Best Medicare Supplement Plans in North Carolina
There are 10 approved Medicare Supplement plans in North Carolina, labeled Plans A through D, F, G, and Plan K through N. Each plan pays specific out-of-pocket expenses, such as copayments, deductibles, excess charges, and foreign emergency health expenses.
- In North Carolina, Medicare Supplement Plan G is the best plan for 2022 based on the most comprehensive benefits.
Below are descriptions of each Medicare Supplement insurance plan in North Carolina that is recognized as one of the top plans. High Deductible Plan G and Plan N are the second most popular after Plan G.
Best Comprehensive Coverage for New Beneficiaries: Medicare Supplement Plan G
- Medicare Plan G offers the same coverage as Plan F except for the Medicare Part B deductible.
- Available if you were eligible before or after 2020.
- Cost-effective alternative to Plan F if you have the option to choose either plan.
Best Value: Medicare Supplement Plan N
- Medigap Plan N offers excellent coverage, trading off some benefits to lower your monthly premiums.
- Covers the Part A deductible but not the Part B deductible or Part B excess charges.
- Copayments: up to $20 for doctor visits; up to $50 if you go to the emergency room and are not admitted.
Best for Lowest Premiums: High-Deductible Plan G
- Benefits mimic traditional Plan G except for the deductible.
- 2022 annual deductible: $2490.
- Premiums are considerably lower than traditional Plan G.
Which plan has the best benefits for 2022?
Medigap policies F and G have the best benefits, but you cannot purchase Plan F if your effective date for Medicare eligibility was on or after January 1, 2020. This is because private insurance companies cannot sell Medigap insurance (including the Part B deductible) to newly eligible Medicare beneficiaries.
Best for Full Coverage: Medicare Supplement Plan F
- Medicare Plan F is all-inclusive coverage – coinsurance, copayments, Medicare Part A deductible, and Part B deductible.
- Limited access – available only if you were eligible for Medicare coverage before January 1, 2020.
Medicare Supplement Insurance Cost in North Carolina
To estimate the average cost of a Medigap policy in North Carolina, the variables needed are location, gender, age, and tobacco usage.
65-Year-Old Female Non-tobacco
Plan F $122.03 - $225.60
Plan G $86.46 - $210.48
Plan N $80.44 - $150.26
When can I apply for a Medicare Supplement plan?
Medigap has an Open Enrollment Period distinct from the Annual Election Periods designated for Medicare Advantage and Medicare Part D. The best time to buy a Medicare Supplement Plan in North Carolina is during the Medigap Open Enrollment Period because:
- You will be eligible to compare and pick any of the Medicare Supplement insurance plans available in North Carolina.
- The Medicare insurance company cannot charge higher rates because of health problems.
- Once this enrollment period ends, you may have to pay higher rates.
- Applications received after the enrollment period can be declined.
Medigap Open Enrollment Period Requirements:
- Age 65 or older
- Enrollment in Part B
- Have six months to apply from the first day of your birthday month
Private health insurance companies are not federally mandated to sell Medicare Supplemental plans to beneficiaries younger than 65. However, North Carolina is one of the states that provides guaranteed issue rights for people under 65 with a qualified disability or end-stage renal disease (ESRD).
Guaranteed Issue Rights
Having guaranteed issue rights means that private insurance companies must:
- Offer at least one type of supplemental insurance policy.
- Cover pre-existing conditions.
- Disregard past or current health issues in terms of pricing.
You may have guaranteed issue rights if you fit one of these scenarios:
- You are a Medicare Advantage member, and your plan no longer works with the Medicare program.
- You have Medicare Advantage and relocate out of the plan's service area.
- In addition to Original Medicare, you are covered under an employer or union group health insurance plan, which is now ending.
- You dropped a Medigap policy to enroll in a Medicare Advantage plan within the last year and now want to switch back.
When can I change Medigap plans?
You can switch Medigap policies if one of the following applies:
- You have a guaranteed issue right.
- You qualify under a special circumstance.
- You are within your six-month enrollment period.
- You are within the 30-day free-look period (must pay the premium for both policies to cover the first month).
Can I be denied coverage?
If you apply for a Medigap policy outside the Medigap Open Enrollment Period, you can be denied coverage based on health issues.
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. Please give us a 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.
North Carolina State Links:
- North Carolina Medicare Supplement - Premium Comparison Database
- SHIIP Contacts/Counselors by County
- Health Insurance Options for People on Medicare in North Carolina Due to Disability
- Medicare.gov – The U.S. government website.
- CMS: Centers for Medicare and Medicaid Services – Another official United States government site.
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