Medicare Supplement Plan L does not cover the Part B deductible, however, it does pay for 75% of the Part A deductible. Less than .5% of Medigap policy holders are enrolled in Medicare Supplement Plan L. Plan L is not offered by many insurance companies.
The Medicare Modernization Act of 2003 introduced Medigap Plans K and L. Plan L covers the basic set of benefits. These basic benefits include most Medicare Part A and B coinsurance amounts, blood, and additional hospital benefits not covered by Original Medicare. Plan K also covers the Part A Deductible(75%) and Skilled Nursing Facilities(75%). Plan L has an out-of-pocket annual limit of $2,940 in 2020.
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
- Plan L pays for the Part B coinsurance at 75% after you meet your annual deductible.
Part A and B Blood Coverage
- Pays for the first three pints of blood at 75% per calendar year.
Part A Hospice Coinsurance
- Pays for outpatient prescriptions drug and inpatient respite care coinsurance at 50%.
Part A Deductible
- In 2021, the Medicare Part A Deductible is $1,484. Medigap Plan L covers the deductible amount at 50%.
Skilled Nursing Facilities
- In 2021, the co-payment for skilled nursing is $185.50/day for days 21-100. Medigap Plan L covers the co-payment amount at 50%.
Enrollment by State
The following data is provided by Ahip.org and it is as of December 31, 2018:
- Ohio had 6,310 enrollees in Plan L. Plan L has more enrollees than Plans A, B and K and M.
- Florida had 4,232 people enrolled in Plan L. Plan L has more enrolless than Plan M.
- Texas had 3,472 enrollees in Plan L. Plan L has less than enrollees than all Medigap Plans offered.
- New York had 3,217 enrollees in Plan L. Only Plans D and M have less enrollees than Plan L.
- New Jersey had 2,846 enrollees in Plan L. Plan L has more enrollees than Plans B, D and also M.
- California had 2,826 enrollees in Plan L. Only Plans D and M have less enrollees than Plan L.
- Illinois had 1,840 enrollees in Plan L. Plan L has less than enrollees than all Medigap Plans offered.
- Pennsylvania had 1,698 people enrolled in Plan L. Only Plan M has less enrollees than Plan L.
- Oklahoma had 1,544 enrollees in Plan L. Plans B, K and also M have less enrollees.
- Colorado had 1,138 people enrolled in Plan L. Medigap Plans B, D and M had fewer enrollees.
- North Carolina had 1,123 people enrolled in Plan L. Only Plan M had fewer enrollees.
- Maryland had 1,062 people enrolled in Plan L. Medigap Plan M has fewer enrollees.
- Indiana had 1,053 people enrolled in Plan L. Only Plan M had fewer enrollees.