by Russell Noga | Updated May 25th, 2023
Original Medicare Parts A & B are government-sponsored and federally-funded healthcare plans for seniors 65 and older. These policies assist with partially covering hospital and medical expenses as you age, but they don’t offer full coverage. Medigap plans help provide financial assistance for the remaining costs relating to Original Medicare A & B expenses.
Private healthcare insurers, Like Philadelphia American, Mutual of Omaha, Allstate, and Humana all offer Medigap plans.
In this article, we’ll discuss Philadelphia American and their health insurance plans. We’ll look at the range of Medigap policies available, average costs for monthly premiums, and the benefits and perks available from this provider.
Philadelphia American Medigap Plans at a Glance
- Philadelphia American has different Medigap plans available in different states.
- The company offers no additional benefits or perks with its Medigap plans.
- Philadelphia American has reasonable premium prices but isn’t a cost leader in any state.
Who Is Philadelphia American?
Incorporated in 1924, Philadelphia American merged with the New Era Life Insurance Company in 1989. The company offers Medigap plans in several states throughout the US, with different plan options in different states.
Philadelphia American Medigap Plans
Philadelphia American and New Era offer several standardized Medicare Supplement Insurance Plans. All Medigap plans allow you the freedom to choose your own doctor and all plans cover the following charges.
Philadelphia American offers almost all Medicare Supplement plans across all 50 states, including Plan A, B, C, D, F, G, K, L, M, and N. All Medigap plan options are available except Plans K and L.
In addition to Medigap plans, Philadelphia American also offers Final Expense, Accident, Dental, and Critical Illness insurance options.
New Era Life offers Medicare Supplement policies, whole life insurance, and annuities through its subsidiaries.
New Era offers several standardized Medicare Supplement Insurance Plans, and all Medicare Supplement plans allow you the freedom to choose your own doctor. Neither New Era Life nor its subsidiaries offer Medicare Advantage Plans or Part D prescription drug plans.
What Medicare Supplements Does Philadelphia American Offer?
Plans vary by state; You have the following options available Plan A, C, D, F, F (HD), G, L. Check with our team to see which plans are available in your state.
Plan A – Basic benefits for Part A Medicare with coverage for Medicare Part B coinsurance and copayments.
Plan C – Near-comprehensive coverage, including the Medicare Part B deductible cover. Plan C doesn’t cover Medicare Part B excess charges.
Plan D – Near-comprehensive coverage similar to Plan C. There’s no coverage for Medicare Part B deductible or excess charges.
Plan F – First-dollar coverage for all Medicare Part A & B out-of-pocket expenses. It’s the most comprehensive policy in the Medigap range.
Plan F (HD) – The same Medicare Part A & B benefits as the standard plan F. However, your Medicare Part A deductible increases from $1,600 to $2,700. You can save up to 80% on monthly premiums over the standard Plan F policy.
Plan G – Near comprehensive coverage. No benefit for the Medicare Part B deductible.
Plan L – A cost-sharing Plan covering 75% of Medicare Part A & B expenses. This plan comes with an out-of-pocket limit of $3,470. There’s no coverage for the Medicare Part B deductible or excess charges.
The Most Popular Medigap Plans
Out of the ten Medigap plans available, Medicare Supplement Plan F, Plan G, and Plan N are the most popular.
Medicare Supplement Plan F
Offers 100% coverage of the gaps in Medicare, meaning all your Medicare-approved expenses will be paid 100%.
This plan is only available to those who were enrolled in Medicare prior to January 1st of 2020.
Medicare Supplement Plan G
Plan G is very similar to Plan F, except you must pay the annual Medicare Part B deductible on Plan G. Once this deductible is met, Plan G pays 100% of the gaps just like Plan F does.
The main benefit to Medigap Plan G is that it has lower monthly premiums than Plan F, saving you money.
Medicare Plan N
Medigap Plan N is quickly becoming a favorite among Medicare beneficiaries due to its comprehensive coverage and lower premiums than both Plan F and G.
With Plan N you still must pay the annual deductible for Part B doctor’s services, just as you would with Plan G. However, after that is met you could have additional copays for doctor’s and ER visits on Plan N.
This is a great option for people who are relatively healthy and do not visit their doctor often, but still want to have good coverage.
The monthly rates for Plan N can be up to $35 less per month than Medicare Plan G.
Medigap Plans are Standardized
It’s important to note that these plans are standardized by the government. This means that any company offering Medicare Supplement insurance must have the exact same coverage within each plan letter. Though they all offer the same plans, they all charge different rates for the exact same coverage.
All doctors that accept Medicare will also accept your Medigap plan, regardless of which company it’s from.
We can help find the company and plan that’s right for you and saves you money. Call us today for help or enter your zip code below to check rates in your area.
Philadelphia American – Benefits & Coverage
Philadelphia America complies with the standardized benefits set by the CMS, a federal agency, in its Medigap plan range. The CMS regulates the Medigap agency, ensuring all providers offer consistent benefits in Medigap plans. So, the benefits you get with a Medigap policy from Philadelphia American are the same as with any other Medicare supplement provider.
All Medigap plans offer the following benefits for Original Medicare Parts A & B.
- Part A coinsurance and hospital costs for up to 365 days after using up Medicare benefits.
- Part A hospice care coinsurance or copayment.
- Part B coinsurance or copayment.
- Blood transfusion costs for the first three pints of blood.
Plans C*, F*, G, and L offer additional Medicare Parts A & B benefits.
- Part A deductible.
- Part B excess charges (Plan L & C don’t cover these charges).
- Skilled nursing facility care coinsurance.
- 80% of emergency healthcare costs when traveling outside the US for 60 days. ($250 deductible and $50,000 maximum apply).
- Unlimited coverage for all out-of-pocket costs.
*Plans C & F are the only policies offering coverage for the Medicare Part B deductible, but they’re discontinued for seniors enrolling in Medicare after January 1, 2020. If you were eligible for Original Medicare Parts A & B before this date, you still qualify for Plan C or F, and Philadelphia American will offer you this policy.
However, unless you have guaranteed issue rights, you’ll have to undergo medical underwriting when applying for Plans C or F.
The underwriting process will account for your pre-existing conditions and use them to increase your monthly premiums or deny your application. Contact our team to discuss if you qualify for guaranteed issue rights.
What Philadelphia American Medigap Plans Don’t Cover
No Medigap plans offer coverage for private-duty nursing or stays at unskilled nursing homes. Medigap only covers medical and hospital expenses relating to Original Medicare Parts A & B.
So, there’s no coverage for cosmetic procedures or preventative treatments at the acupuncturist, physiotherapist, podiatrist, or chiropractor.
In some cases, Medicare will cover preventative treatments, but your doctor must deem them medically necessary to qualify for coverage. Medigap also doesn’t cover the costs of prescriptions or hearing, dental, and vision services.
Philadelphia American – Premiums
Philadelphia American sets your monthly premiums by assessing your risk profile. The company looks at your age, gender, smoking status, and location in the United States to set your premium rates. The company also charges a $20 fee for processing your application.
According to our data, a 65-year-old woman will pay the following average rates for a Medigap policy with Philadelphia American:
- Plan A: $114.80
- Plan C: $186.39
- Plan D: $131.44
- Plan F: $182.67
- Plan F (HD): $48.52
- Plan G: $140.09
- Plan L: $118.02
*Your premium rates will vary by age, zip code, tobacco use, and gender
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Additional Benefits & Discounts
Philadelphia American offers clients access to an e-app for filing claims and managing their accounts. The company provides a household discount of up to 6%, which varies by state.
Philadelphia American Medicare Supplement Reviews
Philadelphia American has a B+ rating with AM Best but doesn’t have any accreditation from the Better Business Bureau.
Frequently Asked Questions
What is Philadelphia American Medigap plan?
Philadelphia American Medigap insurance is a type of policy that helps cover some of the out-of-pocket costs that Original Medicare doesn’t cover, such as deductibles, copayments, and coinsurance. It is offered by New Era Life Insurance Company.
What Medicare Supplement plans does Philadelphia American offer?
Philadelphia American offers almost all Medicare Supplement plans across all 50 states, including Plan A, B, C, D, F, G, K, L, M, and N.
What is a New Era Life Insurance Company?
New Era Life is a Houston-based insurance company that offers Medicare Supplement plans, whole life insurance, and annuities through its subsidiaries.
What is the relationship between Philadelphia American and New Era Life Insurance Company?
Philadelphia American is a subsidiary of New Era Life Insurance Company.
Where are the offices of Philadelphia American and New Era located?
The offices of Philadelphia American and New Era are located in Houston, Texas.
What is the customer service philosophy of New Era Life Insurance Company and Philadelphia American?
New Era Life Insurance Company and Philadelphia American strive to provide the best service possible to their customers.
What are the benefits of choosing Philadelphia American for my Medigap insurance?
Philadelphia American Medicare Supplement insurance offers a variety of health insurance plans to choose from, allowing you to find the plan that best fits your healthcare needs and budget. It also allows you the freedom to choose your own doctor.
How do I enroll in Medigap coverage?
You can enroll in a Philadelphia American Medigap plan by contacting us today at 1-888-891-0229
What is the pricing of Philadelphia American Medigap plans?
The pricing of Philadelphia American Medicare Supplement health insurance plans varies depending on the plan you choose, your age, your location, and other factors.
How do I find out more information about Philadelphia American Medicare Supplement plans?
You can find out more information about Philadelphia American Medicare Supplement insurance plans by calling us today at 1-888-891-0229. We’re an independent agency representing top insurance companies, including Philadelphia American and New Era.
Call Us for More Information on Philadelphia American Medicare Supplement Insurance Plans
Call our team of fully licensed agents at 1-888-891-0229 for more information on Philadelphia American Medigap plans, or other companies that offer Medicare supplement insurance.
We offer a free consultation and quote on any plan, with the best rates in your state.
Russell Noga is the CEO of Medisupps.com, an online Medicare Agency and resource center helping Medicare beneficiaries learn about Medicare, Medigap and Part D drug plans, and Medicare Advantage plans since 2009. Russell is licensed in all 50 states and has been featured as a keynote speaker, and author of several publications, along with hosting the very popular Medisupps.com Youtube channel.