Best Medigap Deals In Texas

This article reviews our recommendations on each lettered plan and which Medigap insurance companies (Medicare Supplements) are the best deals in Texas. You’ll see which company has the most competitive pricing for Plans A, B, C, D, F, G, K, L, N, and the High Deductible G and F.  Plan M is unavailable in Texas.

You can request personalized quotes for any plan design A through N, or any company on the Customized Quote form.  If you want a price comparison emailed for one particular plan,  use the Free Comparison tool below.

What Is A Medigap Policy?

Medigap policies are private insurance policies available to individuals with Medicare Parts A and B.  Medigap policies charge a monthly premium payable to the insurance company.  They are not the same as Medicare Advantage Plans.

Medicare Part A and B cover most medical expenses, but some deductibles, co-pays, and coinsurances are not covered.  If you have Medicare A and B, you can purchase a policy to pay the expenses that Medicare doesn’t cover.

Some Medicare Supplement policies also cover services that Original Medicare Fee-for-Service doesn’t cover.  These include emergency medical care when you travel outside the U.S. (foreign travel emergency care). Medicare doesn’t cover long-term care (like care in assisted living or a residence in a nursing home), vision or dental services, hearing aids, glasses, or private-duty nursing, so neither will a Medigap plan.

What’s The Difference Between A Medigap And Medicare Supplement?

Medigap means the same thing as Medicare Supplement.  Consumers typically say “Medigap” in conversation, while insurance companies and other entities use the term “Medicare Supplement”.  If you purchase one of these insurance policies, the actual policy will always be called a “Medicare Supplement”.  Medicare Advantage plans,  called Medicare Part C, are NOT Medigap insurance policies.

Do Medigap Policies Include Prescription Coverage?

No. You should purchase a Medicare Part D plan to help pay for prescriptions.  Medigap policies don’t cover prescription drugs unless the medication is covered under Medicare Part B.  Here are a few medications that are covered under Medicare Part B:

  • Chemotherapy drugs
  • Vaccines (e.g., flu, pneumonia)
  • Immunosuppressants

How Does a Texas Medigap Policy Work?

If you have a Medigap policy and get care, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then, your Medigap policy will pay its share. Medicare doesn’t give an allowance or credit for any of the costs of buying a Medigap policy.

What Plans Are Available In Texas?

Medigap policies are standardized. Medigap must follow federal and state laws designed to protect you, and they are identified as “Medicare Supplement Insurance.” Insurance companies can only sell you “standardized” plans, which are named by letters A–D, F, G, and K, L, M and N. All plans with the same letter offer basic benefits, no matter where you live or which insurance company you buy the policy from. Prices will differ between policies with the same letter sold by different companies.  They all must offer the same standardized benefit for the same lettered plan.

A few companies give you additional benefits like extra preventive testing or a fitness club membership/discount, but that’s over and above the basic benefits they must cover.

A relatively new Plan G design is not yet available in Texas.  It’s called an “Innovative Plan G” and is offered by Physicians Mutual.  This is a hybrid of a regular plan G and the High Deductible G Plan.  It starts as a High Deductible G and becomes a regular plan after two to three years.  Check with us to find out when it becomes available.

What Company Is The Best Deal For Each Plan In Texas?

Our recommendation for you could differ based on your zip code, age, gender, and tobacco status.  These are sample recommendations for a 65-year-old female in Houston, Texas, who doesn’t use tobacco.

 

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