Medicare Supplement Plans in South Carolina
Medicare Supplement plans in South Carolina refer to a type of Medicare plan you can purchase to cover certain out-of-pocket costs for which you are responsible under Original Medicare. Medicare Supplement insurance plans are referred to as Medigap policies because they fill gaps in traditional Medicare coverage.
While Original Medicare covers many medical expenses, Medicare beneficiaries who have only Original Medicare are responsible for coinsurance and copayments with no annual out-of-pocket limit. Medicare Supplement plans in South Carolina alleviate that burden.
There are 10 Medigap policies sold by private health insurance companies. They range from basic benefits to enhanced coverage. In addition to coinsurance and copayments,
- Part B excess charges when your health care provider does not accept assignment from Medicare
- Foreign travel emergency health care
- Purchase of blood (first three pints)
To launch your research, review the following highlights of the top five Medicare Supplement insurance plans.
Medicare Supplement Plan F
Medigap Plan F covers all benefits that a Medigap plan in South Carolina is allowed to cover under the federal Medicare program. However, the plan is only available for purchase by beneficiaries with a Medicare-eligible effective date preceding January 1, 2020.
Plan F covers:
- Medicare Part A deductible
- Medicare Part B deductible
- Part A hospital and hospice coinsurance/copayments
- Part B coinsurance or copayments
- Part B excess charges
- Skilled nursing care coinsurance
- Foreign travel emergency (plan limits apply)
- First three pints of blood
Medicare Supplement Plan G
- Medicare Plan G covers the Part A deductible but not Medicare Part B deductible; otherwise, same benefits as Plan F
- Lower premium than Plan F
- Eligibility not limited to people new to Medicare before 2020
Medicare Supplement Plan N
Plan N is a great value because you get most of the same benefits as Plan G, and you save money on the premium.
Plan N does not cover:
- Part B excess charges
- Copayments – you are responsible for up to $20 for office visits and up to $50 for emergency room visits (unless admitted)
High Deductible Plan F
With a high-deductible plan, you have to meet your deductible before the plan pays benefits. In 2022, the deductible is $2,490. The High Deductible Plan F has the same coverage as regular Plan F.
High Deductible Plan G
Benefits are the same as regular Plan G, i.e., all the same benefits as Plan F less the Medicare Part B deductible. Likewise, the premium for High Deductible Plan G is lower than High Deductible Plan F.
Medicare Supplement Insurance cost in South Carolina
Sample data reveals that the monthly premium is about $131 if you are a woman who is 65 years old, does not smoke and lives in Charleston, South Carolina.
|Plan Type||Premium Range|
|Plan F||$126.95 - $220.97|
|Plan G||$104.96 - $163.97|
|Plan N||$84.90 - $130.67|
When can I apply for a Medicare Supplement plan?
You can purchase Medigap insurance in South Carolina during the Medigap Open Enrollment Period. This is different from other open enrollments that apply to Medicare Advantage and the Part D prescription drug plan.
Medigap Open Enrollment Period
- Begins the month you turn 65 or older
- Gives you six months to sign up
- Accessible if you have Part B
- Does not allow insurers to use medical underwriting for approval or pricing decisions
During the Medigap Open Enrollment Period, you will have the most plan options and likely the best pricing. You will be able to compare plans, which is important because costs can differ between plans that have the same coverage.
Outside the Medigap Open Enrollment Period, there is no guarantee that a Medicare insurance company in South Carolina will sell you a Medigap plan unless you have guaranteed issue rights.
Guaranteed Issue Rights
Having guaranteed issue rights means that private insurance companies that sell Medigap insurance in South Carolina are required to:
- Offer you at least one of the Medigap policies in South Carolina
- Waive any waiting period for pre-existing conditions
- Offer a premium rate that cannot be tied to your health conditions
Following are examples of situations in which guaranteed issue rights may apply:
- Your employer, retiree or COBRA insurance policy is ending.
- You are losing Medicare Advantage because the plan has discontinued coverage in your area or is leaving the federal Medicare program.
- You have had Medicare Advantage for less than a year and now want to switch to Original Medicare.
Ready to learn more?
We help educate Medicare beneficiaries on their Medigap options and help them go through the process of reviewing and comparing plans. We work with most of the nations top-rated Medigap carriers such as Aetna, Cigna, Mutual of Omaha and Florida Blue Medicare plans. Give us a call today, or request a quote online to learn more about Aetna Medicare Supplement plan G and Mutual of Omaha Medicare Supplement plan G in your state. We educate you on the best Medicare Plans for your situation, then let you decide.
When can I change Medigap plans?
If you decide a different Medigap plan is more suitable, you can change plans at any time. However, your application will go through an underwriting process and can be declined.
You have protection under federal law to switch plans without underwriting if you:
- Have guaranteed issue rights
- Are within your six-month Medigap Open Enrollment Period
Can I be denied Medigap coverage?
Outside the Medigap Open Enrollment Period, insurance companies have the right to use medical underwriting to determine whether or not your application will be approved.
South Carolina State Links
- The best Medicare Supplement plan in South Carolina for 2022 will work with Original Medicare to help beneficiaries control the out-of-pocket expenses they may have if they are only enrolled in Medicare Part A and Medicare Part B.
- There are 10 Medicare Supplement Plans in South Carolina to choose from.
- In South Carolina, Medicare Supplement Plan G is the most popular plan for 2022.