Medicare supplement plans (also known as “Medigap”) are a totally different concept than the Medicare Advantage plans familiar to you. In a Medicare supplement plan, Original Medicare continues to be your primary provider of Medicare-covered medical services, and the supplemental plan fills in most “gaps” not paid for by Original Medicare (Parts A and B).
Of the 12 Medicare supplement plans, A through L, available to all age 65 Medicare-covered individuals, the city selected Medicare supplement plan F for our retirees. You will have almost no out-of-pocket expenses for Medicare-approved services. This plan will pay most costs not covered by Original Medicare such as deductibles for Medicare Parts A and B and the coinsurance for Part B, generally, 20 percent that is your share of Medicare-approved medical expenses.
Medicare Supplement (Medigap) Plan N in La Jolla
Another option that is getting popular for a Medicare Supplement Plan in La Jolla, California is the Medicare Supplement Plan N.
Plan N is the lowest cost of the three Medigap plans that we have discussed, and if you have relatively low usage (doctor visits, Plan N could be a great fit for a Medicare Supplemental Plan in California.
The Medigap Plan N has a copay for the doctor and emergency room visits, also like the Plan G it does not cover the Medicare Part B deductible.
Plan N also does not cover the Part B excess charges, this could be an issue in La Jolla. California is not one of the eight states that do not allow the Part B excess charges. This is known as the M.O.M. law or Medicare Overcharge Measure.
If you only have a few doctor’s appointments per year and you pay attention to your Doctors being assigned by Medicare to eliminate any Part B Excess charges then the Medicare Supplement Plan N is a very attractive choice for your Medicare Supplement in La Jolla, CA.
Medigap Plan N Cost
The monthly premium for Medicare Part B will still be applicable, in addition to the monthly Plan N premium.
Although the coverage that Plan N offers is standard, the prices can vary widely from one area of the United States to another. Costs can also vary between the companies that provide the plans.
A person will also need to pay the Part B yearly deductible, which is $226 in 2024.
Our Company Recommendations
In La Jolla, about 70 private insurance companies offer supplemental insurance plans. Due to their excellent service, high ratings, and financial strength, we prefer these three:
- Aetna (A)
- Mutual of Omaha (A+)
- Cigna (A)
Next Steps
Plan G provides top coverage for preventive care, emergency care, and chronic conditions. You should consider it as a supplement to your Medicare coverage. Call us directly at (877) 238-6964 for a free quote comparison.
More Information About La Jolla
La Jolla is a smart seaside area, known for its rugged coastline. Trails wind past pine trees and sandstone canyons in Torrey Pines State Natural Reserve, while the 2 courses at world-renowned Torrey Pines Golf Course sit atop sea cliffs. La Jolla Cove has sweeping ocean views, and the Shell Beach tide pools are home to anemones and crabs. Posh boutiques and waterfront restaurants dot walkable La Jolla Village.