A Discussion of the Eligibility Criterion of Medicare Supplement Plans

Initially you need to understand the basic criterion of these Medicare supplement plans which are specifically designed to supplement the original Medicare coverage. These plans work seamlessly to cover up the gap between the Medicare coverage and out of pocket payments. Now quite inevitably you need to own a Medicare Policy in order to be eligible on the first stand for Medicare supplement plans. Therefore, primarily you need to enroll for either Plan A or Plan B in order to be able to be able to eligible for supplement plans. It is essential since Supplement plans cannot work lone and offer your medical coverage; they just offer supplementary advantage over your Original Medicare coverage.

Detailed Criterion

The criterions for being eligible to avail the facilities of Medicare supplement plans differ from state to state. Basically, in most of the States, you need to be 65 years of age as the beneficiary of the plan to avail its facilities. However, if you are under 65 as the beneficiary and if you are suffering from amyotrophic lateral sclerosis, any disability or even end stage of any renal disease, your eligibility can differ accordingly to the state where you reside.

  • The time you reach 65 you are able to enroll for a Medicare and accordingly you are also eligible as well as permitted to take the benefits of Medigap plans for 2019 as well by taking up one policy from amongst the range of 10 available policies.
  • Immediately after you enroll for a Medicare policy and you become eligible for a supplement plan you are offered a one time opportunity to take up any Medigap plan with health interrogations as per the Open Enrollment period benefits.
  • This open enrollment period starts immediately as you enroll for a Medicare Part B plan and last for up to six months.
  • The best part about the advantage of this open enrollment time is that no company can turn you down from enrolling for a supplement plan, even you have pre-existing medical conditions and health issues.
  • However, once this open enrollment period is over you need to answer the relevant questions of the Medigap companies for a policy, and you can also be turned down.

Therefore, the open enrollment period enhances your credibility and your benefits of availing Medicare supplement plans all the more. Besides, this there are certain government regulated limitations in few states, therefore before enrolling for any policy adhere to your state terms.

Analyzing Medicare Supplement Plans Offering Maximum Coverage

There are ten Medicare supplement plans for 2019 available in the market, and while all of them offer you supplementary advantages over your Medicare policies, there are of course some differences, and according to which you can analyze which one offers you the maximum coverage on your out of pocket expenses. Now, while you seek for the most advantageous plan you also have to take note of the fact, that the plan which covers your maximum supplements medical expenses will also call for according premium rates. This is the reason why you must consider certain deciding factors like

  • Your Budget
  • The coverage offered by your main Medicare plan
  • Your medical history, health, even family medical history in order to estimate potential emergencies of future

Common Benefits with Medicare Supplement Plans

  • Medicare Part A coinsurance hospital charges which one needs to pay after the coverage period is over
  • Medical Part B 20% of all your medical expenses
  • Blood tests, however first 3 pints are covered by any Medicare
  • SNF coinsurance that is skilled nurse facility care required by patients
  • Copayment or coinsurance of any hospice care included
  • Deductibles of main Medicare policy
  • Foreign Travel expenses for any medical purpose
  • Copayment of Part B
  • Coinsurance as per Part B for preventive care


Now, if you are looking for 1200% payment of all you’re out of pocket expenses in medical purposes out of your Medicare coverage, then it is obviously best to go with   Plan F. This is complete end to end supportive supplement plan. However, since this plan offers comprehensive 100% coverage on your extra expenses, the premium scale is definitely higher than other. But if you have restrains on your budget limit, you can also try out Plan N and Plan G which also offers extensive range of coverage, though you need to do a bit of cost sharing.

The Plan G extensively offers you an edge over the extra costing that you need to pay from your pocket with Medicare Part B. If you cannot afford to pay the high premiums of Medicare supplement Plans F then it is recommended to take up Plan G which also offers quite similar coverage on your Part B deductibles. But the best part it, all these plans are standardized and from whichever company you take them as per premium differences, the benefits are going to be all the same.