Understanding Medicare Supplement Insurance, also known as Medigap, can be a bit tricky. One popular, but now discontinued for new enrollees, option was Medigap Plan F. This post will outline what Plan F covered.
Medigap Plan F Coverage (for those enrolled before 2020)
Plan F was often considered the most comprehensive Medigap plan available. It covered almost all “gaps” in Original Medicare (Parts A and B). Here’s a breakdown of what was included:
- Part A Coinsurance and Hospital Costs: Covers your Medicare Part A deductible, coinsurance, and hospital costs up to an additional 365 days after your Medicare benefits are exhausted.
- Part B Coinsurance or Copayment: Covers the 20% coinsurance or copayment you typically pay for Medicare Part B services (doctor’s visits, outpatient care, etc.).
- Blood (First 3 Pints): Covers the cost of the first three pints of blood you need in a calendar year.
- Part A Hospice Care Coinsurance or Copayment: Covers your hospice care coinsurance or copayment.
- Skilled Nursing Facility Care Coinsurance: Covers your coinsurance for care in a skilled nursing facility.
- Part B Excess Charges: This is a crucial benefit. If your doctor charges more than the Medicare-approved amount, Plan F covers the excess charge.
- Foreign Travel Emergency: Covers 80% of the cost of medically necessary emergency care you receive while traveling outside the U.S. (up to plan limits).
- Part A Deductible: Pays your Medicare Part A deductible.
- Part B Deductible: Pays your Medicare Part B deductible.
Important Note: Plan F is no longer available to individuals who became eligible for Medicare on or after January 1, 2020. Those who were already eligible before this date may still be able to purchase or continue with Plan F if it is available in their area. If you are new to Medicare, consider other Medigap plans like Plan G or Plan N. Always consult with a licensed insurance agent to determine the best Medigap plan for your individual needs.
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