Medigap Plan C

Medigap Plan C is a policy that covers almost all of the gaps in Medicare that you’d otherwise have to pay. The only item not covered is the Part B excess charges.   

Important Note: Plan C is now only available to people who were eligible for Medicare before January 1, 2020.

Also, do not confuse Plan C for Part C, which is Medicare Advantage. 

What Are the Benefits of Plan C?

Plan C offers great benefits for those who became eligible for Medicare before 2020:

  • Medicare Part A copayments for inpatient hospital care — up to an additional 365 days after Medicare benefits are used up
  • Medicare Part B copayment 
  • First 3 pints of blood 
  • Part A hospice care copayment
  • Medicare Part A deductible
  • Medicare Part B deductible
  • Skilled nursing facility coinsurance
  • Foreign Travel Emergency — up to plan limits

Plan C Eligibility and Enrollment

In addition to the note above, there are certain eligibility rules with purchasing a Medigap policy:

  • You must have Original Medicare A and B, and you can’t have Medigap and Medicare Advantage. 
  • A Medigap policy covers one person only. So, your spouse will need to buy a separate policy.
  • Insurers aren’t legally required to sell Medigap plans to folks under 65. If you’re under 65 and on Original Medicare, you may not be able to buy the policy you want.

If you’re interested in Medigap, you can first enroll during Medigap Initial Enrollment — a six-month period that starts when you turn 65 and sign up for Medicare Part B. If you don’t enroll during this window, you may not be able to get the plan you want or it might cost more.

How the Companies Charge You

Every Medigap policy has a monthly premium. The exact amount may vary by individual plan. Insurers can set monthly premiums for their policies in three ways:

  • Community rated — Everybody who buys the plan pays the same monthly amount no matter their age.
  • Issue-age rated — Monthly premiums are based on the age when you first buy a plan. Younger buyers will have lower premiums, and the premiums don’t go up as you get older.
  • Attained-age rated — Monthly premiums are based on your CURRENT age. So, your premium will increase as you get older.

If you’re thinking about enrolling in a Medigap plan, you’ll want to compare multiple policies offered near you. This can help you know how premiums are set and give you an idea of what you’ll pay for the insurance policy.

We’re Here When You Need Us.

Let Us Help.

Located just north of Charlotte, NC, Carolina Senior Benefits specializes in Medicare Supplement insurance, as well as Medicare Advantage and prescription drug plans. We’re professional. We’re experienced. And most importantly, we treat our clients like we would our own family.

We’d be happy to help answer your questions, provide quotes, and assist you in making an informed decision that meets your health and financial needs. If you’re ready to get started, contact us online or call (704) 765-4689.