Medigap, like Medicare, is thought of and advertised in such a way that it seems exclusive to people ages 65 and up. However, it is possible to have Medicare coverage while under 65 as long as you meet certain criteria.
When it comes to Medigap plans, it’s important to note that insurance companies are not required by law to sell you a Medigap policy if you are under 65. In fact, you may not even be able to get the policy you want until you are 65.
Now, some insurance companies are required by the state to sell you a policy if you are under 65, but you may have to pay more because of your age. In Hawaii, if you are under 65 and receive disability, you will have a six-month period where you can buy a Medigap plan with Guaranteed Issue Rights.
What Does Medigap Do?
Any time you get treatments or services that Medicare covers, you’re still going to have something to pay out-of-pocket. Medigap solves that issue.
Not only does Medigap help you with a substantial portion of leftover charges, but it can also help you with your Part A deductible as well.
What Are The Options?
There are 10 types of Medigap policies, but Plan C and Plan F are only available to those who turned 65 before January 1, 2020. This is due to these covering the Part B deductible, and the fact that no newer plans are allowed to offer this type of coverage. Because you are under 65, you have 8 options. These are A, B, D, G, K, L, M, and N.
G is the most comprehensive, as it offers full coverage for:
- Part A deductible, coinsurance and/or copayment (includes skilled nursing and hospice), hospital costs (up to 365 days after benefits have been used up), initial three pints of blood for transfusions,
- Part B coinsurance, copayment, and excess charges
- 80% foreign travel emergency care
And this is why Plan G is the most extensive – these are all of the possible benefits you can get.
Plan N has recently gained popularity because of its lower premiums and solid coverage. The differences between this and Plan G are:
- Plan N doesn’t cover Part B excess charges
- Part B copay is set up to $20 per office visit and up to $50 per non-inpatient ER visit
How Do I Sign Up?
Once you’ve received disability benefits for at least 24 months, you’ll automatically be enrolled in Medicare. Automatic enrollment gives you Medicare Part A and Part B together (also known as Original Medicare).
If you’re receiving disability benefits, you get two Medigap Open Enrollment Periods. These are guaranteed issue, meaning you can’t be turned down. When you first sign up for Part A and Part B, you have six months to join a Medigap plan. Once this time has passed, you may be more likely to be turned down.
The second Medigap Open Enrollment period begins on the first day your Part B policy becomes effective (first day of the month of your 65th birthday) and ends six months later.
Signing up takes place through private insurance, so you will need to contact your insurer to begin the process.
We’re Here to Help. Call Us Today!
Proinsurance Hawaii is your number one source for Medigap coverage in Hawaii. We are devoted to providing you with the tools and resources you need to find a plan that works for you. To learn more about buying a Medigap plan in Hawaii, give us a call today!