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Medicare Supplemental Insurance Plans

Medicare Supplemental Insurance Plan Benefit Comparison

Medigap insurance companies can only sell you a “modernized” Medigap policy identified as Plan A, B, C, D, F, G, K, L, M, and N.

Each modernized Medigap policy must offer the same basic benefits, no matter which insurance company sells it. For example, Plan F offers the same benefits with all insurance companies, and Plan C offers the same benefits with all insurance companies.

Cost is usually the only difference between Medigap policies sold by different insurance companies.

Plan F is the most popular Medicare supplemental insurance plan.

 

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Plan
A
Plan
B
Plan
C
Plan
D
Plan
F
Plan
G
Plan
K*
Plan
L*
Plan
M
Plan
N
Medicare Part A Co-insurance hospital costs up to an additional 365 days after Medicare benefits are used up
Medicare Part B
Co-insurance or Co-payment
50% 75% **
Blood
(first 3 pints)
50% 75%
Part A Hospice Care
Co-insurance or Co-payment
50% 75%
Skilled Nursing Facility Care
Co-insurance
    50% 75%
Medicare Part A
Deductible
  50% 75% 50%
Medicare Part B
Deductible
               
Medicare Part B
Excess Charges
               
Foreign Travel Emergency
(Up to Plan Limits)
       
Medicare Preventive Care Part B
Co-insurance

The chart above is a brief summary of benefits.

If a checkmark appears in a column of this chart, the Medigap policy covers 100% of the described benefit. If a column lists a percentage, the policy covers that percentage of the described benefit. If a column is blank, the policy doesn't cover that benefit.
Note: The Medigap policy covers Co-insurance only after you have paid the deductible (unless the Medigap policy also covers the deductible).

*After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year. Plan K Out-of-Pocket Limit is $4,620.00. Plan L Out-of-Pocket Limit is $2,310.00. Out-of-pocket limit is the maximum amount you would pay for Co-insurance and Co-payments in a calendar year.

**Plan N pays 100% of the Part B Co-insurance except up to $20 Co-payment for office visits and up to $50 for emergency department visits.

For more details, please see any of the insurance company brochures or the official government guide to Medicare: Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare.

 


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