Kentucky Medigap Plans: Simplifying Medicare Supplements

Kentucky Medigap Plans, also known as Medicare Supplement Insurance, serve as a vital complement to existing Medicare benefits. These plans are regulated by federal and fill the gaps in standard Medicare coverage. One great benefit for policyholders in this state is the Medigap Birthday Rule.

How do Kentucky Medigap Plans Work?

In Kentucky, there are 12 standardized Medigap plans, labeled from “A” to “N.” Plan “A” is the “basic” benefit package, while the other plans include the basic package along with various additional benefits. Each plan covers specific expenses not fully covered by Medicare. Insurance companies can’t alter the benefits or the plan designations.

Although the benefits remain the same for standardized Medigap plans, the premiums can significantly vary between companies. An insurance company cannot make you wait for coverage to start, but in some cases, they may refuse to cover your pre-existing conditions for up to six months. This is referred to as a pre-existing condition waiting period. (Source)

You have a 30-day “free look” period to return the policy for a full refund. If you’re thinking about giving a policy a try, get in touch with us at 800-930-7956 to speak with a licensed agent.

Comparing KY Medigap Plans

Here are the Medigap plans available in the Bluegrass State if you qualified for Medicare after January 1, 2020. It may seem overwhelming at first but the majority of all enrollees select plan G because it offers the right balance of coverage and is usually priced well.

**Medigap Plan G High Deductible is identical coverage with a high deductible of $2,800.

If you were Part B eligible before January 1, 2020, you may be able to enroll plan in F or C.

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What do Kentucky Medigap Plans cover?

Medigap policies typically pay most, if not all, Medicare co-insurance amounts and may provide coverage for Medicare’s deductibles. Some plans cover services not included in Medicare, such as emergency medical care while traveling abroad and healthcare provider charges that exceed Medicare’s approved amount. Find out more about what Medigap covers.

Medigap Under 65

Before January 1, 2024, you only had a six-month open enrollment period for Medicare Supplement policies starting the month you turned 65 and were enrolled in Medicare Part B. Starting January 1, 2024, if you become eligible for Medicare before turning 65, you’ll also have a six-month open enrollment period for all Medicare Supplement policies, starting from the month you sign up for Medicare Part B. For more information, you can read our article on “Medigap Under 65 State Rules” here.

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Kentucky Medigap Discounts

Companies may offer discounts for non-smokers (outside of an open enrollment or guaranteed issue period), members of military groups, automatic bank draft, or electronic fund transfer (EFT) payments, etc. Make sure to consider those that apply to your situation (Source).

Additionally, you can save on Med Supp policies through the Household Discount (also known as ‘HHD’). According to information released by the Kentucky government, around 20 companies in the area provide it. This is why it’s essential to work with a licensed independent insurance agent to help you choose the right plan for your needs. Contact Senior65.com here or leave a comment in the box below.

You can receive up to a 14% discount depending on the insurer, and each has its own requirements. In some cases, it applies only to married couples, while in others, it extends to those residing in the same household, even without a legal union. Learn more about it in our Medigap Household Discounts article.

The Roommate Discount is another great choice with simple requirements. Find out more in our article, “What is the Medigap Roommate Discount and How Can You Get It?“.

Switching Medigap Plans: Birthday Rule in Kentucky

The birthday rule in Kentucky offers significant flexibility to Medigap plans. It allows policyholders to annually modify their Medicare Supplement plan, switching to the same plan through a different insurer, regardless of health, within the specified timeframe. This period extends 60 days after your birthday. You can apply before your birthday, but your requested start date (effective date) must be after your birthday. For more information, delve into our article: ‘Kentucky Medigap Birthday Rule“.

If you’re outside of Kentucky and want to know more about the Medigap Birthday Rule, visit this link to read our comprehensive state-by-state guide.

Medicare Excess Charges in KY

Doctors can charge up to 15% more than what Medicare says is fair. It’s called a Part B excess charge. But don’t worry, we’ve got you covered. If you have Medigap Plan G, you won’t have to pay a dime of those extra costs. It’s like having a secret weapon against surprise medical bills. Curious to learn more? Read our article, “How to Avoid Medicare Excess Charges.”

Next Steps for Adding Medigap Plans

Each special enrollment situation has its unique eligibility requirements and timeframes. It’s crucial to research each situation carefully to determine whether you qualify for a special enrollment period to enroll in a Medigap policy.

For personalized assistance and guidance, don’t hesitate to contact Senior65.com at 800-930-7956. Our dedicated team is here to help you determine the best time for your Medigap enrollment.

There are no charges or hidden fees when working with us, and no one can sell the same Medigap plan for less than Senior65.com can.