If you’re enrolled in Original Medicare, you should consider enrolling in a Medicare Supplement plan to help control your healthcare costs. Also called Medigap plans, these plans help cover costs that Original Medicare doesn’t pay.
Washington, D.C. residents have 10 Medigap plans to choose from, labeled with letters A through N. 16 insurers offer Supplement plans in DC, and about 12,000 people are enrolled in Medigap coverage.
To find the best Supplement plan for you, you’ll need to consider things like your finances, lifestyle, and current and future health needs. In this post, we’ll walk you through your options and how to choose the best plan for you.
In DC, there are 10 types of Medigap plans. Plans F and G also have a high-deductible option.
Medigap Plan F and Medigap Plan C aren’t available to those who turn 65 after January 1, 2020.
Generally, Plan G and Plan N are considered the best since they offer the most coverage at a reasonable price.
Every Medigap plan of the same type (for example, every Plan G) offers the same coverage, but your monthly premium will vary based on personal factors, pricing structures, and insurance carriers.
47 states and the District of Columbia offer the same 10 Medigap plans, each labeled with a letter from A to N. All plans of the same type are identical in coverage, but your monthly premium depends on a number of factors. For example, Medigap Plan Gs all provide the same exact coverage, but you might pay a different premium than your neighbor for the same plan because of factors unique to you. We’ll discuss how plans are priced later on.
Our Medigap comparison chart can help you understand the differences between each plan.
*Note that Plans F and C are unavailable for Medicare beneficiaries who turn 65 after January 1, 2020.
Plan G and Plan N are considered the “best” plans because they provide the most comprehensive coverage, and generally at a reasonable monthly cost. With a Plan G, you won’t pay for Medicare-covered services once you’ve met your annual Part B deductible. Plan N provides similar coverage. The only difference is that it doesn’t cover Part B excess charges.
While these plans are the most popular among Medicare beneficiaries, the best Medigap plan for you depends on your unique needs. When looking through plans, you’ll need to consider your medical needs, recurring health expenses, budget, and lifestyle. We recommend chatting with a licensed Medicare Advisor to discuss your unique situation and compare plans so you can enroll in the one that works best for you.
In 2024, Medigap premiums in DC range from $24 a month for a high-deductible Plan G to $947 for the highest-cost Plan F. You can use Medicare’s plan comparison tool or reach out to one of our licensed Advisors to find more information about Medicare Supplement plans in DC.
What you pay for your Medigap premium depends on a few personal and economic factors. Personal factors that affect your premium include:
Your age
Your gender
Where you live
Whether or not you smoke
Whether or not you live with someone who is also Medicare eligible
Economic factors that affect your premiums include:
Which insurance carrier you choose
Your policy’s pricing structure
Medigap policy prices are determined by insurance carriers. When setting prices, carriers use one of the following pricing structures: community-rated, issue-age-rated, or attained-age-rated.
With a community-rated plan, everyone pays the same monthly premium, regardless of age. Your premium also stays the same as you age. This type of Medigap plan is generally the most cost-effective, but it isn’t available everywhere.
With an issue-age-rated plan, your premium is based on your age when your Medigap plan was issued. This plan type may have an initial premium that is higher than average, but it will not increase because of your age.
With an attained-age-rated plan, your premium is based on your current age. For younger beneficiaries, the premiums for attained-age plans are less expensive initially, but they increase as you age.
Your Medigap Open Enrollment Period is the best time to enroll in a Medicare Supplement plan. This is a six-month window after your Medicare Part B coverage begins. During Medigap Open Enrollment, insurance companies can’t ask you about your health history, charge you a higher premium based on your age, or deny your application. If you try to enroll outside of Medigap Open Enrollment, insurance carriers could deny your application based on your health history or charge you more.
Finding the best Medicare Supplement plan in DC can be stressful. If you have any questions about Medigap or need help weighing your options, call us at 855-900-2427 or schedule a chat. Our licensed Medicare Advisors are here to help you find a Medigap plan that works for you.