Best Medicare Supplement Plans in New Jersey – F, G & N Benefits
The Best Medicare Supplement insurance plans in New Jersey are designed to help Medicare beneficiaries pay for the costs that their original Medicare insurance does not cover. These Medicare Supplement plans are often referred to as Medigap coverage or Medigap policies. Healthcare costs that Medicare Supplement insurance plans in New Jersey cover include:
It is critical that you understand that, like your Original Medicare insurance, Medigap plans in New Jersey do not include prescription drug coverage (Medicare Part D). To get drug benefits, a Medicare beneficiary will have to buy a separate Part D policy.
Best Types of Medicare Supplement Plans in New Jersey
Medicare beneficiaries can choose from 10 standardized Medigap policies for their supplemental coverage. Private insurance companies sell these Medigap policies. Here’s what you need to know about the Medigap plans in New Jersey:
- Each policy is referred to by a letter. (Plan A, Plan G, etc.)
- The coverage for each plan letter does not vary between insurance companies. (Plan A offers the same coverage whether you buy it from Humana, Colonial Penn, Blue Cross Blue Shield or any other insurance agency.)
- Although the coverage is the same for each plan, each insurance company can set its own rates for that plan.
- The rates can differ between counties. (The rate for Plan A in Atlantic County might differ from the rate in Sussex County.)
- Not every New Jersey county offers the same plans.
- All New Jersey supplement plans pay benefits as long a Medicare-participating doctor or hospital provides the services. There are no network restrictions like there are with an HMO, for example.
- Unlike with Medicare Advantage plans, a prescription drug plan is never included with a Supplement. You’ll have to buy this yourself from a health and life insurance company if you want the coverage.
To get the best Medicare Supplement insurance plan in New Jersey, it is essential that you closely compare the Medigap policies offered in New Jersey. Some plans have higher deductibles and emergency room copayments, which might be acceptable risks to a healthy senior. If you have health conditions that require frequent doctor visits, it might be best to choose a plan that features lower copayments.
To find the best Medicare Supplement insurance plan in New Jersey, you also need to compare how the Medicare insurance company determines its rates. New Jersey insurance companies can calculate rates based on one of three models:
- Community rating: Age is not a factor; everyone pays the same rate.
- Issue-Age rating: The older you are when you buy your Medigap policy, the higher your premium will be. (A 72-year-old will pay higher rates than a 66-year-old.)
- Attained-Age rating: Your premium is based on your current age. (As you age, the premium increases.)
The majority of Medicare Supplement plans in New Jersey use the on attained age model.
Benefits of Medicare Supplement Plan F in New Jersey:
You can’t start talking about Medicare Supplement coverage without talking about Medigap Plan F in New Jersey. After all, it’s the most popular of the plan options both in New Jersey and throughout the rest of the United States.
- Part A hospital coinsurance
- Hospital costs up to 365 days after benefits through Original Medicare are exhausted
- Part A hospice care copays or coinsurance
- Part A deductible
- Part B deductible
- Part B preventive office visit coinsurance
- Part B coinsurance or copays
- Excess charges for Medicare Part B
- First three pints of blood needed for a medical procedure
- Coinsurance for care in a skilled nursing facility
- Limited foreign travel emergency care
Benefits of Medicare Supplement Plan G in New Jersey:
Another Supplement that you can consider for supplementing the federal Medicare program is Medigap Plan G in New Jersey. It’s great for supplementing your Medicare benefits and reducing your out of pocket costs. Its coverage is almost identical to the coverage of Plan F, but it’s cheaper.
- Does NOT cover Medicare Part B deductible
Benefits of Medicare Supplement Plan N in New Jersey:
Some people want a Supplement with low monthly premiums and don’t mind not having as much benefits coverage. Medigap Plan N in New Jersey is a great choice if this is what you’re interested in.
- Does NOT cover Part B Deductible
- Does NOT cover Excess Charges for Part B
- Requires $20 copay for office visits
- Requires $50 copay for emergency room visits
Medicare Supplement Plans in New Jersey: When Can I Enroll?
To qualify for New Jersey Medicare Supplement insurance plans, you must be 65 years old and enrolled in Medicare Part A and Part B. You can also qualify if you are under the age of 65 and have a disability. The best time to enroll in Medigap plans in New Jersey is during your Medigap Open Enrollment Period (OEP). Your Medigap Open Enrollment Period is a seven-month time frame surrounding your 65th birthday:
- It starts three months before your birthday.
- It includes your birthday month.
- It ends three months after your birthday.
During your Initial Enrollment Period, you have a guaranteed issue right. This means:
- You are automatically eligible for a New Jersey Medigap policy regardless of any pre-existing conditions.
- The insurance company cannot increase your rate.
- You do not have to undergo underwriting.
Once your open enrollment period expires, you can still enroll in a Medigap plan. However, the insurance company can require you to undergo medical underwriting, you might face higher premiums, and you might be denied coverage for pre-existing conditions.
In some situations, you have a guaranteed-issue right outside of your OEP. Exceptions include moving out of the service area or the insurance company discontinuing your policy. For more information on these exceptions, it is best to check with a qualified insurance agent.
Medicare Supplement Plans in New Jersey: Enrollment Statistics
New Jersey’s population continues to increase, rising from 8.95 million in 2015 to more than 9 million in 2019. Here are the top five counties by population:
- Bergen, 937,920
- Middlesex, 837,288
- Essex, 800,401
- Monmouth, 627,551
New Jersey has nearly 1.354 million seniors. Here are a few more Medicare statistics:
- In 2017, New Jersey had more than 1.2 million Medicare enrollees, roughly 13 percent of the population.
- About 89 percent of seniors are enrolled in Medicare Part and Part B.
- In 2015, 437,503 Medicare beneficiaries had Medigap plans in New Jersey.
- Plans F, C, and N are the top three Medicare Supplement insurance plans in New Jersey.
New Jersey Medicare Resources
Several organizations offer assistance if you need help to find the best Medicare Supplement insurance plan in New Jersey. A few are listed below:
Related Topics for Comparing Medicare Supplement Companies and Plans in New Jersey
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.