Tennessee Medicare Plans
Living in Tennessee has its advantages. You have iconic places to visit, like Nashville, Graceland and even Dollywood. If country music is something you love, then the Grand Ole Opry and the Country music Hall of Fame is a sure win. It’s also home to breathtaking views like the Great Smoky Mountains and is a music center in the U.S.
While the state offers a lot to see and do, it is essential to also take care of your health so nothing slows you down! As a Medicare beneficiary, you can choose from ten standardized Medigap plans or Medicare Advantage to care for your healthcare needs. Your Original Medicare doesn’t cover everything, and you want to make sure you aren’t bogged down in medical bills.
What are Medicare Options in Tennessee?
Tennessee, like many states, offers the standard Medicare Supplement plans, also known as Medigap plans. If you are a resident, you can choose from the following plans: A, B, C, D, F, G, H, K, L, M, N, high-deductible Plan F, and high-deductible Plan G. You’re able to enroll during the year, but if you want your coverage to be guaranteed, you want to enroll during your open enrollment period in Tennessee.
What are the Most Popular Medicare Supplement Plans in Tennessee?
- Medicare Supplement Plan F
- Medicare Supplement Plan G
- Medicare Supplement Plan N
When is the Open Enrollment Period in Tennessee?
As a Medicare beneficiary, you can enroll in any Medicare Supplement within your first six months of your Part B effective date. This is considered your open enrollment period. During this time, insurance carriers are required to approve your MediGap application, and are prohibited from declining the coverage you need because you have a pre-existing condition. You can still apply outside of this window, but you will be required to go through medical underwriting, and could be denied coverage based on your health history.
Can I Change Medicare Supplement Plans in Tennessee?
You can apply to change your Medicare Supplement during any month of the year in Tennessee, however there is one catch. Once you are more than 6 months past your Medicare Part B effective date, you must go through medical underwriting in order to be approved to enroll into, or change your Medicare Supplement plan. This means that insurance carriers are given the ability to assess your health history, prescriptions, height and weight, as well as other health-related factors to determine if you will be approved or denied coverage. During medical underwriting, insurance carriers have the ability to deny a Medicare Supplement plan application based on pre-existing conditions, so it is important to enroll in a MediGap plan during your open-enrollment period to guarantee your acceptance.
Medigap Plan F in Tennessee
Medicare Supplement Plan F has been a very popular plan with Medicare beneficiaries over time. The reason for the popularity of Plan F, is that it covers the gaps left by Medicare Part A and B with no out-of-pocket. However, if you became Medicare eligible after January 1st 2020, you are not eligible to enroll in MediGap Plan F. Luckily, there are other great Medicare Supplement plan options available.
Medigap Plan G in Tennessee
Medicare Supplement Plan G is a very comprehensive Medicare Supplement plan with very little out-of-pocket expense. Once you have met your Part B annual deductible, MediGap Plan G becomes a full coverage plan, covering all of the gaps left by Original Medicare, with no additional out-of-pocket expenses. Plan G is typically a very cost-efficient plan with an affordable monthly premium to ensure gold-standard coverage.
Medigap Plan N in Tennessee
Medicare Supplement Plan N is also a great, comprehensive MediGap plan available in Tennessee. This plan has slightly more out-of-pocket cost than MediGap Plan G, but also comes with a lower monthly premium. As with Plan G, you are still responsible for the Medicare part B annual deductible. Once you have met this deductible, your Original Medicare coverage kicks in, but you still have some cost-share. With MediGap Plan N, you will pay copayments up to $20 for office visits, and up to $50 for ER visits that do not result in an inpatient admission. Plan N also has the possibility of an excess charges if you use a doctor or healthcare provider that does not accept Medicare Assignment. Excess charges can be up to 15% of the Medicare-approved payment. If the monthly premium difference between Plan G and Plan N is large enough, Plan N is often times a very attractive option for your Medicare Supplement plan.
What is the Cost of a Medicare Supplement Plan in Tennessee?
Monthly premiums for Medicare Supplement plans are based on three main factors- age, gender, and location. There are other things that may impact your premium such as tobacco use. The premium amounts will vary based on these factors, so it is important to receive a quote based on your specific demographic information.
Medicare Plans in Tennessee for Those Under 65
When it comes to Medicare under age 65 in Tennessee, there a 6 month open enrollment for MediGap plans required by the state for those under 65. This means that Medicare beneficiaries under age 65 are given a one-time 6 month long window to apply for a Medicare Supplement plan with no health questions or medical underwriting. If you do not apply for a Medicare Supplement plan during this window, you will later be required to go through and pass any medical underwriting that is necessary for acceptance. If you’re under 65 and disabled but still qualify for Medicare, you may not pass this underwriting. If you fit within this category, there are Medicare Advantage Policies that you can look into.
Once you reach 65, more Medicare supplement plans will open up for enrollment in Tennessee without any health questions. This period guarantees acceptance.
Medicare Advantage in Tennessee
Tennessee also offers options for Medicare Advantage plans. In these plans you must live in your plan’s service area and enroll during an appropriate election period. Medicare Advantage plans do not required medical underwriting if enrolling during an election period, but are also significantly different plans than Medicare Supplement plans.
Medicare and Medicaid in Tennessee
It is possible to qualify for both Medicare and Medicaid in the state of Tennessee. These two programs, however, are separate and have different qualifications you must meet in order to receive benefits. To qualify for Medicaid, you must meet state income requirements. To qualify for Medicare, you must be either over the age of 65, or under 65 but receiving Social Security Disability Insurance for a minimum of 24 months before applying for Medicare.
Download Our Free ebook.
Click the image below for instant access.
In his book “Medicare Made Clear” the #1 authority on Medicare, Keith Armbrecht outlines all you need to know when starting medicare. Easy to follow with videos included. Download Now for Free!