If you live in Texas and have Medicare Parts A and B, good news! You are eligible for Medicare Supplement Insurance, also called Medigap. Medigap plans help cover the out-of-pocket expenses, or “gaps,” left over after Medicare pays for covered services. Some Medigap plans also cover additional benefits not covered by Medicare. Because it is used with your federal Medicare coverage, it is accepted at any hospital that takes Original Medicare.
What to Know About Medicare Supplement Insurance Plans in Texas
Medicare Supplement plans in must offer the same benefits as plan types found nationwide. However, Medicare Supplement plan offerings can vary depending on where you live in Texas; the only difference you may see is the cost. Read on for more detail on the types of Medicare Supplement options available to Texas residents so you can decide which plan is right for you in 2023.
Common Medicare Supplement Plans in Texas
The most common Medicare Supplement options by Texas residents include Plan N, Plan F, and Plan G, each of which has a different set of benefits and pricing. One plan covers all your cost-sharing, and another covers some. Bear in mind that comparison shopping multiple options is key when it comes to selecting a Medicare Supplement plan that brings you the most value.
Click the button below to connect with a licensed agent to compare Medicare Supplement Insurance Plan options in Texas.
Find The Supplement Plan You Want
Click on the button below for a comparison of Medicare Supplement Plan options in Texas.
|Medigap Plans||A||B||C *||D||F * 1||G||K||L||M||N|
|Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Part B coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes 3|
|Blood (first 3 pints)||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A hospice care coinsurance or copayment||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Skilled nursing facility care coinsurance||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A deductible||Yes||Yes||Yes||Yes||Yes||50%||75%||50%||Yes|
|Part B deductible||Yes||Yes|
|Part B excess charge||Yes||Yes|
|Foreign travel exchange (up to plan limits)||80%||80%||80%||80%||80%||80%|
|Out-of-pocket limit 2||$6,940||$3,470|
* As of Jan. 1, 2020 Medicare Supplement plan types C and F will no longer be made available to beneficiaries who become Medicare-eligible after Dec. 31, 2019. For those who became Medicare-eligible prior to Jan. 1, 2020, Medicare Supplement plan types C and F will remain active and available for future enrollment.
1 Plans F and G also offer a high-deductible plan in some states. With this option, you must pay for Medicare-covered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2,700 in 2023 before your policy pays anything. (Plans C and F aren't available to people who were newly eligible for Medicare on or after January 1, 2020.)
2 After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year
3 Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don't result in inpatient admission.
Medicare Supplement Insurance Plan Premiums in Texas for 2023
Medicare Supplement plan premiums can vary across Texas. Most plans in Texas are “attained-age rated”, meaning these plans have premiums that increase as you age. However, there are other pricing methods that affect long-term Medigap costs. When you enroll in a policy, you should make sure you understand which pricing method your plan follows. It’s worth noting that depending on where you live in the country, you may only have one of these options available.
- Issue-age-rated policies
These plans have premiums that increase due to inflation, not due to aging.
- Community-rated policies
With these plans, everyone in an area is charged the same premium regardless of age.
How to Save on Medicare Supplement Premiums in Texas
One of the easiest ways to save money on Medicare Supplement Insurance is to compare plans and prices offered by a variety of insurance companies. And this is where United Medicare Advisors can help. We save our clients an average of $581* when switching Medigap plans.
Texas Medicare Supplement Plan Eligibility Under 65
In most states, Medicare-eligible people under 65 will pay a higher premium than those over 65. However, in Texas people under 65 have the same premium as those 65 or older. Special Needs Plans may be an option for those residing in certain locations; these plans are designed for individuals with specific medical care needs such as chronic conditions or disabilities providing access to special benefits and additional services.
The Benefits of Medicare Supplement Insurance:
- Guaranteed renewability each year
As long as your premium is paid, your coverage will continue year after year and cannot be canceled (except in specific cases, such as providing inaccurate information on your application).
- Straightforward plan options
Medigap coverage options are federally standardized making them fairly straightforward and understandable.
- Nationwide network of doctors and specialists
Medigap policy holders can visit any doctor that accepts Medicare coverage. Doctors or hospitals that accept Medicare are required to accept all Medigap plans, regardless of insurance carrier.
- More flexibility with treatment options
Some Medicare Advantage plans require you to choose a primary care physician, who has final say on what providers you can see. Medigap plans, however, give you the flexibility to select any treatment option you prefer.
There are many benefits to Medicare Supplement insurance. As you consider plan options in Texas for 2023, contact a United Medicare Advisors licensed agent if you have questions. United Medicare Advisors is united in your Medicare journey.
*Between Jan. 1, 2018 and Dec. 31, 2019, new customers who provided their previous Medicare Supplement insurance premiums saved an average of $581 per year when switching. This statistic does not consider outliers as defined by Tukey’s fences. Potential savings may vary.