Medicare Supplement insurance (also called Medigap) is private insurance that helps fill the “gaps” left in Original Medicare, Part A and Part B. Medigap helps you pay for costs such as Original Medicare’s deductibles and copayments, which can add up over the year.
In most states, these plans come in 10 standardized types, meaning that each Medigap plan of the same name offers the same benefits, no matter which insurance company you get it from. They are also standardized in 47 of the states (Massachusetts, Minnesota, and Wisconsin offer their own Medicare Supplement plans). So, for example, if you choose a Medicare Supplement Plan F in one of those 47 states, it will have the same benefits as a Medicare Supplement Plan F from another company or in another state. However, Medicare Supplement premiums may vary, and insurance companies aren’t required to offer all 10 of the Medigap plans.
How to Read This Chart:
|Medigap Plan Benefits||Plan A||Plan B||Plan C||Plan D||Plan F*||Plan G||Plan K||Plan L||Plan M||Plan N|
|2016 Out-of-Pocket Limit**|
|$ 4960||$ 2480|
|Part A coinsurance hospital costs up to an additional 365 days after Medicare benefits are exhausted|
|Part B copayment or coinsurance||50%||75%||***|
|First 3 pints of blood||50%||75%|
|Part A hospice care coinsurance/copayment||50%||75%|
|Part A deductible||50%||75%||50%|
|Skilled nursing facility care coinsurance||50%||75%|
|Foreign travel emergency coverage (up to plan limits)||80%||80%||80%||80%||80%||80%|
|Part B deductible|
|Part B “excess charges”|
* There is also a high-deductible version of Plan F in which beneficiaries pay for Medicare-covered costs up to a $2,180 (in 2016) deductible amount before the plan begins coverage.
** After the out-of-pocket limit and annual Part B deductible are reached for Medigap Plans K or L, the plan pays 100% of covered services for the remainder of the calendar year.
*** Plan N pays 100% of Part B coinsurance costs, except for up to $20 copayment for certain office visits and up to $50 for emergency room visits that don’t result in an inpatient admission.
Contact the Medicare plan directly.
To learn about Medicare plans you may be eligible for, you can: