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Medicare Plan F Coverage Details

Medicare Plan F, also known as the most comprehensive Medicare Supplement plan, offers virtually complete coverage for healthcare costs. While it’s no longer available to new Medicare beneficiaries who became eligible on or after January 1, 2020, understanding its coverage is crucial for those who already have it. Below is a detailed breakdown of what Plan F covers:

  • Medicare Part A Deductible: Pays the deductible for inpatient hospital stays.
  • Medicare Part B Deductible: Pays the annual deductible for outpatient services and doctor visits.
  • Medicare Part A Coinsurance and Hospital Costs: Covers coinsurance and hospital costs for inpatient hospital stays up to an additional 365 days after Medicare benefits are exhausted.
  • Medicare Part B Coinsurance and Copayments: Covers the 20% coinsurance for most Part B services, including doctor visits, outpatient therapy, and durable medical equipment.
  • Blood (First 3 Pints): Covers the cost of the first three pints of blood needed in a medical procedure each year.
  • Skilled Nursing Facility (SNF) Coinsurance: Pays the daily coinsurance costs for skilled nursing facility stays.
  • Hospice Care Coinsurance or Copayment: Covers the coinsurance or copayment for hospice care.
  • Medicare Part B Excess Charges: Covers excess charges, which are the difference between what a doctor charges and what Medicare approves, up to a certain limit.
  • Foreign Travel Emergency Care: Provides coverage for emergency healthcare received while traveling outside the U.S. (up to plan limits).

Important Note: Because Plan F covers both Part A and Part B deductibles, it’s considered the most comprehensive and, therefore, typically the most expensive Medigap plan. Those enrolled in Plan F generally have very little out-of-pocket healthcare costs. If you are eligible and considering a Medigap plan, compare Plan F’s coverage and cost with other available plans to find the best fit for your needs and budget.

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