Connecticut Medicare Supplement (Medigap) plans have special laws not found in most states. All plans must be community-rated and they offer open enrollment year-round in the Constitution State. This means if you’re 65 or 85 in CT, you’ll technically pay the same rate and can enroll nearly anytime you want. This makes plans super accessible and somewhat pricey but there are some ways to save money and get the most out of your Connecticut Medigap.
Connecticut community-rated Medigap plans explained
Connecticut’s community-rated Medigap rules require insurance providers to charge the same rate to everyone, regardless of age, gender, or zip code. Insurance companies are allowed, however, to set their own community-rated price for each plan they offer so it is important to shop around. You can get instant Medigap CT prices from here without speaking to a representative.
Since Community-rated plans have to offer one price for everyone, they are usually priced initially higher than the age-attained plans in other states that are allowed to charge more as you get older. One workaround that some insurance providers offer to lower prices is called a community-rated plan with an age discount. So, for example, if a community-rated plan normally costs $300 those with a “community-rated plan with age discount” may receive a 30% discount when they first sign up. Each year the discount reduces by a certain percentage (like 3%) until the discount goes away. Contact Senior65 at 800-930-7956 to see which plans offer community-rated with age discounts.
Connecticut Medigap is ALWAYS guaranteed issuance
In most states, you are only guaranteed to be approved for Medigap under certain circumstances such as right after you initially enroll in Medicare Part B. In Connecticut, however, you can enroll in a Medigap plan at any time of the year with guaranteed issuance (approval). You cannot be denied or charged more due to age, gender, or pre-existing conditions. This is a very special option for Connecticut Medigap that is only available in a few states.
If you do not have creditable coverage (a health plan that offers minimum benefits) at the time of enrollment, your CT Medigap plan may apply a 6-month waiting period to cover your pre-existing conditions. You will still have coverage for any new health issues or emergencies that come up.
CT Medigap Plans can be Pricey
Due to Connecticut Medigap’s guaranteed issuance and community-rated pricing rules, plans can be pricey. Make sure to compare letter plans and insurance providers to get the best rate.
Comparing Connecticut Medigap plans
The following Connecticut chart showcases 8 Medigap plans (and how they cover annual Medicare Part A & B costs) available to those who qualified for Medicare Part B after 2020. Medigap Plans C and F are only available for those who became Medicare Part B eligible prior to January 1, 2020.
|Medicare Part A Deductible ($1,600)||100%||100%||100%||50%||75%||50%||100%|
|Part B Deductible ($226)|
|Medicare Part A Hospital Coinsurance and 365 additional hospital days||100%||100%||100%||100%||100%||100%||100%||100%|
|Medicare Part B Coinsurance||100%||100%||100%||100%||50%||75%||100%||100%*|
|First 3 Pints of Blood for a Transfusion||100%||100%||100%||100%||50%||75%||100%||100%|
|Medicare Part A Hospice Coinsurance or Copay||100%||100%||100%||100%||50%||75%||100%||100%|
|Skilled Nursing Facility Coinsurance||100%||100%||50%||75%||100%||100%|
|Medicare Part B Excess Charges||100%|
|Foreign Emergency Healthcare||80%||80%||80%||80%|
*Medigap Plan High G offers the same coverage as Medigap Plan G but with a deductible.
Medigap discounts for Connecticut
To save money, we have compiled the most used Connecticut discounts available. Click on each to learn more:
CT Medicare beneficiaries CAN be charged Part B Excess Charges
Many doctors and facilities charge patients an extra 15% not covered by Medicare. These extra charges are called Excess Charges and are totally legal.
Medicare beneficiaries pay Part B Excess charges unless if they have Medigap Plan F or G. Plan G covers all excess charges of up to 15% more than the Medicare-approved amount.
There has been misleading information that Connecticut Medicare beneficiaries cannot be charged for Part B Excess charges. This is not true! Only those who are in the “Qualified Medicare Beneficiary” level of the Medicare Saving program do not pay Part B Excess Charges. Source: CT.gov
You can (likely) keep your CT Medigap plan if move out of state
While Connecticut plans have special options, your CT Medigap plan is usually portable if you move to another state. Since over 45 other states have matching Medigap plans, you can take your Connecticut Medigap plan with you to those states. Just let your provider know your new zip code. Your pricing may increase (or decrease) with a move.
States you must enroll in their Medigap plan:
- Massachusetts Medigap plans
- Minnesota Medigap plans
- Wisconsin Medigap plans
Next steps for Connecticuters
For a quote or further questions on Connecticut plans, call one of our Senior65 licensed insurance agents a call at 800-930-7956.
Our agents can NOT charge you a fee for a quote or enrollment.