In Colorado, senior citizens can use Medicare Supplement plans to pay all the extra expenses which are not covered by their Original Medicare plan. Approximately 80% of a beneficiary’s covered expenses are paid for through Medicare Parts A & B. The remaining 20% must be paid for by the beneficiary. Medigap, which is another name for Medicare Supplement Insurance, will pay for all the extra expenses which make up this final 20%. These expenses include deductibles, coinsurance, and copayments. In Colorado, private insurance companies with authorization can sell Medicare Supplement plans to residents of the state. There are standardized benefits available with every plan. This means that no matter which company sells you the policy, the benefits must be the same. However, each individual company is free to set their own premium rates.
Medicare Supplement Plan in Colorado: The Coverage
- Medicare Part A (Costs of coinsurance and any other extra hospitalization expenses)
• Medicare Part A (Cost of hospice care)
• Medicare Part B (Cost of co-payments)
• Cost of the first 3 pints of your blood
Additional Expenses Covered by Certain Medicare Supplement Plans in Colorado:
- Any medical expenses incurred during a trip overseas or abroad
- The deductible of Medicare Part A
- The cost of coinsurance for a skilled nursing home
In Colorado, approximately 8 Medicare Supplement plans are available which pay 100% of all medical services that are covered once the yearly out-of-pocket limit has been reached on Medicare Parts A & B.
Statistical Information on Medicare in Colorado
In 2015, the United States had approximately 54,347,667 people receiving Medicare benefits. Based on the number of Medicare recipients in each state, Colorado’s rank was 26. They had approximately 786,473 of its citizens who were enrolled in both Medicare Parts A & B. Most of these people, exactly 682,545 of them, were only eligible due to their age. Another 103,929 Colorado residents were only eligible for Medicare due to having disabilities.
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As of 2016, the following is the percentage of people who are at least 65 years of age or more in these 5 counties in Colorado:
- 6% in Jefferson County
- 5% in Arapahoe County
- 2% in El Paso County
- 1% in Denver County
- 10% in Adams County
As of 2015, there were approximately 164,638 individuals in Colorado with a Medicare Supplement plan. The 3 most common plan choices were as follows:
- Medicare Plan F had 119,380 beneficiaries
- Medicare Plan N had 13,336 beneficiaries
- Medicare Plan G had 11,777 beneficiaries
Calculating Rates for Medicare Supplement Plans in Colorado
Many factors determine the cost of Medicare Supplement plans. Every individual insurance provider has the freedom to choose their own cost. That is why numerous quotes must be obtained and compared. Also, the rates you are given will be influenced by your state, gender, age, and lifestyle habits. According to a Kaiser Family Foundation study, 52% of premiums were higher for a person who is 80 years of age than someone who is 65 years of age. The rates of Medigap plans were 8% more for males that were 65 years old than females that were 65. Smokers had premiums that were 12% more than the premiums of beneficiaries that did not smoke. Plus, if the cost of healthcare in your local area is generally more expensive, then it could make your premiums go up.
There are Three Ways to Calculate Medicare Supplement Plans:
As you get older, your premium rates increase.
The age you are when you purchase your policy for the first time will determine your premium rates. However, your premiums may still increase due to non-age factors, like inflation.
All beneficiaries within the same local area will pay the same premium rates. It doesn’t matter what their age is.
In Colorado, attained-age is the most common method for calculating Medicare Supplement plan rates. Some plans will use the issue-age or community-rated methods, though. If you are young, an attained-age policy will seem cheaper. But as you get older, it will get expensive.
Every insurance provider in Colorado has the ability to choose their own Medicare Supplement plan rates. For this reason, it is a good idea to compare quotes. Of course, the federal government has standardized the benefits of these plans, but there are certain insurance companies which provide extra services that others do not. One of which is a 24-hour hotline service. Therefore, look at all the benefits available for a given plan. You may just find one with extra services that you may like.
Medicare Supplement Plans in Colorado That Are Available
In the United States, you will find 10 different Medicare Supplement plans that are offered. In Colorado, each one of these plans is sold there. The difference between the plans has to do with their coverage level. There are letters which signify various plans, beginning with A and ending with N. There are no plans with the letters J, I, E, and H. Also, Plan F has an option for a high-deductible. The Medigap plan letters represent something different than the Original Medicare letters.
Are Prescription Drugs Covered by Medicare Supplement Plans in Colorado?
In Colorado, Medicare Supplement Plans do not cover prescription drugs. To get this coverage, you must purchase Medicare Part D which is a prescription drug plan under Medicare.
Enrollment for Medicare Supplement Plan in Colorado
It is common for people to sign up for Medicare Supplement plans at the same time they sign up for Medicare Parts A & B. This is the time when it is best to choose a Medigap plan. Starting from the first month that you turn 65, you have 6 months to enroll in the plan. Either that or 6 months from the time of your Medicare Part B enrollment to the time of your Medicare Supplement plan enrollment in Colorado which came with guaranteed issue rights. No matter what your health is like during the open enrollment period of Medigap, the insurance provider is obligated to let you purchase a policy through them.
If 6 months have already passed and you have not signed up, then you will not have guaranteed issue rights anymore. Plus, the insurance providers have no obligation to allow you to purchase a policy through them. If they do sell you one, your premiums will likely be higher, and you will probably need to wait for a certain amount of time before your coverage begins.
Some situations will still offer guaranteed issue rights if you have missed the initial enrollment period for Medigap. They are as follows:
- The Medicare Supplement plan’s underwriting company declares bankruptcy. They may also inadvertently end your insurance coverage or break certain federal rules.
- If you are a beneficiary under the Medicare Advantage Plan but then move to an area not covered by it.
- You currently are enrolled in Original Medicare and want to cancel your qualified group health plan coverage.
- You had a Medigap plan that you dropped so that you could enroll in a Medicare Advantage Plan. However, within the same year, you want to go back to your Medigap plan.
In Colorado, the renewability is guaranteed with every Medicare Supplement plan. The only stipulation is that your premiums continue to be paid.
Colorado Medicare Supplement Plan Usage in the Other States
Medicare Supplement plans are great because you can go to any location in the United States and seek treatment from a doctor or facility which accepts Medicare. You do not need to concern yourself with seeking referrals or provider networks. In fact, you can use your policy no matter which state you move to. Just be prepared for a different premium cost after you move.
Here is more information about Medicare and health care for senior citizens in Colorado.
In Colorado, Medicare Supplement plans sold by insurance companies must sell to anyone with disabilities who is under 65 years of age. You can find out more information about the rates, policies, and providers available for beneficiaries in the state.
Visit: Colorado Medigap Guide
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