If you’re a Virginia resident and eligible for Medicare, understanding Medigap plans is crucial. Medigap, also known as Medicare Supplement insurance, helps fill the gaps in Original Medicare. MedSup Plans works in VA as in most states. Get all the details here.
Introduction to Virginia Medigap Plans
Residents of Virginia who are enrolled in Medicare Parts A and B are eligible to enroll in a Medigap plan. These plans are offered by private insurance companies, allowing you to choose the one that best suits your needs. It’s important to note that Medigap plans are individual plans, meaning each person needs their own policy.
In Virginia, there are several Med Supp plans available, labeled with letters from A to N. Each plan offers different benefits, covering various cost-sharing expenses that would otherwise be the responsibility of Medicare beneficiaries.
The cost and availability of Medigap plans may vary depending on your insurance company. Get a Medigap quote here to explore your options.
Virginia Medigap Plans Comparision
Plans available if you qualified for Medicare 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 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 in Medigap Plan F.
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When to enroll in a VA Medigap plan
In Virginia, just like in most states, there is a specific enrollment period for Medigap plans. This period is known as your initial enrollment period, which spans six months starting from the day your Medicare Part B coverage begins. It’s crucial to take note of this timeframe. Did you miss your initial enrollment period? Click on this link.
During your initial enrollment period, you have the advantage of guaranteed enrollment, meaning you cannot be denied coverage or charged higher premiums based on preexisting conditions. However, it’s important to be aware that if you had a gap in coverage prior to enrolling in MedSup, there may be a waiting period of up to six months for coverage of preexisting conditions.
Senior65.com can help you compare costs and help you apply so you do not miss your limited enrollment period.
Virginia Medigap Discounts
Discounts vary by state, county, and insurance providers so give us a call to review options in your area.
Switching Medigap Plans in Virginia
If you have Medigap and want to switch to another plan, you can do that anytime. In Virginia, AEP Open Enrollment (October 15 – December 7) doesn’t apply to Medigap plans. You can switch anytime, but medical underwriting is usually required for approval. The Med Supp application asks around 20 questions regarding your health, which will affect your approval and rate. Some pre-existing conditions could mean a higher rate or possible denial. Our “Ultimate Guide to Changing Medicare Insurance” has all the details, including special exceptions. Contact us if you’d like support with switching your Medicare Supplement plan.
Virginia’s Most Popular Plan
As you are likely aware, Medigap plans have undergone significant changes since 2020, resulting in a shift in the most preferred options. In Virginia, the once-popular Plan F has been replaced by the rising star, Plan G. This shift in popularity is reflected in the impressive enrollment numbers, with over 170,000 individuals aged 65 and above selecting Plan G. (Source)
With its comprehensive coverage and attractive benefits, Plan G has become the go-to choice for Medicare beneficiaries in Virginia. It offers a range of cost-sharing benefits that effectively fill the gaps left by original Medicare, providing greater financial security and peace of mind.
Medicare Part B Excess Charges in VA
Part B Excess charges occur when doctors charge more than Medicare allows. When doctors opt out of Medicare assignment, they can charge extra, up to 15%. The good news is that some Medigap policys, such as Plan G, cover 100% of excess charges, so your insurance pays these fees. Find out more in our article “How to Avoid Medicare Excess Charges.”
Virginia for Under 65
Virginia passed new rules in 2024 to ensure those under 65 have access to Plan A Medigap. Check out our Under 65 Medigap State Laws to learn more about how it works in VA.
Take the Next Steps with VA Medigap
Now that you have gained valuable insights into Virginia Medigap policies, you might still have lingering questions about selecting the right plan for your needs. Rest assured, Senior65.com is here to help!
If you have any comments or inquiries, please don’t hesitate to reach out by leaving a comment or question in the section below. Alternatively, you can directly contact our team of licensed agents at 800-930-7956.
We are dedicated to providing you with the guidance and support you require. Remember, our services come at no charge or hidden fees!