Health Insurers Post High Medigap Enrollee Satisfaction Figures

News April 13, 2023 at 11:30 AM
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People with Medicare supplement insurance like it about as much as they like their underlying Medicare coverage, according to America's Health Insurance Plans (AHIP).

The insurance company trade group has responded to criticisms from Sen. Elizabeth Warren, D-Mass., and others by posting results of a recent survey of about 500 people, ages 65 and older, who have Medicare supplement insurance, or Medigap coverage, along with "Original Medicare" coverage.

About 80% of the participants said they were extremely or very satisfied with their Medigap coverage, and 79% said they were extremely or very satisfied with the Original Medicare coverage, according to AHIP.

About 7% said they were dissatisfied with their Medigap coverage, and 8% said they were dissatisfied with their Original Medicare coverage.

What It Means

Typical clients who have Medigap coverage probably like it.

Medigap Basics

The 65 million Medicare enrollees can use either Medigap policies or Medicare Advantage plans to pay the many deductibles and copayments associated with Original Medicare.

The 14 million Medigap users get standardized, state-regulated policies built around a federal framework developed in 1990. The policies pay most Medicare cost-sharing amounts without changing the care the policyholders get.

The 30 million Medicare Advantage plan enrollees typically get extra benefits, such as dental insurance and vision insurance, in exchange for accepting active management of their care and, in many cases, coverage rules that strongly encourage them to use doctors and hospitals in a plan's provider network.

More AHIP Data

AHIP survey participants were happier with their benefits than with their share of the health care paperwork and costs.

About 72% said they agreed that their Medigap coverage let them see the doctors and specialists they know and trust, and to receive high-quality care.

Just 66% said their Medigap coverage made it easier to deal with medical bills and paperwork, and only 58% said their Medigap coverage saved them thousands of dollars in out-of-pocket costs.

Other Survey Data

One private health insurance broker, eHealth, surveyed 3,880 of its own Medicare plan customers.

The web broker found that Medigap users tend to have more money than Medicare Advantage plan users, and that coverage satisfaction levels are similar: The percentage of eHealth users who said they were satisfied with their coverage was 89% for Medicare Advantage coverage and 87% for Medigap policies.

Another private health insurance broker, Medigap.com, has surveyed 750 Medicare beneficiaries.

Medigap.com says one obstacle to interpreting Medicare enrollee survey data is that about 3% of enrollees do not know whether they have Medigap coverage or Medicare Advantage plan coverage.

(Image: wavebreakmedia/Shutterstock)

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