The Best Medicare Supplement (Medigap) Plans in Idaho
- Need help choosing a Medigap plan in Idaho? Use this easy-to-understand review of Idaho Medicare Supplement plans to see which one offers the benefits you need.
Original Medicare (Medicare Part A and Part B) pays a portion of health care costs, but beneficiaries must still pay deductibles, coinsurance and other expenses on their own.
Medicare Supplement plans, also called Medigap, are sold through private insurance companies under contract with Medicare. Medigap beneficiaries pay additional monthly premiums to the carriers. In turn, the insurer pays for an array of deductibles, copays and excess charges not covered by Medicare. Over 41% of those who receive Original Medicare benefits in Idaho also have a Medigap policy.1
You can find Medicare Supplement plans where you live by comparing plans from several different insurance companies online.
What Are the Best Idaho Medicare Supplement Plans?
Idaho residents may be able to pick from 10 different types of Medigap plans. The plans are standardized and include set benefits, no matter which insurance carrier sells them.
|Medicare Supplement Benefits||A||B||C1||D||F1||G||K||L||M||N|
|Part A coinsurance and hospital costs||✓||✓||✓||✓||✓||✓||✓||✓||✓||✓|
|Part B coinsurance or copayment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|First 3 pints of blood||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Part A hospice care co-insurance or co-payment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Co-insurance for skilled nursing facility||✓||✓||✓||✓||50%||75%||✓||✓|
|Medicare Part A deductible||✓||✓||✓||✓||✓||50%||75%||50%||✓|
|Medicare Part B deductible||✓||✓|
|Medicare Part B excess charges||✓||✓|
|Foreign travel emergency||80%||80%||80%||80%||80%||80%|
|1. Plans C and F are not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.
2. Plans F and G also offer a high deductible plan which has an annual deductible of $2,700 in 2023. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.
3. Plan K has an out-of-pocket yearly limit of $6,940 in 2023. Plan L has an out-of-pocket yearly limit of $3,470 in 2023.
4. Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 for emergency room visits that don’t result in an inpatient admission.
View an image version of this table.
Plans have varying levels of coverage and can include:
- Annual deductibles for Medicare Part A (hospital insurance) or Part B (medical insurance)
- Coinsurance for hospital stays, medical services, skilled nursing, outpatient care and durable medical equipment
- Emergency medical care when traveling outside of the country
- Fees levied by health care providers that exceed Medicare-approved limits
Many Idaho residents choose Plan F because of its extensive benefits. This plan covers all services mentioned above. It's also available as a high-deductible plan, which may have lower premiums. Plan F is only available to those eligible for Medicare before January 1, 2020.
Those who qualify for Medicare after January 1, 2020, must pay for the Part B deductible themselves and can choose Plan G instead of Plan F. It has similar benefits and is also available as a high-deductible version.
Plan N is also a sought-after Medigap choice in Idaho. It's the only plan that requires copays for some Part B services, typically resulting in lower premiums. Plan N may cost you a maximum of $20 for certain doctor's visits and up to $50 some emergency care. It covers foreign travel emergencies but not excess charges.
How Do I Enroll in an Idaho Medigap Plan?
Medicare has strict guidelines regarding enrollment periods for different health insurance plans. You can sign up year-round for Medigap, but you get certain protections if you apply when you're first eligible. This is known as your Medigap open enrollment period.
Each person's Medigap open enrollment period is different. It begins the month you're 65 or older and enrolled in Medicare Part B. You have six months to buy any Medigap policy without being qualified by an insurance company based on your health. Insurers must offer you the same premium as a beneficiary who has no medical conditions.
This is a one-time open enrollment window. Once it ends, you must apply for Medigap like any other health insurance plan that involves medical assessments to determine the conditions of your coverage.
There are certain scenarios where you may have guaranteed issue rights to a Medigap policy, however. An insurer may be required to issue you a policy and cover pre-existing conditions without charging higher premiums if:
- You no longer have union or workplace insurance that supplements Medicare.
- You're within your Medicare Advantage trial right period and are returning to Original Medicare.
- You no longer have Medicare Advantage coverage because you've moved.
Your existing Medigap coverage is ending because the insurer isn't following Medicare rules or is leaving Medicare.
AHIP. (Mar. 2022). The State of Medicare Supplement Coverage: Trends in Enrollment and Demographics. https://ahiporg-production.s3.amazonaws.com/documents/202202-AHIP_MedicareSuppCvg-02_v03.pdf.