MEDICARE SIMPLIFIED
  • Home
  • BLOG
  • SUPPLEMENT PLANS
  • ADVANTAGE PLANS
  • GETTING STARTED
  • DOCS/FAQ
  • More
    • Home
    • BLOG
    • SUPPLEMENT PLANS
    • ADVANTAGE PLANS
    • GETTING STARTED
    • DOCS/FAQ
MEDICARE SIMPLIFIED
  • Home
  • BLOG
  • SUPPLEMENT PLANS
  • ADVANTAGE PLANS
  • GETTING STARTED
  • DOCS/FAQ

Supplement Carriers

Medicare Supplement Plans

Also known as Medigap, these standardized plans ensure that your Medicare Supplement coverage remains consistent year to year. For instance, your Plan G will offer the same coverage for life, as will your Plan N. A Plan G from one supplement insurance carrier is identical to a Plan G from another carrier (standardized). The key differences lie in the company you choose to obtain it from and the rate you pay. 


When it comes to choosing your doctors, there are no network restrictions. You have the freedom to visit any doctors office or hospital that accepts Traditional Medicare in the entire United States.

No Referrals

No Prior Authorization

No Network


No prior authorization is required for medical services. This is especially beneficial for those with Medicare Supplement plans, as they  provide coverage without the hassle of approval delays from an Insurance Carrier. If Original Medicare approves the service, your supplement Plan is required to pay. 

Predictable

With Advantage Plans changing from year to year. Especially the past few years, your Medicare Supplement will give you the assurance and predictable amount you will be spending year to year on healthcare. 

Comparison chart of Medicare Supplement Plans G and N benefits and coverage percentages.

What to look for in a Supplement Insurance Carrier

Rates

What is a Medicare Supplement premium? It’s the monthly rate you pay to the Supplement Insurance Carrier that provides your Medicare Supplement coverage. This premium is in addition to your Traditional Medicare Part B Premium. It's important to find out what premium each insurance carrier will charge you. Are they offering a low premium? Is it a competitive rate compared to other carriers available in your zip code?

Rate Increase History

Most companies will have an annual rate increase for their Health Insurance Plans to keep up with medical inflation. What have the rate increases of the Medicare Supplement carrier been over the last 3-7 years? Are the rate increases reasonable or significantly higher than those of competitor carriers offering Supplement Insurance?

AM Best Rating

An AM Best rating is an independent, credit rating opinion assessing an insurance company's financial strength, creditworthiness, and ability to pay claims. As a specialized agency focusing solely on the insurance industry since 1899, it provides letter-grade ratings ranging from A++ (Superior) to D (Poor). AM BestAM Best +3Key Aspects of AM Best Ratings:

  • Focus: Evaluates a company's balance sheet strength, operating performance, and business profile.
  • Purpose: Helps consumers and investors determine if an insurer can meet its obligations, especially after major disasters.
  • Ratings Scale:
    • A++ or A+: Superior
    • A or A-: Excellent
    • B++ or B+: Good
    • B or B-: Fair
    • C++ or C+: Marginal
    • C or C-: Weak
    • D: Poor

AM Best Rating

S&P Global insurance ratings measure an insurer's financial strength and ability to meet policyholder obligations, ranging from AAA (extremely strong) to D (default). These ratings evaluate factors like capital adequacy, management, and liquidity to indicate long-term solvency. Generally, ratings of AAA, AA, A, and BBB are considered secure. 

  • Scale: Ratings range from AAA, AA, A, BBB (Investment Grade/Secure) to BB, B, CCC, CC, R, SD, D (Speculative/Vulnerable).
  • Modifiers: Plus (+) or minus (-) signs may be added to further refine the rating (e.g., A+ or A-).
  • Evaluation Factors: S&P analyzes financial structure, earnings, liquidity, management strategy, and market position.
  • Focus: Unlike stock ratings, these focus specifically on an insurer's "claims-paying ability".
  • High Ratings (AAA/AA): Indicate a superior ability to meet financial commitments, even under adverse economic conditions. 

Loss Ratio

  • Recent Trends: The overall market loss ratio was 77.4% in 2021, up from 72.4% in 2020 due to COVID-19 reduced utilization. By 2024, some reports indicated the ratio increased to 84.3%, with popular Plan G exceeding 90%.
  • Definition: The loss ratio represents the percentage of total premiums paid by policyholders that is used by the insurer to pay medical claims.
  • High Ratios: When the loss ratio is high (e.g., above 95%), insurers are more likely to increase premiums to cover costs. Loss ratios of national and state insurance companies are important indicators. 

Supplement Plan G and N

-Plan G is simple and part of our Health Insurance Plans. You're responsible for an annual $283 Part B Deductible—everything after that is 100% coverage for A and B Medical services approved by Medicare. We call this the SWAN plan, meaning you get to Sleep Well At Night.


-Plan N is similar but not quite as comprehensive. You're responsible for the annual $283 Part B Deductible, and after that, you will have $20 copays at doctors offices, $50 copays at the Emergency Room, and the potential for  for Part B excess charges (15%). This plan is also offered by various Supplement Insurance Carriers.


-You will never see a hospital bill with either Medicare Supplement plan. Part A gaps covered 100%

Talk to an advisor
  • Privacy Policy

Copyright © 2022 KC Medicare Advisors - All Rights Reserved.

Powered by

This website uses cookies.

We use cookies to analyze website traffic and optimize your website experience. By accepting our use of cookies, your data will be aggregated with all other user data.

Accept