums: High Deductible Plan G
High Deductible Plan G also requires the annual deductible of $2,370 to be met prior to coverage starting. When you compare Plan G with Higher Deductible to the original plan, you will see the difference is more affordable monthly premiums.
What is the Best Supplemental Insurance to go with Medicare?
The most popular Medicare Supplement plan for 2021 in California is Plan G. Medicare enrollees like this Medicare Supplement plan because it has the most inclusive, affordable rates, no matter if you have pre-existing conditions.
Best comprehensive medical coverage: Plan G
Medigap Plan G allows you to use any U.S. doctor that accepts Original Medicare. Medicare Supplement Plan G will cover all of Medicare Part A coinsurance, copays, and deductibles.
Plan G does not cover Part B deductible. With Plan G, those will be your only out-of-pocket costs. Plan G will cover all of Medicare Part B Coinsurance and copays. covered.
In regards to Medicare coverage for prescriptions, see below about the Medicare Part D Plan.
– Medicare Part D Plan will cover outpatient retail prescriptions because Plan G cannot.
– The Medicare Part D Prescription Drug Plan will be needed if you have these types of prescriptions.
– Plan G does offer prescription drug coverage for all Part B medications.
Other basic benefits of Plan G include the ability to change doctors anytime, freedom to go to any hospital or facility for health care that takes Original Medicare, excess charges covered 100%, no referrals needed, can go out of network, and coverage for foreign travel emergency.
Best full coverage: Plan F
Previous to 2021, this plan was one of the best Medicare Supplement plans in California for full coverage. Plan F, however, is only available to those who were eligible for Medicare coverage prior to 1/1/2020. Plan F does include Medicare Part B deductible as part of its cost.
If you should not qualify for this plan, then Plan G will be the best of all the Medigap policies to choose from. When comparing, you will find the only difference is that Plan G does not include the deductible for Medicare Part B.
What is the Average Cost for a Medicare Supplement Plan in California for 2021?
The average cost for a Medigap plan in California will depend on the insurer. Pricing is based on factors such as community ratings, issue age, and attained age.
– Community Rating: Priced for beneficiaries, no matter the age
– Issue age: Pricing is based on the age at the time of purchasing
– Attained age: Pricing will increase with age
How does the California Medigap Birthday Rule work?
As of January 1, 2020, the Medigap Birthday Rule in California allows you to make a change during the 60 days following your birthday each year. It used to be limited to 30 days. During this time, you can’t be charged more or turned down for coverage because of pre-existing medical conditions.
However, you are only allowed to switch to a plan with the same or fewer benefits as you already have.
Common California Medicare Supplement Plan Questions
What Companies Sell Medigap Plans in California
1. Cigna – This company is known for its knowledge and for helping its customers through the Medicare process. Cigna is a trusted company with over 165 million customers. Their online platform is easy to navigate, and you can access your plan anyplace, anytime.
2. Aetna – Aetna is one of the largest insurance companies with extensive extra benefits and more $0 premium Medicare Advantage plans.
3. Mutual of Omaha – MOO is one of the most financially stable insurers and is known for their customer satisfaction and local agents.
When Can I Apply for a California Medicare Supplement Plan?
You can apply for Medicare Supplement insurance plans within the six-month Medigap Open Enrollment period. This will be the best time to compare and gain your Medicare benefits. During this time, pricing and options from a Medicare insurance company will better when compared to other time periods.
Age 65 or older: Enrollment begins upon obtaining Part B (it can’t be changed or repeated).
Turning 65: On the first day of the month you turn 65, your six-month period to enroll will begin. You will need to be enrolled in Part B.
Under 65: Eligibility may not be possible. In some states, Medigap insurance companies are required to sell policies to those under 65. Being under 65, plans will generally cost more.
Medicare supplement plans do not have to abide by enrollment periods. A Medigap plan in California can be purchased at any time. Enrollment periods only apply to the following:
– Part D Plans
– Medicare Advantage
– Aging into the Federal Medicare Program
– Retiring from group coverage
– Losing a Medicare Advantage plan.
As for Social Security, they will automatically handle your enrollment upon signing you up. They will get you enrolled in Medicare Part A and Medicare Part B at the age of 65.
* The Federal Medicare Program is operated by the federal Centers for Medicare & Medicaid Services.
In California, if you’ve been receiving SSDI for 2 years, you will automatically have eligibility for Medicare Parts A, B, and D.
Remember you have guaranteed issue rights, so an insurance company can’t refuse to sell you a Medigap policy if a Medicare Advantage Plan leaves Medicare, stops providing in your area, or you move from the plan’s service area.
Which is better, Medigap Plan G or Plan N?
Both plan options are great. Plan G is more comprehensive but has higher premiums. As for Plan N, you will receive lower premiums, but it will require Medicare beneficiaries to pay small portions as they use the plan.
The most popular plan currently is Plan G. Also, Plan N does not cover Medicare Part B excess charges like Plan G.
What is Medicare Supplement Insurance?
Medigap/Medicare Supplement Insurance is an policy that fills in the gaps that Original Medicare misses. It is important to have a Medigap policy because it will help with medical expenses and services as well as supplies related to healthcare. Medigap insurance will help pay the following:
Is Plan G the Best Medigap Plan in California?
How Much Does it Cost?
A 65-year-old female who is a nonsmoker living in San Diego, California (zip code:92101), a Plan G Medicare Supplement Insurance plan in California will be:
Medicare Plan G:$110-$150
High Deductible Plan G: $50-$60
What is the Plan G Deductible in 2021?
Plan G does not have it’s own deductible.
Plan G pays the Part A Deductible. Plan G is a Medigap Plan in California DOES NOT cover the $203 Medicare Part B deductible.
What does Medigap Plan G Cover in California?
Plan G by State
Ready to Learn More?
My Medigap Plans is a rapidly growing resource for Medicare beneficiaries. We specialize in educating consumers on their options and guiding them through the process of plan selection. We work closely with some of the nations top rated carriers such as Aetna, Cigna and Mutual of Omaha. Compare our list of the 10 Best Medicare Supplement Insurance Companies or take a deeper look at the plans by reviewing our Medicare Supplement Plans Comparison Chart. Learn more or about Medicare Part D Prescription Drug plans, or request a Medicare Supplement Plan Quote.
California Enrollment Statistics
California Enrollment Statistics
- The five largest California counties include Los Angeles County, San Diego County, Orange County, Riverside County, and San Bernardino County.
- As of 2019, close to 500,000 California residents were enrolled in Medigap plans.
- In 2019, more than 40 percent of Medicare beneficiaries were enrolled in Medicare Advantage or Medicare Supplement insurance plans in California.
- More than 3.5 million California residents were enrolled in Medicare Part A and Part B in 2019-2020.
- There are 10 Medicare Supplement Plans in California to choose from.
- In California, Medicare Supplement Plan G is the most popular plan.
- Medigap Plans do not use a network, go wherever Original Medicare is excepted