The Lone Star State has 10 standardized Medigap plans to choose from. These plans are nearly identical to that of 46 other states. This standardization makes understanding TX Medicare Supplement (Medigap) rules and regulations simple. Here’s the Texas Medigap policy overview:
Texas Medigap policy essentials
Texas Medigap plans, just like all Medigap plans, are designed to fill in the “gaps” of costs not covered by Medicare Part A & B. There are no doctor networks when it comes to Medigap as any doctor or facility that accepts Medicare MUST accept standard Medigap. Here is a good Medigap overview that you should read first.
Here are the simple Texas plan essentials you need to know:
- 8 standardized plans for persons Medicare eligible as of 2020
- Plans F and C are still available to those Medicare eligible before 2020
- Plans are identical to the majority of other states
- 65 and older have Medigap guaranteed enrollment if they sign up when first eligible
- 65 and under on Medigap with a disability do not have guaranteed issuance
- If you miss your Medigap open 6-month enrollment, you can be denied or charged more.
- 7 qualifying “Texas Medigap guaranteed issuance period” events outside of open enrollment
- No annual switching period (see below for more)
How much do TX Medigap plans cost?
You know how they say, “everything is bigger in Texas”? Well, this isn’t the case with your Texas Medigap plan’s monthly costs. Medigap in Texas is priced about average when compared to most of the country.
Medigap monthly premiums vary by insurance provider and are based on zip code, gender, when you enroll, and which Medigap plan you select. Click here to see instant prices for Medigap plans from top insurance providers. Medigap Texas prices are regulated so no one can offer the same plan from the same provider lower than Senior65.com.
Are there Texas Medigap discounts?
There sure are TX Medigap discounts available. Click on each to learn more:
Is it Easy to Switch Medigap plans in Texas?
Not exactly. Once you are outside your Medigap initial enrollment period where everyone is approved, you will usually have to answer health questions first to be approved for Medigap. Most people think there is an annual open enrollment period each year which allows for “free switching” between Medigap insurance companies but this does not exist in Texas. Once again, switching Medigap plans in Texas usually requires a new application and insurance providers can turn you down.
There are only a few exceptions that allow for guaranteed issued Medigap switching. This is why it is so important that you work with a licensed independent insurance agent to help you select the right plan when you are first eligible. Feel free to call us at 800-930-7956. There is never a charge or hidden fee to work with us and no one can sell the same Medigap plan for less than Senior65 can.
Texas Medigap plans side-by-side
Approved Texas insurance providers can offer some or all of the A-N standardized plans listed below. Plans C and F are only available to those eligible for Medigap before 2020. Here are 8 plans available to those who qualified for Medicare Part B after Jan 1, 2020, but most of our new clients select Plan G.
|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 G High deductible offers the same coverage as Plan G but with a deductible of $2,700.
Texas Medigap plans (most likely) move with you to other states
Since Texas plans match up to 46 other states, you’ll most likely find that your Medigap plan is portable if you move. The only difference is that your Medigap monthly premium may decrease or increase in price, based on your new zip code.
The following are states you must disenroll from your Texas plan and enroll in their state options -don’t worry, you will have a guaranteed issuance right and cannot be denied:
- Massachusetts Medigap plans
- Minnesota Medigap plans
- Wisconsin Medigap plans
For further questions about Texas Medigap 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.