Kentucky Medicare Supplement Plans (Medigap)
Kentucky’s Medicare Supplement plans are designed to add benefits to the Traditional Medicare coverage that is offered by the government.
There are expenses and fees that are not covered by Original Medicare, and supplements can bridge the gap for enrollees. Some of the costs that are incurred that Medicare Supplement plans cover include deductibles, copayments, and coinsurance.
Like Medicare Supplement plans, Medigap plans can provide financial relief for out of pocket expenses, but are purchased from private insurers.
- Original Medicare, Parts A & BPart A covers hospital care, and Part B covers physician care.
- Medicare Advantage plans, Part C Medicare Advantage Plan Part C is only available through private insurance companies.
- Medicare Part D This component of Medicare coverage is offered only through private insurance companies that Medicare has approved. Prescription Drug Plans, also known as PDPs, provide separate prescription coverage for Original Medicare enrollees.
- Medicare Supplement Insurance Original Medicare Parts A & B have deductibles, copays and coinsurance that are not covered by Medicare – up to 20% of costs. Medicare supplement plans, which must be purchased for each individual enrolled in Medicare, are available to cover the gap. Kentucky Medicare Supplement plans are offered by a variety of insurers.
To find the best choices for your Medicare coverage and benefits, choose Medicare Parts A & B, the Medicare Part D Prescription Drug Plan, and a supplemental Medigap policy from a private insurer.
What Coverage Does Medicare Offer in Kentucky
Medicare Insurance in Kentucky covers the same things as Medicare in all other states.
The Medicare Part A deductible is $1,340 for each benefit period in 2018. Coinsurance payments are as follows:
- 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.
The annual deductible for Medicare Part B in 2018 is $183. This deductible is applied to physician fees, outpatient hospital treatment, select home health services and medical equipment included in the Part B plan.
You are responsible for Part B coinsurance of 20% of the Medicare-approved amount once you meet your deductible. There may be limits on some types of therapeutic treatment such as physical therapy, occupational therapy and speech language pathology.
The annual deductible for a basic Medicare Part D Prescription Drug Plan is $405 in 2018. The additional expenses not covered by Traditional Medicare can add up to a lot of out of pocket costs. A Medigap plan can make paying for those expenses much easier.
Kentucky Medigap Eligibility Requirements
The only differences are the provider you choose to go with and the cost of the plan.
Enrollees who are 65 years or older and enrolled in Medicare Part B are eligible.
Signing up for Part B as soon as you are of age – the month of your 65th birthday – is very important.
Otherwise you will be subjected to a late penalty, and your coverage may not be there when you need it.
Medicare Insurance for the Disabled Under 65 in Kentucky
Those under 65 who are disabled are enrolled in Medicare Part A and Medicare Part B once they have received disability benefits from Social Security, or disability benefits from the Railroad Retirement Benefits, for 24 months. In Kentucky, it is a requirement that insurers offer a Medigap plan for disabled and under 65 Medicare recipients.
Applying for Medigap or Medicare Supplement Coverage in Kentucky
On the first day of the month you turn 65, your Open Enrollment Period (OEP) begins, as long as you are covered under Medicare Insurance Part B. To demonstrate this, if your birthday was August 31st and your Medicare Part B effective date was October 5th, then your OEP begins November 1.
The OEP is in place for six months. You are given Guaranteed Issue (GI) during that time for Medicare insurance Supplement or Medigap coverage. This is very important, because during that time, insurers are required to cover you, despite any pre-existing conditions.
In some situations, there areSpecial Enrollment Period (SEP), including if you relocate to another state or are a newly naturalized citizen.
Kentucky’s Best Supplement Plans for Medicare Coverage
No matter where you live or which carrier you choose to go with, Medicare Supplement plans are the same from across the state of Kentucky.
Plan F and Plan G are the same, but Plan F covers the Medicare Part B deductible, and Plan G does not.
Plan N offers the best coverage for those who regularly travel outside of the United States. It does not cover excess Part B costs.
Plan HDF (High Deductible F) offers a more affordable way to supplement Medicare, but with a higher deductible.
Kentucky Medicare Advantage Plans
It’s true that Medicare Advantage Plans – Medicare Part C – offer lower premiums, but the tradeoff is that it limits provider choices to who they choose – HMOs and PPOs – and it doesn’t have the kind of prescription drug coverage that Medicare Parts A & B, used along Medicare Part D, offers.
Enrollment in Medicare Part D should happen as soon as you are eligible for Medicare benefits. This enrollment is done along with Parts A & B.
If you fail to enroll quickly, a penalty may be applied to your Part D premiums that will be permanent.
Applying for Medicare in Kentucky
These are the three best ways to enroll in Medicare:
- Online at www.SocialSecurity.gov.
- By calling Social Security at 1-800-772-1213 (TTY users 1-800-0778), Monday through Friday, from 7AM to 7PM.
- In-person at your local Social Security office.
To find coverage for your medical costs not covered by Medicare, give us a call to discuss what supplement plans are available in your area. You can also compare rates here using our comparison form.
Kentucky Medicare Resources for Additional Help
Th eState Health Insurance Assistance Program (SHIP) is the best resource for help withOriginal Medicare costs.
Kentucky Medicare FAQs
- Does Kentucky Humana Medicare cover pulmonary arterial hypertension? Yes, and there is a Special Needs Program that addresses this condition.
- Will Kentucky pay Medicare Part B premiums? No. There is always a Part B premium.
- Where can I compare Medicare plans for Louisville, KY? You can find information on Medicare, Medigap plans and more on our website.