Oklahoma Medigap Plans, also called Medicare Supplement Insurances, are private health insurance policies that fill gaps in Medicare coverage. Offered by private insurance companies, these plans help cover copayments, deductibles, and other health expenses not fully covered by original Medicare. With Medigap, you can gain peace of mind and access to a wider range of medical services and healthcare providers over Medicare Advantage. While Medigap works the same in the Sooner state as it does in most other states, Oklahoma has passed a special law offering coverage for those on Medicare who are under 65.
Oklahoma Medigap Plans Basics
Before choosing an Oklahoma Medigap plan, consider these factors:
- Medicare Part A and Part B Requirements: You need both Medicare Part A and Part B to purchase a Medigap policy.
- Monthly Premiums: In addition to your Medicare Part B premium, expect a monthly premium for Medigap coverage.
- Individual Coverage: Medigap plans are for individuals. This requires separate policies for spouses but you can get a discount if both you and your spouse sign up for the same plan. Learn more about Medigap Household Discounts.
- Standardized Plans: Medigap plans are highly regulated and standardized by a letter system. So a Plan G from one company will have the same benefits as a plan G from another.
- No Unique Doctor Networks. Medigap doesn’t have its own network of doctors and facilities. Instead, it uses Medicare’s national network. This means that every doctor who accepts Medicare MUST accept Medigap. Medigap SELECT plans work differently but we rarely recommend those.
- Price Variation: Prices for the same Medigap policy may differ among insurance companies. This means that shopping for the best plan is important. See Medigap prices here.
If you’re new to Med Supp options, check out our Senior65.com Medigap Overview page. It offers a clear explanation of how Medicare Supplement Insurance works to help you grasp the essentials.
Comparing OK Medigap Plans
Plans available for those Medicare-eligible after January 1, 2020:
| Benefits | A | B | D | G** | K | L | M | N |
|---|---|---|---|---|---|---|---|---|
| Medicare Part A Deductible ($1,632) | 100% | 100% | 100% | 50% | 75% | 50% | 100% | |
| Part B Deductible ($240) | ||||||||
| 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% | ||||
| Max Out-of-Pocket | $7,060 | $3,530 |
**Medigap Plan G High Deductible is $2,800.
If you were Part B eligible before January 1, 2020, you may be able to enroll in a plan that covers your Part B deductible.
When to Enroll in Oklahoma Medigap Plans
Your Medicare Supplement Open Enrollment Period begins at 65 (or older) and when you enroll in Part B. This period is often called your Initial Enrollment Period. It lasts six months. For instance, if you turn 65 in February and enroll in Part B, your open enrollment is February to July. If you delay Part B until the following January, your open enrollment starts in January and ends in June.
Applying after this period might lead to coverage denial based on health. If you find this confusing, ask for help in the comments without any charges.
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Pre-existing Conditions and Coverage
You’re assured a policy during your initial open enrollment. If you apply outside your initial enrollment and cannot show evidence of previous credible coveage, insurance companies can impose a pre-existing waiting period.
Medigap in Oklahoma does not offer an annual open enrollment period to enroll or switch plans each year without medical underwriting. Please read that sentence again because the majority of Senior65.com customers wrongly assume they can switch plans each year without health review. You can switch plans at any time but it usually requires you answering about 20 questions about your health before you are approved. New coverage usually begins the first of the month following your application.
Medigap Under 65
Medigap is not usually available those on Medicare who are under 65 years old. In 2017, the Oklahoma Insurance Department changed the rules (OAC 365:10-5-129(d)). Now, insurance carriers must offer at least one Medicare supplement plans to all applicants who qualify due to disability.
Since September 15, 2017, insurance providers can’t charge higher premium rates to disabled individuals in Oklahoma. The rates must match the lowest available aged premium rate for the standardized plan offered to seniors on Medicare due to disability. To learn more about purchasing a policy under 65, check out our article on ‘Medigap Under 65 State Rules.’
Moreover, federal law offers individuals who on Medicare under 65 another open enrollment opportunity when they turn 65. This golden chance allows disabled Medicare beneficiaries to switch to a different Medicare Supplemental plan or enroll for the first time. (Source)
Moving Forward with Oklahoma Medigap
Having absorbed info on OK MedSup plans, team up with our licensed agents at 800-930-7956. They’re pros on how Medigap functions in your state and don’t add fees for their services.
Know this: no insurer or agent can beat our costs for the same Medigap plan. Get a quote here or drop us a comment below.