Coverage Riders

A rider is a provision made to an insurance policy that adds additional benefits or amends the policy’s terms. They can offer options like additional health care coverage or limit coverage.

Suppose you are enrolled in Original Medicare and shopping for Medicare Supplemental Insurance plans. In that case, you may be interested in attaching a rider. When you first become eligible for Medicare, you can purchase any riders without being asked health questions by your insurance provider. If you wait until after this period has passed, you may be questioned and refused access to these riders by insurance providers.

Riders are only available in certain states. These are some riders you may have access to in your state.

State-Specific Medicare Supplement Insurance Riders

Some states are authorized to offer unique forms of Medicare Supplement Insurance, which feature basic plans that can be improved through riders. The current states where these alternative riders can be purchased are Wisconsin, Massachusetts and Minnesota.

Wisconsin offers riders with the following benefits:

  • Part A deductible coverage
  • Additional home health care (365 visits including those paid by Medicare)
  • Part B deductible coverage
  • Part B deductible discount
  • Part B excess charges coverage
  • Foreign travel emergency coverage
  • 50% Part A deductible
  • Part B copayment or coinsurance

Massachusetts and Minnesota based insurance companies can add the following 4 riders to a Basic Medicare Supplement Insurance Plan:

  • Part A: inpatient hospital deductible coverage
  • Part B: Deductible coverage
  • Usual and customary fees 
  • Non-Medicare preventive care coverage

In both Wisconsin and Minnesota, Part B deductible coverage is not available to people who enroll in Medicare after January 1st, 2020. If you were eligible for Medicare before this date but not yet enrolled, you may qualify for this benefit.

Common Riders

  • Medicare Part A Deductible Rider: With this rider, your Medicare Supplement Insurance policy will pay your Medicare Part A deductible. This is considered one of the most important riders, as for some Medicare recipients, it can result in significant savings. The Medicare Part A deductible is $1,484 as of 2021. Some people who do not have the rider will be required to pay the full deductible multiple times if they need Part B covered services during separate 60 day benefit periods. 
  • Medicare 50% Part A Deductible Rider – This rider covers half of the Part A deductible per benefit period with no out of pocket maximum. 
  • Medicare Part B Deductible Rider The Part B deductible rider will pay your Part B deductible, meaning you will only have to pay the 20% that is due after Medicare pays their 80% of Part B approved amounts.  

Are you in a state where riders are offered? Contact us now for more information!

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