Montana Medigap Plans are offered by private insurance companies to assist in covering certain healthcare expenses that Original Medicare may not fully pay for. This includes out-of-pocket costs like copayments, coinsurance, and deductibles. In MT, all companies are mandated to offer policies for individuals under the age of 65 who are eligible for Medicare due to disability.
Montana Medigap Plans Basics
If you’re considering purchasing a Medigap plan, you should keep these points in mind:
- Medicare Supplement policies adhere to federal and state laws and provide standardized benefits.
- Each policy offers basic coverage, some with added benefits, catering to individual needs.
- Supplementary policies are for single individuals; spouses require separate policies but there are possible household discounts available.
- All Medicare Supplement policies assure guaranteed renewal, even with health concerns, upon premium payment.
- Switching policies after your initial open enrollment or a guaranteed issue period may involve health underwriting. 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.
MT Medigap Plans Compared
What happened to the 10 Medigap plans we mentioned above? New regulations! Due to a new federal law, only those who are Medicare Part B eligible before 2020 can enroll in Medigap Plan C and Plan F. Those who because medicare-eligible after Jan 1 2020 can select from the 8 plans below.
| 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 |
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*Medigap Plan G High deductible ($2,800) is also available.
How much does a Medigap plan cost in Montana?
The costs depend on the chosen plan and company, but there are factors that can increase premiums, such as the individual being a smoker. Moreover, in Montana, some companies may base rates on gender. Get a quote here and find out how much you could pay in different insurance companies.
Montana Household Discount
One way to save on Med Supp policies is through the Medigap Household Discount (aka ‘HHD’). According to information released by the Montana government, around 20 companies operating in the area provide it. This is why it is so important that you work with a licensed independent insurance agent to help you select the right plan according to your needs. Contact Senior65.com here or leave a comment in the box below.
You can receive up to a 14% discount depending on the insurer, and each has its own requirements. In some cases, it applies only to married couples, while in others, it extends to those residing in the same household, even without a legal union. Read more about it in our article Medigap Household Discounts.
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Another excellent choice is the Roommate Discount, which is easy to qualify for. Read more in our article, “What is the Medigap Roommate Discount and How Do You Get It?“
What is the most popular Montana Medigap plan?
According to the most recent data from America’s Health Insurance Plans (AHIP), over 94,000 Montana residents have chosen a MedSup policy.
As you may be aware, changes in Medigap plans since 2020 have led to shifting preferences. While Plan F was previously the top choice due to its high enrollment, it is no longer accepting new enrollees. As a result, Plan G has emerged as the favored Medigap plan, with more than 40,800 enrollees among individuals who turned 65 after January 1, 2020.
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Switching Medigap Plans in Montana
Having second thoughts about your Medigap plan in Montana? Life throws curveballs, and maybe your current plan isn’t the best fit anymore. Keep in mind that AEP Open Enrollment, from October 15 to December 7, doesn’t apply to Medigap in Montana. Don’t worry, though—switching providers is possible. However, Montana doesn’t have the “Medigap Birthday Rule” like some other states, meaning companies may deny you based on existing health conditions.
Not all hope is lost though! We’re here to help. Call Senior65.com at 800-930-7956 for free, expert advice on navigating the switch. Don’t forget, ditching your old plan before securing a new one can leave you uninsured. For a deeper dive, read our “Medicare Insurance Switching: Ultimate Guide.“
Montana Medigap Under 65 Rules
Montanans under 65 (U65) can enroll in Medicare due to disability or ESRD (End Stage Renal Disease). If you qualify for Medicare, you may also be eligible to enroll in Medigap for added coverage. In Montana, all companies are mandated to offer policies for individuals under the age of 65 who are eligible for Medicare due to disability. However, the rates are not regulated, and some companies may charge up to four times as much as those aged over 65. Read more here about Medigap Under 65 State Rules.
MT Medicare Excess Charges
Doctors can charge you more than Medicare says they should. This extra cost is called a Part B Excess Charge. But don’t worry, some Medigap plans, like Plan G, will pay these Excess Charges for you. Check out our article “How To Avoid Medicare Excess Charges” for more info!
What now, Montanans?
Although you might now possess extensive knowledge about Montana Medigap Plans, we understand that new information can spark inquiries. Feel free to drop a comment below or reach out to our team at 800-930-7956.
Rest assured, our agents will NOT charge any fees for providing you with a quote or assisting with plan enrollment. We receive commissions from insurance providers directly, without any additional cost to you.