Medicare Supplement Plans in Colorado

Medicare Supplement plans in Colorado offer peace of mind, easing concerns about exposure to gaps in Medicare coverage under Original Medicare.

Medicare Supplement plans in Colorado also provide some Medicare benefits not covered by the federal Medicare program, such as:

  • Foreign travel emergency: health care when you are out of the U.S.
  • Part B excess charges: billing from doctors over copayments, coinsurance, and deductibles

Medicare Supplement insurance plans are synonymous with Medigap policies. There are 10 Medigap policies available for purchase from private health insurance companies in Colorado. But, first, you must have Medicare Part A and Medicare Part B.

Medicare Supplement insurance plans in Colorado must provide certain basic benefits at a minimum. However, some plans in Colorado offer more.

Medigap's primary benefits:

  • Medicare Part A inpatient coinsurance
  • Medicare Part B coinsurance or copayment
  • First three pints of blood ordered by your health care provider
  • Hospice care coinsurance or copayments
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Medicare Supplement Plan G

  • No cutoff based on your Medicare effective date
  • Same benefits as Plan F except for the Part B deductible (Part A deductible is covered)
  • Medigap Plan G offers a lower monthly premium than Plan F

Medicare Supplement Plan N

  • Benefit trade-off for a lower monthly premium
  • Medigap Plan N copayments: up to $20 for certain office visits and up to $50 for an emergency room without patient admission
  • No coverage for Part B excess charges
  • Medicare Part A deductible covered but not Part B deductible

High Deductible Plan G

  • Same benefits as traditional Plan G but must pay a high deductible before benefits are paid out
  • 2022 deductible: $2,490
  • The monthly premium is significantly less than traditional plan G

Medical expenses that Medigap insurance does not cover:

  • Long-term care or private-duty nursing
  • Routine vision care or corrective lenses
  • Regular dental care or dentures
  • Hearing services or hearing aids

Medicare Supplement Plan F

  • Medigap Plan F is all-inclusive coverage
  • Includes Medicare Part B deductible
  • Limited access: Not available if your Medicare effective date is January 1, 2020, or later

Medicare Supplement Insurance cost in Colorado

A 65-year-old woman who lives in Denver, Colorado, and does not smoke will pay $165 on average, based on the following data:

65-Year Old Female Non-tobacco

Plan F $167.09 - $242.70

Plan G $122.00 - $213.33

Plan N $104.21 - $163.51

When can I apply for a Medicare Supplement plan?

The Open Enrollment Period, aka Annual Election Period that you may be familiar with in Colorado, applies only to Medicare Advantage and the Medicare Part D plan (prescription drug plan). It does not apply to enrollment in Medicare Supplement insurance plans. If you want a Medigap plan in Colorado, the best time to enroll is during the Medigap Open Enrollment Period.

Medigap Open Enrollment Period

  • Prerequisites: At least 65 years old and enrolled in Part B
  • The six months from the first of the month that you turn 65 or more
  • The period when you will be presented with the most planned options
  • Health conditions are not a factor in rate determination

Outside the Medigap Open Enrollment Period

Once your Medigap Open Enrollment Period ends, your application is reviewed by a medical underwriting team assigned to evaluate risk. Private insurance companies can approve policies at higher rates or deny coverage altogether.

This is not applicable if you have guaranteed issue rights, such as a retiree losing coverage or having a plan that no more extends services in your area.

In that case, the Medicare insurance company has to offer you:

  • At least one type of Medicare Supplement insurance plan in Colorado
  • Cover pre-existing conditions
  • Offer pricing irrespective of your health condition

Guaranteed issue rights apply to Colorado beneficiaries under 65 who have:

  • A qualifying disability
  • End-stage renal disease (ESRD)

FAQ:

When can I change Medigap plans?

Medicare Supplement Plan members can switch Medigap policies at any time. However, Insurance companies can ask health questions and require underwriting.

Eligibility for an exception may apply if you:

  • Have specific circumstances or guaranteed issue rights
  • Are you within the six-month window of your Medigap open enrollment period

Once you switch, you have 30 days to decide to keep your new policy. This is called a Medigap free-look period.

Can I be denied Medigap coverage?

If you miss the Medigap Open Enrollment Period and do not qualify for guaranteed issue rights, an insurer can deny coverage under Medigap based on your health conditions.

Ready to Learn More?

We help educate Medicare beneficiaries on their Medigap options and help them go through the process of reviewing and comparing plans. We work with most of the nation's top-rated Medigap carriers, such as Aetna, Cigna, Mutual of Omaha, and Florida Blue Medicare plans. Call us today, or request a quote online to learn more about Aetna Medicare Supplement plan G and Mutual of Omaha Medicare Supplement plan G in your state. We educate you on the best Medicare Plans for your situation, then let you decide.

Key Takeaways

  • Medicare Supplement plans in Colorado offer peace of mind, easing concerns about exposure to gaps in Medicare coverage under Original Medicare.
  • There are 10 Medicare Supplement plans in Colorado to choose from.
  • In Colorado, Medicare Supplement Plan G is the most popular plan for 2022.
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