The Best Medicare Supplement (Medigap) Plans in Vermont
- Vermont Medicare Supplement (Medigap) insurance helps cover Medicare-related expenses such as copays and deductibles. Learn more about Medicare Supplement plans in Vermont, including what they might cover and when the best times are to enroll.
If you have recently become eligible for Medicare, you may have many questions about the coverage offered by this federal insurance program and about supplementary insurance plans that can reduce your out-of-pocket expenses. Medicare Part A and Part B coverage is known more commonly as Original Medicare and covers many of the costs of medical treatment for participants.
For the costs not covered by Medicare, such as coinsurance or deductibles, you might consider applying for a Medicare Supplement Insurance (also called Medigap) plan. After Medicare pays for a portion of the cost of your medical treatment, Medigap plans pay additional amounts to reduce your out-of-pocket expenses.
Nearly half (45%) of Original Medicare beneficiaries in Vermont are enrolled in a Medicare Supplement plan.
Have Medicare questions?
Talk to a licensed agent today to find a Medicare Supplement plan.
What Are the Best Vermont Medicare Supplement Plans?
There are 10 types of standardized Medicare Supplement Insurance plans that may be available in Vermont, with each plan designated by a letter. Two of these, however, are also available in high-deductible versions, which brings the total number of options up to 12.
Not all of these plans are available to all Medicare recipients, however. Both Plan C and Plan F were discontinued as part of the 2015 Medicare Access and CHIP Reauthorization Act but are still available as an option for those who first became eligible for Medicare before January 1, 2020.
| Medicare Supplement Benefits | A | B | C1 | D | F1 | G | K | L | M | N |
| Part A coinsurance and hospital costs | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Part B coinsurance or copayment | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ |
| First 3 pints of blood | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ |
| Part A hospice care co-insurance or co-payment | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ |
| Co-insurance for skilled nursing facility | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ | ||
| Medicare Part A deductible | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | 50% | ✓ | |
| Medicare Part B deductible | ✓ | ✓ | ||||||||
| Medicare Part B excess charges | ✓ | ✓ | ||||||||
| Foreign travel emergency | 80% | 80% | 80% | 80% | 80% | 80% | ||||
| 1. Plans C and F are not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020. 2. Plans F and G also offer a high deductible plan which has an annual deductible of $2,870 in 2025. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020. 3. Plan K has an out-of-pocket yearly limit of $7,220 in 2025. Plan L has an out-of-pocket yearly limit of $3,610 in 2025. 4. Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 for emergency room visits that don’t result in an inpatient admission. View an image version of this table. |
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All Medigap plans that share a letter designation are identical in the coverage they provide. All Medigap plans available in Vermont offer some coverage in common:
- An added 365 days worth of hospitalization coverage beyond what Original Medicare already offers
- Part A and Part B coinsurance and copay coverage
- Coverage for up to three pints of blood transfusions
Depending on the plan you choose, you may also be able to get coverage for foreign travel emergencies, Medicare Part B excess charges and deductibles, Medicare Part A deductibles and coinsurance for care in a skilled nursing facility.
Have Medicare questions?
Talk to a licensed agent today to find a Medicare Supplement plan.
How Do I Enroll in a Vermont Medigap Plan?
Your six-month Medigap open enrollment period begins on the first day of the month in which you will turn 65 and are enrolled in Medicare Part B. During this time, you cannot be turned down for any Medigap plan available in the state of Vermont or be charged a higher premium because of your health.
After your six-month Medigap open enrollment period ends, however, insurance companies can once again use their own underwriting standards to determine if they will offer you Medigap coverage and set the premium rates you will pay. Delaying could cost you much more in premium payments and could reduce your ability to obtain Medicare Supplement Insurance unless you qualify for guaranteed issue rights.
You may be eligible for guaranteed issue rights if you have lost Medigap coverage through no fault of your own. This sometimes occurs when the company you chose for your coverage goes bankrupt or is financially insolvent.
Guaranteed issue rights may also be available to you if you decided to go with Medicare Advantage rather than Medigap and now regret this decision.
Helpadvisor.com is owned and operated by Tranzact, the parent company of TZ Insurance Solutions LLC, which is the owner/operator of MedicareSupplement.com and other websites mentioned on HelpAdvisor and which has a financial relationship with some of the carriers listed on HelpAdvisor.
