Yes = the plan covers 100% of this benefit
No = the policy doesn’t cover that benefit
% = the plan covers that percentage of this benefit
N/A = not applicable
Medigap Benefits | Medigap Plans | |||||||||
A | B | C | D | F* Most Popular | G* Most Popular | K | L | M | N | |
Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Part B coinsurance or copayment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes*** |
Blood (first 3 pints) | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Part A hospice care coinsurance or copayment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Skilled nursing facility care 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 exchange (up to plan limits) | 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 | $7,220 | 3,610 | n/a | n/a |
*Plan F and G on the above Medicare Supplement chart offers a high-deductible plan. If you have this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,870 before your Medigap plan pays anything.
Note that as of January 1, 2020, Medigap plans sold to new people with Medicare aren’t allowed to cover the Part B deductible. Because of this, Plans C and F are not available to people new to Medicare starting on January 1, 2020.
**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.
***Foreign travel emergency coverage with Medigap policies has a lifetime limit of $50,000.
****Plan N on the above Medicare Supplement Chart pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in inpatient admission.
*********The above premiums represent national averages. Plan premiums can and do vary by state and by carrier.
The above Medicare Supplement chart information was retrieved from Medicare.gov.
Note that graphs and charts are best viewed on desktops, laptops or landscape tablets.
I/We do not offer every plan available in your area. Any information I/we provide is limited to the plans I/we do offer in your area. Please contact Medicare.gov or 1-800-Medicare to get information on all of your options. Doyle-Crow & Associates, or it’s Agents, are not part of the Federal Government Medicare System. The content in on this website has not been reviewed or approved by Medicare.
The public health insurance Marketplace (also referred to as an “Exchange”) is where you can purchase health insurance (also known as Obama Care) for you and your family. A plan from the marketplace is considered a comprehensive major medical plan and also contains the essential health benefits (see below) as established under the Affordable Care Act (ACA) law.
The essential health benefits are as follows:
-Ambulatory patient services
-Emergency services
-Hospitalization-Maternity and newborn care
-Prescription Drugs
-Mental health and Substance Abuse disorder services
-Rehabilitative and habilitative services and devices
-Pediatric services, including oral and vision care
-Preventive and wellness services, and chronic disease management