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Mutual of Omaha

If you find the information difficult to understand, you’re not alone! It’s our job to stay in the know so you don’t have to worry about it.

Seniors in PA, NJ, DE, or FL can call (855) 494-0097 to request a free consultation or click below to fill out an appointment request form.


Mutual of Omaha is a privately held Fortune 500 mutual insurance and financial services company based in Omaha, Nebraska. Founded in 1909 as Mutual Benefit Health & Accident Association.

After enrolling in Original Medicare (Part A and Part B) many Americans choose to also enroll in a Medicare Supplement plan to help cover Medicare’s out-of-pocket costs such as coinsurance, copayments and deductibles.

Medicare supplement insurance policies are identified by letters A through N. All supplement plans are standardized by Medicare. A standardized plan must contain the same essential benefits, no matter which insurance company sells it, so the difference is therefore cost and customer service. Medicare supplements are also known simply as Medigap or “gap” plans.

Mutual of Omaha sells Medigap plans in Pennsylvania, New Jersey, Delaware and Florida.

Standardized Medigap plans that are listed by Medicare are Plans A, B, C, D, F, high deductible Plan F, G, K, L, M and Plan N.


Company Name Varies by State

Supplements sold in Pennsylvania are Plans A, B, C, D, F, high deductible F, G, and Plan N and sold under the name of “Mutual of Omaha”.

Plans sold in New Jersey are Plans A, B, C, D, F, high deductible F, G, and Plan N and sold under the name of “United of Omaha”.

Insurance sold in Delaware are Plans A, B, C, D, F, high deductible F, G, and Plan N and sold under the name of “Omaha Insurance Company”.

Mutual of Omaha supplements sold in Florida are Plans A, B, C, D, F, high deductible F, G, and Plan N and sold under the name of “Omaha Insurance Company”.


All Mutual of Omaha companies sold in these states participate in “Crossover Claims”. Crossover is the transfer of processed claim data from Medicare operations to Medicaid (state) agencies and private insurance companies that sell supplement plans to beneficiaries.

Plans A and B are much older plans which cover very few benefits and are usually very expensive as compared with the newer medigap plans. Plan C is also an older plan and usually as expensive but also more comprehensive than A and B. Most people purchase either Plans F, G or N which are also comprehensive plans but more affordable.

“MACRA,” The Medicare Access and CHIP Reauthorization Act of 2015, was passed by Congress and signed into law on April 16 2015. It changed the law on various aspects of health care, including some Medicare supplement plans.

The new law states that on or after January 1, 2020, a Medicare Supplement policy that provides coverage of the Part B deductible may not be sold or issued to a newly eligible Medicare beneficiary. What is means is that Plan F will be discontinued after the said date.


Supplement Plan F

If you purchase Plan F prior to January 2020 you will not lose your plan, you will be “grandfathered” in.

If you enroll into the Medicare program by selecting Parts A&B as your primary insurance carrier, your medical and hospitalization will be covered by about 80%. With Medicare as your primary you will have an “open network” throughout the United States and you will never need a referral to see a specialist physician.

If you purchase Plan F as your gap plan you will cover:

Basic, including 100% Part B coinsurance.

Skilled nursing facility co-insurance, $167.50 per day. Meaning if you require skilled care Medicare will pay days 1 through 20 and Plan F will pay days 21 to 100 days.

Part A deductible, which is the hospital deducible $1340.00

61 to 90 days $335 co-insurance

91 to 150 days $670 co-insurance

Part B deductible, which is anything medically necessary, $183.00 every calendar year

Part B Excess charges 100%. In numerous states around the United states, doctors and surgeons are allowed to bill 15% above Medicare’s allowed amount for covered listed procedures. For example, there are about 30 states where this could happen, NJ, NY and FL are three examples allowed to bill for excess charges.

Foreign Travel Emergency. Plan F will pay for up to $50,000 of care if you are on foreign land. In short, it should be enough money to stabilize you and transport you back into the United States for your care.

If you purchase Plan F, you would pay the monthly premium the insurance carrier charges, and the other 20% gap that Medicare does not pay will be paid by your secondary carrier. No deductibles and co-pays.


Supplement Plan G

If you purchase Plan G as your gap plan you will cover the:

Basic, including 100% Part B coinsurance.

Skilled nursing facility co-insurance. $167.50 per day. Meaning if you require skilled care Medicare will pay days 1 through 20 and Plan G will pay days 21 to 100 days.

Part A deductible, which is the hospital deducible $1340.00

61 to 90 days $335 co-insurance

91 to 150 days $670 co-insurance

Does not cover the Part B calendar year deductible of $183.00

Part B Excess charges 100%. In numerous states around the United states, doctors and surgeons are allowed to bill 15% above Medicare’s allowed amount for covered listed procedures. For example, there are about 30 states where this could happen, NJ, NY and FL are three examples allowed to bill for excess charges.

Foreign Travel Emergency. Plan G will pay for up to $50,000 of care if you are on foreign land. In short, it should be enough money to stabilize you and transport you back into the United States for your care.

If you purchase Plan G, you would pay the monthly premium the insurance carrier charges and the calendar year Part B deducible of $183.00. No co-pays.


Supplement Plan N

If you purchase a Plan N as your gap plan you will cover the:

Basic, including 100% Part B coinsurance, except up to a $20 copayment for a doctor visit, and up to a $50 copayment for an Emergency Room visit.

Skilled nursing facility co-insurance. $167.50 per day. Meaning if you require skilled care Medicare will pay days 1 through 20 and Plan F will pay days 21 to 100 days.

Part A deductible, which is the hospital deducible $1340.00

61 to 90 days $335 co-insurance
91 to 150 days $670 co-insurance

Does not cover the Part B calendar year deductible of $183.00

Part B Excess charges 100%. In numerous states around the United states, doctors and surgeons are allowed to bill 15% above Medicare’s allowed amount for covered listed procedures. For example, there are about 30 states where this could happen, NJ, NY and FL are three examples allowed to bill for excess charges.

Foreign Travel Emergency. Plan F will pay for up to $50,000 of care if you are on foreign land. In short, it should be enough money to stabilize you and transport you back into the United States for your care.

If you purchase Plan N, you would pay the monthly premium the insurance carrier charges and the calendar year Part B deducible of $183.00. Once your calendar year deducible is met, you are charged up to a $20 co-pay for doctor visits and a $50 co-pay for emergency room visits. Plan N does not cover you for Part B Excess Charges.

For additional information, watch the video below:

BGA Insurance Group can help you select a Medicare Advantage plan if the benefits provided here are not optimal for your situation. If you encounter a rate increase unexpectedly, it could be time to review your retirement plan, long term benefits, or other financial services. There is never a policy fee for signing up with one of our agents.

Call (855) 494-0097 to request a free consultation or click below to fill out an appointment request form.

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