Medigap Plans
Benefits | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Part A Hospital Co-insurance | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
365 Hospital Reserve Days | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Part B co-insurance/co-payment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Blood Benefit (first 3 pints) | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Hospice coinsurance/co-pay | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Skilled Nursing Facility coinsurance | No | No | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Part A deductible | No | Yes | Yes | Yes | Yes | Yes | 50% | 75% | 50% | Yes |
Part B deductible | No | No | Yes | No | Yes | No | No | No | No | No |
Part B excess charge | No | No | No | No | Yes | Yes | No | No | No | No |
Foreign Travel Benefit | No | No | 80% | 80% | 80% | 80% | No | No | 80% | 80% |
Out-of-pocket limit | N/A | N/A | N/A | N/A | N/A | N/A | $6,940 | $3,470 | N/A | N/A |
2023 Data – Table Source
Plan F’s Popularity
Medicare supplement Plan F is a more comprehensive plan than the others as far as benefits for the enrollee. Each insurance carrier decides which Medigap policies it wants to sell, although state laws might affect which ones they offer. If an insurance carrier offers any Medigap Plan they must also offer Plan F as well as Plan C.
What Does Plan F Offer?
Plan F covers the Medicare Part A co-insurance and deductible, Medicare Part B co-insurance or co-payment and deductible, and 100 percent of the Part B excess charges.
Benefits
Plan F covers benefits like coinsurance for hospice services, skilled nursing facility treatment coinsurance, and foreign travel emergency insurance.
Plan F insurance
Plan F covers Medicare Part B excess charges, which result from the difference between what a physician charges for services and what Medicare will compensate the physician for those services. The doctor can charge you up to 15 percent of the amount not covered by Medicare, but Plan F will cover this difference. You can also enroll in a Plan F policy with a high deductible. If you choose this option, it means you must pay for Medicare-covered costs up to the deductible amount of $2,700 in 2023 before your Medigap plan pays anything. Plan F may shelter you from higher payments that you must pay yourself if you need health services that are more expensive than what Medicare will pay.
What doesn’t Plan F cover?
Plan F does not cover preventive care or at home recovery care. You can call our licensed sales agents for more information and help finding the right plan for your needs.
As of January 1, 2020, new Medicare beneficiaries may no longer enroll in Medigap Plan F. Current enrollees can, however, keep their plan.
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