Massachusetts is The massachusetts-free-clip-artBay State

6.7M people

The first World Series, 1903: the Boston “Americans” (became the Red Sox in 1908) vs. the Pittsburg Pirates (Pittsburgh had no “h” between 1890–1911)

 

Massachusetts Medigap Difference

If you live in Massachusetts, you have guaranteed issue rights to buy a Medigap policy, but the policies are different.

Basic benefits

  • Inpatient hospital care: covers the Part A coinsurance plus coverage for 365 additional days after Medicare coverage ends.
  • Medical costs: covers the Part B coinsurance (generally 20% of the Medicare-approved amount).
  • Blood: covers the first 3 pints of blood each year.
  • Part A hospice coinsurance or copayment.

Medigap plans 

Core Plan

Covers

  • Basic benefits
  • 60 days per calendar year of inpatient days in mental health hospitals.
  • State-mandated benefits (yearly Pap tests and mammograms. Check your plan for other state-mandated benefits).

Doesn’t cover

  • Part A: inpatient hospital deductible.
  • Part A: skilled nursing facility coinsurance.
  • Part B: deductible.
  • Foreign travel emergency.

Supplement 1 Plan

Covers

  • Basic benefits.
  • Part A: inpatient hospital deductible.
  • Part A: skilled nursing facility coinsurance.
  • Part B: deductible.
  • Foreign travel emergency.
  • 120 days per calendar year of inpatient days in mental health hospitals.
  • State-mandated benefits including yearly Pap tests and mammograms. Check your plan for other state-mandated benefits.

Compare these plans side-by-side

If a “yes” appears, the plan covers the described benefit 100%. If “no” appears, the policy doesn’t cover that benefit.

Medigap Benefits Medigap Plans
Core Plan Supplement 1
Basic benefits Yes Yes
Part A: inpatient hospital deductible No Yes
Part A: skilled nursing facility coinsurance No Yes
Part B: deductible No Yes
Foreign travel emergency No Yes
Inpatient days in mental health hospitals 60 days per calendar year 120 days per benefit year
State-mandated benefits (yearly Pap tests and mammograms. Check your plan for other state-mandated benefits.) No Yes

For more information