Washington Medicare plans consist of Medigap plans, Medicare Advantage plans, and Part D plans. Medicare beneficiaries in Washington can choose either Medigap and a Part D plan or a Medicare Advantage plan that includes a Part D plan.
Washington Medigap plans
Medigap plans in Washington help beneficiaries cover costs that Medicare doesn’t, such as your hospital deductible and your outpatient coinsurance. Medigap plans make your costs more predictable for you when you are accessing medical services. Like many other states, Washington has adopted standardized Medicare supplement plans, which makes it easier to choose a plan with the right benefits.
Washington Medigap – Right to Change
People who are already enrolled in a Washington Medigap plan B–N may change to another Medicare supplement without underwriting at any time. The right to change rule applies only to existing Washington Medigap policyholders.
People without a Medigap policy, and people with a Medicare Advantage policy must complete an application. The application may include medical questions, unless they have a guaranteed issue right, such as losing their coverage through no fault of their own. The insurance company will underwrite the file and can turn you down for coverage for medical reasons.
Washington Medigap Plan F and Plan G
Medigap Plan F in Washington is probably the most popularly quoted plan. That’s because a Plan F covers all deductibles, copays, and coinsurance that normally you would have to pay after Medicare first paid its share. Seeing as those costs can be more than 20% of the total bill in some cases, a Medicare supplement Plan F provides peace of mind. However, Plan F is only available to beneficiaries who turned 65 prior to January 1, 2020.
The next most comprehensive Medigap plan is Plan G. Plan G is a terrific plan for the smart buyer. While you will have to pay the Medicare deductible, your Plan G premium can sometimes be more than $300 less per year than Plan F. Ask a Boomer Benefits representative to provide you a Plan G comparison to see if carriers in your area are offering similar savings.
Washington Medicare Advantage plans
Medicare Advantage plans work differently than Medigap plans. Medigap plans pay after Original Medicare (Part A and Part B), whereas Medicare Advantage plans pay instead of Original Medicare.
Medicare pays Medicare Advantage plan carriers an annual allowance for each enrollee. The carrier uses this money to pay for the enrollees’ medical services. However, the enrollees also have copays and coinsurance to pay as they use their plan. Also, although small, most Medicare Advantage plans have a monthly premium.
Medicare Advantage plans also have networks. Some plans have in-network benefits and out-of-network benefits, while others just have in-network benefits. This means that if you had a Medicare Advantage plan, you’d have to use the plan’s in-network doctors to receive maximum coverage. If your plan has out-of-network benefits, then you can see doctors outside of the network but will have a higher cost.
How to choose a Washington Medicare plan
Choosing a Medicare plan can be stressful. Let us take the stress out of it by comparing all of your available options. Our expert agents can first help you decide whether Medicare Advantage or Medigap is the most cost-effective option for you. Then, our agents will help you compare each plan in your area sold by the 30+ carriers we represent. Press the button below to request a consultation.