Medicare Supplement Insurance Do I need a Medicare Supplement? Medicare is an essential part of every Senior’s health planning, but it was never intended to provide for all your healthcare expenses. Escalating healthcare costs continue to leave many expenses that Medicare does not cover. Unless you have supplemental insurance coverage, these expenses come out of your pocket. Choosing a Medicare Supplement: Medicare Supplement insurance policies are the same by law. Depending on the plan you select, coverages pay various Medicare deductibles, coinsurances, and other medical expenses not covered by Medicare. However, insurers’ rates and services vary, which makes it very important for Seniors to shop carefully to get the best value for their dollars. Globe Life Insurance Company of New York offers 11 of the 12 Standardized Medicare Supplement plans – A, B, C, D, F, F+, G, G+, K, L, and N. A Globe Life Insurance Company of New York representative can help you choose which plan best suits your needs for the long term. Who’s eligible for coverage? If you are age 65 or older and enrolled in Medicare Parts A and B, you are eligible for Medicare Supplement coverage. You are also eligible if you are under age 65 and qualify for Medicare due to disability. When to purchase: If you are 65 or older and still working, you may want to wait to enroll in Medicare Part B if you have health coverage through an employer or union based on your (or your spouse’s) current or active employment. What does each Medicare Supplement plan pay? All Medicare Supplement standardized plans include the following basic benefits: Hospitalization: Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. Medical Expenses: Part B coinsurance (generally 20% of Medicare-approved expenses) or, copayments for hospital outpatient services. Plans K, L, and N require insureds to pay a portion of the Part B coinsurance or copayments. Blood: First three pints of blood each calendar year. Hospice: Part A coinsurance for eligible hospice/respite care expenses. The Medicare Supplement Plan Benefit chart on the next page shows the benefits included in each plan. In New York, all Medicare Supplement insurers must offer Plans A and B, and either Plan D or Plan G. Use your answers from the Healthcare Services Worksheet at the bottom right to help determine which plan is right for you. Medicare Supplement Plan Benefits Only applicants first eligible for Medicare Part A before 2020 may purchase Plans C, F, and High Deductible Plan F. Plans Available to All Applicants Medicare First Eligible Before 2020 Only Benefits A B D G ▼ K ■ L ■ N ● C F ▼ Medicare Part A coinsurance and hospital coverage (up to an additional 365 days after Medicare benefits are used up) Medicare Part B coinsurance or copayment 50% 75% ● Copays Blood (first three pints) 50% 75% Hospice 50% 75% Skilled Nursing Facility Coinsurance 50% 75% Medicare Part A Deductible 50% 75% Medicare Part B Deductible Medicare Part B excess charges 100% 100% Foreign travel emergency (up to plan limits) Out-of-Pocket limit in 2021 ■ $6,220 $3,110 ▼ Plans F and G also have a high deductible option which requires first paying a plan deductible of ($2,370 in 2021) before the plan begins to pay. Once the plan deductible is met, the plan pays 100% of covered services for the rest of the calendar year. High Deductible Plan G does not cover the Medicare Part B deductible. However, High Deductible Plan G counts your payment of the Medicare Part B deductible toward meeting the plan deductible. ■ Plans K and L pay 100% of covered services for the rest of the calendar year once you meet the out-of-pocket yearly limit ($6,220 for Plan K, $3,110 for Plan L in 2021). The out‑of‑pocket annual limit does NOT include the charges from your provider that exceed Medicare-approved amounts, called ‘excess charges’. You will be responsible for paying excess charges. The out‑of‑pocket annual limit may increase each year for inflation. ● Plan N pays 100% of Medical Expenses (Part B Coinsurance) except for a copayment of up to $20 for some office visits and up to $50 copayment for emergency room visits that do not result in an inpatient admission. The emergency room copayment is waived if the insured is admitted to any hospital, and the emergency visit is covered as a Medicare Part A expense. Globe Life Insurance Company of New York’s Medicare Supplement insurance policies give you the freedom to choose from providers and hospitals that accept Medicare. Request more information to determine which plan best fits your needs and budget. IMPORTANT: To be eligible for a Medicare Supplement insurance plan, you must be enrolled in both Medicare Part A and B. Visit Medicare.gov to learn more about Part A and B coverage. New York Medicare Supplement Open Enrollment New York State law and regulation require companies issuing Medicare Supplement insurance policies (Medigap) accept applications from Medicare enrollees at any time throughout the year. Insurers are not permitted to deny an applicant a Medigap policy or make premium rate distinctions based on the applicant’s health status, medical condition, claims experience, or if the applicant is receiving healthcare treatment. Learn more about regulatory requirements for Medicare Supplement plans in New York. “Automatic” Claims Filing® (ACF®) – Medicare Supplement Claims Filing Made Easier When you’re recovering from an illness, the last thing you want to deal with is filing your insurance paperwork. Globe Life Insurance Company of New York’s “Automatic” Claims Filing® practically eliminates your need to file Medicare Part B claims. With ACF ®, you get superior service. And best of all – your claims are paid quickly and accurately. Helps Eliminate Claims Filing Headaches: Globe Life Insurance Company of New York receives your Part B claims directly from Medicare, so you may never have to deal with the hassle of submitting insurance paperwork. Speeds Claims Delivery: No waiting for you or your doctor to send claims to the insurer. The benefit check for the healthcare provider is usually in process before you receive your Medicare Summary Notice. No Missed Claims: ACF® helps prevent lost or misfiled claims, so all eligible benefit dollars due under your policy are paid. Medicare FAQs When is the Annual Election Period (AEP)? What is the Annual Election Period (AEP)? When is Medicare Advantage Open Enrollment Period (MA OEP)? What is Medicare Advantage Open Enrollment Period (MA OEP)? The purpose of this communication is the solicitation of insurance. Globe Life Insurance Company of New York is not connected with, endorsed by, or sponsored by the U.S. government, federal Medicare program, Social Security Administration, or the Department of Health and Human Services. Medicare Supplement insurance POLICY FORMS GNYMSA10, GNYMSB10, GNYMSC10, GNYMSD10, GNYMSF10, GNYMSHDF10, GNYMSG10, GNYMSHDG, GNYMSK06, GNYMSL06, and GNYMSN10 are available from our Company. NY requires that these plans be available to persons under age 65 eligible for Medicare due to disability or End Stage Renal disease (ESRD). Only Applicants first eligible for Medicare before 2020 may purchase Plans C, F, and F+. You may be contacted by an agent representing Globe Life Insurance Company of New York. A licensed agent will provide additional information upon request. These policies meet the minimum standards for MEDICARE SUPPLEMENT INSURANCE as defined by the New York State Department of Financial Services. The expected benefit ratio for this policy is 65%. This ratio is the portion of future premiums which the Company expects to return as benefits, when averaged over all people with this policy. IMPORTANT NOTICE – A CONSUMER’S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM THIS INSURER. Read our Narrative Summary to learn more about premium rate changes for Individual Medicare Supplement plans. Want more information on Globe Life Insurance Company of New York services and products? Contact us today to get in touch with an independent agent and discuss Globe Life Insurance Company of New York solutions which may be right for you. Request More Information » Medicare Supplement policyholders “Automatic” Claims Filing ® (ACF® is included with your Medicare Supplement insurance policy at no cost. We file your Medicare Part B claims automatically – virtually eliminating insurance paperwork hassles for you. eService Center Enroll in automatic premium payment, get answers to your policy questions 24-hours a day online, and more. Copyright © 2021 Globe Life Insurance Company of New York, All Rights Reserved. Resource Articles | View Privacy Policy | HIPAA Statement | Terms of Use | Anti-Fraud Campaign | CA Language Notice | COVID-19 FAQ In the process of providing the products and services you requested, we will collect, use and share certain information you provided. The Privacy Policy explains what information we collect and how we use that information. 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