Wyoming Medicare Supplement Plans (Medigap)
Wyoming Medicare Supplement plans are offered through private insurance companies to supplement your Tradition Medicare coverage. Original Medicare covers most of your expenses, but for the out of pocket costs such as copayments, coinsurance, and deductibles, a supplement plan provides coverage when needed.
Medigap policies are the same as Medicare Supplement plans, but Medigap policies are purchased from private insurance companies.
- Original Medicare Part A covers hospital care, and Part B covers physician care.
- Medicare Advantage plans, Part C Medicare Advantage plans are Medicare insurance plans that are purchased through private insurance companies. Medicare Advantage plan options may vary depending on location. There are limitations on what Part C covers in comparison to what Medicare beneficiaries receive from Parts A & B.
- Medicare Part D Prescription Drug Plans (PDPs) provide prescription medication insurance for beneficiaries who enroll in Medicare Part A and Part B. Medicare-approved private insurance companies offer this option. Medicare Part D coverage is also available through a Medicare Advantage Prescription Drug plan.
- Medicare Supplement insurance This is Medigap, which covers health care costs that Original Medicare does not, including plan deductibles, copayments, and coinsurance. Medicare Supplement Plans are available to Wyoming beneficiaries from private insurance companies.
Wyoming Residents Medicare Benefits
Medicare Part A is hospital benefits. Part A pays for inpatient hospital care, limited stay in a skilled nursing facility, some long-term home health care services, and hospice care.
If you’ve worked at least ten years and paid Medicare taxes while you worked, you qualify for premium-free Part A. In other situations, you will pay a premium.
For 2018, the Medicare Part A deductible is $1,340 for each benefit period. There are also coinsurance payments for specific time periods.
- For days 1 through 60, there is $0 per day coinsurance payment.
- 61 through 90 days: $335 per day coinsurance.
- 91 days and beyond: $670 per day coinsurance for each lifetime reserve day (you may get up to 60 lifetime reserve days in your lifetime).
After lifetime reserve days are used up: Medicare typically doesn’t cover your inpatient hospital stay.
Medicare Part B has a yearly deductible of $183 in 2018. This deductible can be applied to Medicare-covered health-care costs involving physician services, outpatient hospital services, some home health services, and included medical equipment.
Once you’ve met the deductible, you will be responsible for coinsurance of 20% of the Medicare-approved amount. There may be limits on physical therapy, occupational therapy, and speech language pathology services.
The annual deductible for a basic Medicare Part D Prescription Drug Plan is $405 in 2018. These copays, pay gaps and deductibles can quickly add up for Medicare recipients.
Requirements for Wyoming Medigap Coverage
Wyoming Medigap Plans are available to those who are 65 years or older and covered by Medicare Part B. Make sure to enroll in Medicare Part B as soon as you are eligible.
Your sign up date is the month of your 65th birthday. Failing to do so can result in a late penalty, and you may not have the coverage you need.
If you are disabled and under the age of 65, you will automatically get Medicare Part A and Medicare Part B after receiving disability benefits from Social Security, or disability benefits from the Railroad Retirement Benefits, for 24 months.
Medigap plans for the disabled in Wyoming are not required by the state, however some carriers may offer them. Give us a call for more information.
Applying for Medicare Supplement or Medigap Coverage in Wyoming
The Open Enrollment Period (OEP) starts on the first day of the month you are 65 years old, and you are covered under Medicare Part B. For example, if your birthday was August 31st and your Medicare Part B effective date was October 5th, then your OEP begins November 1st.
Your Open Enrollment Period lasts for six months, during which you are granted Guaranteed Issue (GI) for Supplement or Medigap coverage. Guaranteed Issue means that despite any pre-existing conditions, insurers must cover you. After your OEP, it will be hard to find Medigap plans that cover pre-existing conditions or disabilities.
There are Special Enrollment Periods (SEP) for some circumstances, including if you relocate to another state or are a newly naturalized citizen.
The Top Medicare Supplement Plans in Wyoming
Because there are so many different options for coverage, you might think Medicare Supplement plans would vary. That is incorrect. Plans are the same from carrier to carrier, whether you are in Cody or Cheyenne.
- Plan F and Plan G are the same, except that Plan F will cover the Medicare Part B deductible, which Plan G does not.
- Plan N is a good option for those who frequently travel abroad. It does not cover excess Part B costs.
- Plan HDF (High Deductible F) offers a less expensive way to supplement Medicare. This affordability comes with a higher deductible.
Wyoming Medicare Advantage Plans
Medicare Advantage Plans – Part C – offer lower premiums. These lower premiums come with some limitations compared to Medicare Part A, Part B and Part D used in conjunction with a Medigap plan.
Medicare Part C limits your choices of doctors to PPOs and HMOs approved by the plan. It doesn’t have the extensive prescription coverage that Medicare Part D has.
Wyoming Prescription Drug Plans for Medicare
Medicare Part D, the prescription drug coverage plan, works with parts A & B to create a complete coverage plan (minus deductibles and other costs). Enroll in Medicare Part D as soon as you are eligible to be a Medicare beneficiary. If you don’t, you may be assessed a penalty to your Part D premium that will be permanent.
How to Apply for Medicare in Wyoming
To get coverage for the portion of your medical costs not covered by Medicare, make sure to sign up for a Medigap plan once you enroll in Part B. You can get online quotes for Wyoming Medigap plans here.
Wyoming Medicare Resources
Medicare Savings Programs in Wyoming: If your income is below a federally mandated amount, you might be a candidate for a Medicare Savings Program. Through these programs, Medicare enrollees can find help with Original Medicare costs.
State Health Insurance Counseling and Assistance Program (SHIP): The Wyoming State Health Insurance Information Program is available to assist with questions about rights for Medicare enrollees.
Where can I compare Medicare plans in Cheyenne?
Give us a call, or complete our compare rates form at the top to see rates in your area.
Where can I find the Wyoming seniors buying guide for supplemental Medicare insurance?
For supplemental coverage, use our website to get more information. The buyers guides are not always up to date with the most recent information.
Does Wyoming Medicare pay for long-term care?
You can read about Medicare coverage for Long Term Care here.