Medicare Supplement High Deductible F

Medicare Supplement Plan High Deductible F acts like traditional Plan F. For instance, the only difference is that High Deductible Plan F has an annual deductible. In other words, once the deductible is met, High Deductible F becomes identical to Plan F. Medicare Supplement Plan High Deductible F has an annual deductible of $2,340 in 2020. Therefore, your coverage will begin only after you have satisfied the deductible. However, you will find that the premiums for High Deductible F Plan are much less than Plan F. As a result, it is one of the Medigap plans that has low premiums.

The deductible amount tends to increase every year. The amount was $2,300 in 2019. An increase of $40 in 2020.

Is Plan High Deductible F Going Away?

Not exactly. However, as of January 1, 2020, Plan High Deductible F cannot be sold to those newly eligible for Medicare. As a result of Medicare Access and CHIP Reauthorization Act (MACRA), first dollar coverage plans must be eliminated. Other first dollar plans are F, and also C.

Those enrolled in High Deductible F plan prior to January 1, 2020 may keep their plan. Those individuals who became eligible for Medicare prior to January 1, 2020 may keep or purchase Plan High Deductible F after December 31, 2019.

As a result of the changes in Medigap plans, a new plan was made available. High Deductible G is available to individuals who are new to Medicare on or after 1/1/2020.

Medicare Supplement High Deductible F Benefits

Part A Hospital Coinsurance

  • Days 61-90 of a hospital stay in each Medicare benefit period.
  • Days 91-150 of a hospital stay. Medicare will only pay for these 60 days once during your lifetime.

Additional Part A Hospital Benefits

  • An extra 365 days of inpatient hospital care after you use your Original Medicare hospital benefits.

Part B Coinsurance

  • Pays for the Part B coinsurance. Part B co-insurance is 20%. But plan deductible ($2,340) must be met first.

Part A and B Blood Coverage

  • Pays for the first three pints of blood per calendar year.

Part A Hospice Coinsurance

  • Pays for outpatient prescriptions drug and also inpatient respite care coinsurance.

Part A Deductible

  • Pays for Part A Deductible. In 2020, the Medicare Part A Deductible is $1,408. It increased $44 from 2019.

Part B Deductible

  • In 2020, the Medicare Part B Deductible is $198.00. It was $185. It therefore increased $13 from 2019.

Skilled Nursing Facilities

  • In 2020, the co-payment for skilled nursing is $176/day for days 21-100. It was $170.50/day in 2019. Therefore, it increased $5.50.

Part B Excess Charges

  • If you go to a provider that does not accept Medicare assignment, that provider is allowed to charge an additional 15%. Above all, Medigap High Deductible F plan pays for the excess charges.

Foreign Travel Emergency

  • Plan High Deductible F pays only for emergency care
  • Pays only after you first meet and pay a $250 deductible.
  • Pays 80% of billed charges for Medicare eligible expenses for medically necessary hospital, physician, and medical care received in a foreign country. You would be responsible for the other 20%.
  • Has a $50,000 lifetime maximum benefit.