Medicare Supplement Plans Vermont 2025 – Plans & Rates

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Russell Noga
by Russell Noga | Updated March 17th, 2024

Navigating the evolving landscape of ‘Medicare supplement plans Vermont 2025’? This introduction cuts straight to the chase, offering clarity on Medigap plan types in Vermont, impending changes, and how they may affect your costs and coverage. Stay informed and ahead as we delve into what Vermont’s Medicare supplement landscape looks like for 2025.


Key Takeaways

  • Medicare Supplement Plans (Medigap) in Vermont are standardized by the federal government, providing consistent benefits across different insurers for each plan type, and are designed to cover out-of-pocket expenses not covered by Original Medicare.
  • No specific changes in coverage details for Medigap in Vermont are anticipated for 2025, though efforts such as reducing premium increases and enhancing benefits like affordable hearing aids are ongoing to improve plan value for beneficiaries.
  • Eligibility for Medigap in Vermont is tied to enrollment in Original Medicare, with open enrollment providing a guaranteed-issue period, while a range of financial assistance options, including state-sponsored programs and federal subsidies, is available to help with costs.


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Understanding Medicare Supplement Plans in Vermont

Understanding Medicare Supplement Plans in Vermont


Medicare Supplement Plans in Vermont, also known as Medigap, provide a safety net for Medicare beneficiaries. These plans are designed to cover the out-of-pocket costs associated with Original Medicare that can quickly add up, leaving beneficiaries with significant medical bills. What’s more, they offer a level of flexibility, allowing beneficiaries to use any of the over 800,000 providers nationwide that accept Medicare.

These health plan options are standardized under federal rules, meaning that each plan type offers the same essential health benefits regardless of the insurer, ensuring consistency and predictability for beneficiaries. Imagine the peace of mind knowing that, irrespective of the insurance provider, your plan’s benefits are uniform across the board.


What are Medicare Supplement Plans?

Medicare Supplement Plans, affectionately known as Medigap, are the bridge that connects the gaps in coverage left by Original Medicare. These plans cover out-of-pocket costs such as coinsurance, co-payments, and deductibles that are not covered by Original Medicare, offering a safety net for beneficiaries.

If you’re a Vermont resident enrolled in Medicare Part A and Part B, you’re eligible to enroll in a Medigap plan. Consider Medigap as your financial bodyguard, stepping in to cover those additional costs that can create unexpected financial pressure. Remember, though, Medigap is a supplement to, not a replacement for, Original Medicare.


Types of Medigap Plans Available in Vermont

Vermont offers a smorgasbord of Medigap plans identified by letters A through N, with an additional high-deductible plan variant. The beauty of these plans is their consistency. The benefits for each plan letter are the same across all insurers offering that plan, ensuring you know exactly what you’re getting regardless of the insurance company.

Medicare Supplement Plan G has gained popularity in Vermont for covering all cost-sharing after the annual Part B deductible. On the other hand, Plan N has found favor among those seeking lower premiums with higher cost-sharing for infrequent medical services.

The choice is yours, and there’s a plan to suit every need and budget.


Changes to Medicare Supplement Plans in Vermont for 2025


Changes to Medicare Supplement Plans in Vermont for 2025


While there are no specific updates to coverage for Medicare Supplement Plans in Vermont detailed for 2025, the landscape is not static. The Green Mountain Care Board has been actively working to reduce the approved premium increase requests for Medigap plans. This move is a nod towards prioritizing affordability and accessibility for consumers during rate negotiations.

The expectation of regulatory cuts and lower healthcare costs, influenced by the Affordable Care Act, has guided the board’s decisions on premium rate adjustments. This proactive approach underscores the commitment to making healthcare accessible and affordable for all Vermont residents.


Coverage Updates

Looking ahead, a proposed bill in Vermont may change the game for individuals under 65 with end-stage renal disease. If passed, these individuals will be able to access Medigap plans under a guaranteed-issue provision. However, Medigap Plan C and Plan F remain available only to those who were eligible for Medicare before January 1, 2020, limiting access to these plans for new beneficiaries.

In a move to enhance coverage, a partnership with TruHearing has been established to provide affordable, high-quality hearing aids. This initiative recognizes the significant impact that hearing loss has on the quality of life for beneficiaries, proving that improvements and updates are ongoing to enhance the value of Medigap plans.


Premium Changes

While there are no specific details on premium changes for Medicare Supplement plans in Vermont for 2025 available at this time, it’s important to note all the nuances of premiums in the state. For instance, premiums for Medigap plans for individuals under 65 can be higher than for those 65 and older. This disparity is a result of the community rating system used in Vermont, where the premium is the same for every insured individual, irrespective of age.

As of the most recent figures, the average monthly premium for Medicare Supplement Plan G in Vermont is $214.87, while Plan N has an average monthly premium of $166.72. Knowing these figures and keeping an eye on potential changes can help you plan for your future healthcare needs.


Eligibility and Enrollment for Medicare Supplement Plans in Vermont


Eligibility and Enrollment for Medicare Supplement Plans in Vermont


In Vermont, anyone eligible for Original Medicare is also eligible to enroll in Medicare Supplement plans. This includes Vermont residents who are 65 years of age and are either U.S. citizens or legal residents for at least five years. They can enroll in community-rated Medigap plans, with premiums that do not vary by age within this age group.

Individuals under 65 years old may be eligible for Medicare Supplement plans in Vermont if they receive Social Security Disability Income (SSDI) for two years or are diagnosed with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS). However, Medigap plans in Vermont cover individual beneficiaries, therefore married couples must each purchase their own separate plans if they both desire Medigap coverage.


Who is Eligible?

Eligibility for Medicare Supplement plans in Vermont starts when an individual:

  • Turns 65 years old
  • Is diagnosed with Amyotrophic Lateral Sclerosis (ALS), where eligibility begins immediately upon diagnosis
  • Is diagnosed with End-Stage Renal Disease (ESRD) and has completed four months of dialysis, which also grants them eligibility for Medicare Supplement plans in Vermont.

Medigap insurers are required to offer all their plans to Medicare beneficiaries during the first six months of their enrollment in Medicare Part B, irrespective of the beneficiary’s age. Disabled Medicare beneficiaries under 65 in Vermont are eligible to access Medigap plans, though insurers may charge these individuals higher premiums than those aged 65 and over.

However, upon turning 65, disabled Medicare beneficiaries are granted access to the same Medigap open enrollment opportunities as other beneficiaries during the open enrollment period, allowing them to purchase any available Medigap plan at standard rates for those aged 65 and above.


When and How to Enroll

The best time to enroll in Medicare Supplement plans in Vermont is upon becoming eligible for Original Medicare. Medigap insurers are required to offer all their plans to Medicare beneficiaries during the first six months of their enrollment in Medicare Part B. This guarantees the right to enroll without concerns for age or pre-existing conditions.

Enrollment in Medicare Supplement Plans in Vermont can be done online, by mail, or by directly contacting licensed agents. Certain carriers in Vermont offer a year-round open enrollment for Medigap plans, allowing changes at any time without health questions, though this does not apply universally to all carriers.



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Comparing Medicare Supplement Plans in Vermont

Comparing Medicare Supplement Plans in Vermont


Medigap plans in Vermont are standardized and labeled from A to N, each offering a different level of coverage. Plan F and Plan G are among the most popular Medigap plans in Vermont, with Plan G offering slightly less coverage but often at a lower premium. The coverage differences across Medigap plans will affect out-of-pocket expenses such as co-payments and deductibles.

The costs of Medigap plans, including monthly premiums and out-of-pocket expenses, vary depending on the plan and provider. To aid the decision-making process, ratings given to Medigap plans by independent rating agencies can aid in assessing plan performance and customer satisfaction. Beneficiaries can utilize online comparison tools provided by private companies and official government sites to compare plan details.


Factors to Consider

When choosing a Medigap plan in Vermont, evaluate the different sets of gaps each plan fills. For instance, plans like Plan G offer full coverage, while others might offer lower premiums with some copays. However, remember that Medigap plans in Vermont do not cover prescription drugs. Beneficiaries must enroll in a separate Part D plan or choose a Medicare Advantage plan that includes drug coverage if they need prescription coverage.

To obtain prescription drug coverage, Vermont residents should consider enrolling in Medicare Part D by joining a Prescription Drug Plan (PDP). Also, assess the monthly premiums for different Medigap plans, which can vary significantly. For example, plans with more comprehensive coverage, like Plan G, typically have higher premiums.


Tips for Finding the Best Plan

Remember that the standardized nature of Medigap plans in Vermont means each plan letter, such as G or N, provides the same coverage regardless of the insurance carrier. Evaluate the best Medicare Supplement plans for comprehensive coverage, such as Plan G and Plan N, considering Vermont’s prohibition of excess charges, which may affect plan selection.

To find the most cost-effective option, consider the following steps:

  1. Compare various carriers’ premiums for the chosen standardized Medigap plan.
  2. Consider the historical trends in premium costs to better anticipate potential expenses and maintain affordability with your Medigap plan over time.
  3. Seek advice from experts like Boomer Benefits to gain a deeper understanding of the different Medicare Supplement plans and help in the selection process.

Lastly, review the insurance company’s financial strength that offers Medicare Supplement plans to ensure they can provide long-term stability and consistent service quality.


Financial Assistance for Medigap Plans in Vermont


Financial Assistance for Medigap Plans in Vermont


Vermont residents may be eligible for the following financial assistance options:

  • Vermont Health Connect
  • Federal premium subsidies
  • State-funded premium subsidies
  • Federal cost-sharing reductions

This is good news for those who need financial help with their Medigap plans, as the Inflation Reduction Act can improve their health coverage.

Plus, increased subsidies for higher-income households have been extended until at least 2025 in Vermont.


State-Sponsored Programs

Vermont offers state-sponsored financial help called Vermont Premium Assistance (VPA), which lowers monthly health insurance bills for eligible residents. VPA reduces a household’s monthly health insurance bill by 1.5% of the household income, and the money is sent directly to the insurance company by the state.

The annual income eligibility limits for VPA, which are based on the federal poverty level, are up to $134,040 for a household of one person and up to $376,665 for a household of four people. This program can be a lifeline for those struggling to afford their Medigap plan premiums.


Federal Programs

On a federal level, the Extra Help program, also known as the Low-Income Subsidy (LIS), helps eligible Vermont residents pay for costs associated with Medicare prescription drug plans, providing a significant drug benefit. In 2024, Vermont beneficiaries of the Extra Help program will have a maximum copayment of $11.20 for each drug covered by their Medicare drug plan.

To qualify for Extra Help in Vermont, beneficiaries must meet income and resource limits that are updated annually, and there are no resource limits for eligibility for Medicare Savings Programs (MSPs). Vermont residents can apply for Extra Help either through the Social Security Administration or during the application process for a Medicare Savings Program.

Furthermore, enrollees of the Extra Help program in Vermont are protected from being billed for Medicare-covered services beyond the copayments allowed under the Qualified Medicare Beneficiary (QMB) program, which is one of the Medicaid services provided in the state.


Top Insurance Providers for Medicare Supplement Plans in Vermont

There are 14 insurers that offer Medigap plans in Vermont, with Blue Cross Blue Shield of Vermont offering a comprehensive suite of Medicare plans that are well-regarded for their coverage and access to any U.S. doctor or facility accepting Medicare.

The best Medicare Supplement plan offerings in Vermont have been identified as Blue Cross Blue Shield for Plan G, Plan F, and Humana for Plan N, each known for their specific benefits and coverage levels. Not all providers make online quotes available for potential enrollees, so it’s important to do thorough research when comparing plans.

Blue Cross Blue Shield of Vermont has received a score of 80 out of 100 for both their Medigap Plan G and F according to MoneyGeek, while Humana holds a perfect score of 100 for their Plan N offering.



In conclusion, navigating the Medigap landscape in Vermont may seem complex, but with the right knowledge and tools, it becomes a manageable task. Understanding the standardized nature of these plans, the eligibility criteria, and the enrollment process, as well as being aware of the changes on the horizon for 2025, are all key steps in making an informed decision. By comparing plans, considering both state and federal financial assistance, and researching top providers, you can find a Medigap plan that best fits your needs and budget.

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Frequently Asked Questions

Are Medicare Supplement plans going away?

While Medicare Supplement Plan F is being phased out starting January 1, 2020, if you currently have a Plan F, you can keep your plan as long as you want. However, if you become eligible for Medicare after January 1, 2020, you can’t purchase a Plan F.


Is Vermont a guaranteed issue state for Medicare Supplement?

Yes, in Vermont, some Medigap carriers offer guaranteed issue year-round, allowing enrollment regardless of health predictors. This guaranteed issue is available only during the initial enrollment period.


What is the purpose of Medicare Supplement Plans in Vermont?

Medicare Supplement Plans in Vermont are designed to cover out-of-pocket costs related to Original Medicare, preventing beneficiaries from incurring large medical expenses.


Who is eligible for Medicare Supplement Plans in Vermont?

In Vermont, residents who are 65 years of age and either U.S. citizens or legal residents for at least five years are eligible for Medicare Supplement Plans. Individuals under 65 may also be eligible if they receive SSDI for two years or have ESRD or ALS.


Are there any changes coming to Medicare Supplement Plans in Vermont for 2025?

No, there are no specific changes to Medicare Supplement Plans in Vermont for 2025, but efforts are being made to minimize approved premium increases by the Green Mountain Care Board.

Speak to the Professionals about Medigap Plans and Original Medicare

If you find understanding the benefits involved with Original Medicare and Medigap Plans challenging, you’re not alone. Whether it’s a Medigap plan, or you want to know more about Medicare Supplement Plans Vermont in 2025, we can help. Call our team at 1-888-891-0229 for a free consultation or complete the contact form on this site, and an expert will call you back at a convenient time.

We have decades of experience advising our clients on the complexities of Medicare and Medigap plans, the benefits, cost and deductibles. We’ll ensure you get the best rate in your state and advice you can trust.

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