Medigap Plans
Medigap Plans at a Glance
Medigap Plans C, F and High Deductible F: As of January 1, 2020, Plans C, F and High Deductible F cannot be sold to those newly eligible for Medicare. Newly eligible is defined as anyone who: attains age 65 on or after January 1, 2020, or who first becomes eligible for Medicare benefits due to age, disability or end-stage renal disease on or after January 1, 2020. Those enrolled in Plans C, F or High Deductible F 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 Plans C, F or High Deductible F after December 31, 2019.
The federal government regulation of Medigap insurance generally requires that all plans cover these services:
- Part A coinsurance/co-payment (not the deductible) and for the cost of 365 extra days of hospital care after Medicare coverage ends.
- Part B coinsurance (usually 20 percent of the Medicare approved payment amount).
- The first three pints of blood.
- Hospice Part A coinsurance (outpatient prescription drug co-payment and inpatient respite care coinsurance). Plan K will cover 50% of the costs and Plan L will cover 75%.
Medicare Supplement Plans (A Through N)
Medicare Supplement Plan A – Medigap Plan A covers the basic set of benefits. Does not pay for Part A or Part B Deductible. For that reason, it is not one of the more popular plans.
Medicare Supplement Plan B – Similarly, this plan does not cover the Part B Deductible, however, it does pay for the Part A Deductible.
Medicare Supplement Plan C – Similar to Plan F because it picks up all the gaps except the Part B Excess Charges. Not offered by many insurance companies.
Medicare Supplement Plan D – Similar to Plan G but does not pay for Part B Excess Charges. Plan does not pay for the Part B Deductible
Medicare Supplement Plan F – Considered the best Medicare Supplement Plan because it fills all the gaps in Original Medicare.
Medicare Supplement Plan High Deductible F – The 2020 deductible amount is $2,340. It acts like Plan F, once the deductible has been met.
Medicare Supplement Plan G – Fills in all the gaps except the Part B Deductible. Therefore, it is the second most popular plan behind Plan F.
Medicare Supplement Plan High Deductible G – New plan in 2020. The deductible amount in 2020 is $2,340, just like High Deductible F Plan.
Medicare Supplement Plan K – This plan covers 50% of the Part A Deductible. Most companies don’t offer it.
Medicare Supplement Plan L – It pays 75% of Part A Deductible and Part B co-insurance. Not a very popular plan
Medicare Supplement Plan M – It pays for the Part B Deductible and 50% of the Part A Deductible. Does not pay for Part B Deductible.
Medicare Supplement Plan N – There is a $20 co-pay for office visits and $50 co-pay for ER visits. Third most popular plan behind F and G.