New Jersey Medigap Plans provide extra coverage to help pay your share of costs in Original Medicare. New Jersey has special rules for those under 50 and under 65 who qualify for MedSupp. Discover how these Medicare Supplemental plans can enhance your healthcare coverage and financial protection in the Garden State.
NJ Medigap Policy Essentials
Consider these factors before purchasing a New Jersey Medigap plan:
- You must have both Medicare Part A and Part B to buy a Medigap policy.
- Besides the Part B premium, you’ll pay a monthly premium to the private insurance company for your Medigap coverage.
- Medigap policies are designed for individual coverage; spouses need separate policies. However, you can still qualify for a Household Discount. Find out more about Medigap household discounts.
- Different insurance companies offer varying prices for the same Medigap policy.
If you’re new to exploring Med Supp options, we recommend visiting our Senior65.com Medigap Overview page. It provides a clear and concise explanation of how Medigap works, helping you understand the essentials of this coverage.
How Much Do New Jersey Medigap Plans Cost?
Pricing for NJ Medigap plans may vary based on the specific plan, insurance provider, age, and zip code. By clicking the button below, you can instantly obtain a quote to discover the cost of your New Jersey Medigap plan.
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Comparing New Jersey Medigap Plans
Plans available for those Medicare-eligible 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 ($2,800) is also available.
Note that Plans C and F are no longer available to people who are new to Medicare on or after January 1, 2020. However, if you were eligible for Medicare before January 1, 2020, but not yet enrolled, you may be able to buy Plan C or Plan F. (Source)
When to enroll in a New Jersey Medigap Plan
NJ, like many states, provides a Medigap Open Enrollment Period (OEP), which is a one-time six-month timeframe known as the initial enrollment period.
Within this OEP:
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- You have the right to purchase a Medicare supplement policy, and insurance companies cannot deny you coverage regardless of your health condition.
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- Companies may ask health-related questions on the application.
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- Premiums cannot be increased based on your medical history.
Keep in mind that the term “Open Enrollment” does not refer to an annual event. It is a one-time opportunity that only occurs when you are first eligible for Medicare in New Jersey. If you missed your Open Enrollment Period, don’t worry! You can still enroll in a MedSup plan but the rules will be slightly different. Learn more about your Medigap enrollment options by clicking on this link.
Does New Jersey offer Medigap discounts?
Yes! Explore discounts such as:
Remember, discounts depend on your state, county, and insurance provider. Call us to see what’s available in your area.
How to Switch Medigap Plans in New Jersey
The AEP Open Enrollment from October 15 to December 7 doesn’t apply to Medigap in New Jersey. If you’re looking to switch from your current Medigap plan to another, it’s important to know that you might need to go through a process called “medical underwriting.” The Med Supp form includes roughly 20 health questions. Based on your answers, rates could vary, and some conditions may cause denial. To get a clear picture of your options, take a look at our guide, “The Definitive Guide to Medicare Insurance Changes.” If you’re thinking about making a change, our team is here to offer free advice. Call us at 800-930-7956.
Medicare Excess Charges in New Jersey
If a doctor bills more than what Medicare approves, the extra cost is known as a Part B excess charge. This occurs when the provider doesn’t agree to Medicare’s rate and adds up to 15% more to your bill. Medigap plans, especially Plan G, handle those curveballs. Our article ‘How To Avoid Medicare Excess Charges’ has the details.
Medigap for under 50 in New Jersey
In most states, those under 65 who qualify for Medicare due to a disability have to pay high prices for Medigap. In 1995, the state of New Jersey made a law that states that at least one insurance company (called the Contracted Carrier) must offer Medicare Supplement coverage to people under 50 who qualify for Medicare due to disability.
The Contracted Carrier has to provide coverage to anyone under 50 who applies for Medicare Supplement within 12 months of enrolling in Medicare Part B.
The premium (the amount you pay for the coverage) for the Medicare Supplement Plan cannot be higher for people under 50 compared to those who are 65 years old and buying the same plan. The cost cannot be based on the person’s health, age, or previous claims.
As of January 1, 2020, the Contracted Carrier offers Medicare Supplement Plan D to people who qualify for the Under Age 50 Program.
Medigap for people 50-64 in New Jersey
Those between 50 and 64 who qualify for Medicare due to disability have special rules for Medigap enrollment in New Jersey as well. For those under 65 but over 50 years of age who are eligible for Medicare due to a disability on or after January 1, 2020, insurance companies must offer Medigap Plan D. They need to apply for this coverage within 12 months of enrolling in Medicare Part B.
The insurance companies cannot charge more than they charge for the same plan issued to someone who is 65 years old. Each year, the insurance company must make sure that they pay out at least 65% of the money they collect in premiums for individual policies. (source) Click the following link to learn more about Medigap rules for under 65.
Next Steps for New Jersey Medigap
Act now and get a Medigap quote for New Jersey! Contact our licensed agents at 800-930-7956. It’s just a phone call away!
Remember, at Senior65.com, our dedicated team offers free services, so you have nothing to lose. Leave a comment or question below, and we’ll be happy to assist you!