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Medicare Supplement (Medigap) Plan F

Medicare Supplement Plan F is the most popular Medigap plan and offers the most benefits of any Medigap plan. Find out if it’s the right Medigap plan for you.

Of the 10 Medicare Supplement Insurance plans (Medigap) that are available in most states, Plan F is the most popular plan and offers the most benefits. In fact, 41 percent of all Medigap beneficiaries are enrolled in Medicare Supplement Insurance Plan F.2

To get help finding a Medicare Supplement Insurance Plan F that may be offered in your area, you can compare your options today at MedicareSupplement.com.

An agent can help you compare plans and find the plan that’s a good fit for your unique health care needs.

Medicare Supplement Plan F benefits

Medicare Supplement Insurance plans can offer coverage for varying combinations of up to nine defined areas. Medigap Plan F is the only Medigap plan to offer coverage for each potential Medigap benefit.

Here is a look at how Plan F compares to other Medigap plans, as well as a detailed description of each benefit Plan F can offer.

Part A coinsurance

If you are admitted to the hospital for inpatient care, you will first need to satisfy your Medicare Part A deductible in each benefit period before your Medicare coverage kicks in. Part A helps cover inpatient care costs.

Once you meet the Part A deductible in 2024, you will be responsible for a Part A coinsurance payment of $408 per day for days 61-90 of a hospital stay in each benefit period, and $816 per day beyond that.

Every Medicare Supplement Insurance plan, including Plan F, covers the Part A coinsurance in full.

Part B coinsurance

After meeting your annual Part B deductible (Part B covers costs of doctor’s appointments, medical equipment, supplies and some other costs), your Part B coverage will typically require you to pay a 20 percent coinsurance for the remainder of your costs until the end of the year.

Every Medicare Supplement Insurance plan offers at least some coverage for the Medicare Part B coinsurance, and Medigap Plan F is one of eight plans to offer full coverage.

Part A hospice care coinsurance or copayments

While in hospice care, you may be charged copayments for administered drugs and respite care.

Every Medicare Supplement Insurance plan offers at least some coverage for Part A hospice care coinsurance and copayments, and Medigap Plan F is one of eight plans to offer full coverage.

Coinsurance for skilled nursing facilities

While staying at a skilled nursing facility, you will be required to make coinsurance payments of $204 per day in 2024 for days 21-100 of your stay, and you will be responsible for all costs thereafter.

Eight Medicare Supplement Insurance plans offer at least some coverage for skilled nursing facility coinsurance, and Medigap Plan F is one of only six plans to offer full coverage.

Part A deductible

Part A of Medicare requires a deductible of $1,632 for each benefit period in 2024. You can potentially face more than one benefit period in a calendar year.

Nine Medicare Supplement Insurance plans provide coverage for the Part A deductible, and Medicare Supplement Insurance Plan F is one of six plans to cover it in full.

Part B deductible

Part B of Medicare requires beneficiaries to meet an annual deductible of $240 in 2024.

Only two Medicare Supplement Insurance plans provide any coverage for the Part B deductible. Medigap Plan F covers it in full.

Part B excess charges

If a health care provider does not accept Medicare assignment, they are allowed to charge up to 15 percent more than the Medicare-approved amount for their products or services.

Plan F offers full coverage for these Part B excess charges and is one of just two plans to offer any such coverage at all.

First three pints of blood

During a blood transfusion, Medicare does not cover the cost of the first three pints of blood.

All 10 Medicare Supplement Insurance plans provide at least some coverage for the first three pints of blood, and Medigap Plan F is one of eight plans to offer full coverage.

Foreign travel emergency care

Medicare only provides coverage for emergency care received outside of the U.S. under limited circumstances.

Six Medicare Supplement Insurance plans, including Plan F, offer 80 percent coverage of qualified foreign travel emergency care.

 

Click here to view enlarged chart Scroll to the right to continue reading the chart
Medicare Supplement Benefits A B C* D F1* G1 K2 L3 M N4
Part A coinsurance and hospital coverage                    
Part B coinsurance or copayment             50% 75%    
Part A hospice care coinsurance or copayment             50% 75%    
First 3 pints of blood             50% 75%    
Skilled nursing facility coinsurance             50% 75%    
Part A deductible             50% 75% 50%  
Part B deductible                    
Part B excess charges                    
Foreign travel emergency     80% 80% 80% 80%     80% 80%
* Plan F and Plan C are not available to Medicare beneficiaries who became eligible for Medicare on or after January 1, 2020. If you became eligible for Medicare before 2020,... you may still be able to enroll in Plan F or Plan C as long as they are available in your area.

1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,800 in 2024. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high-deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.

2 Plan K has an out-of-pocket yearly limit of $7,060 in 2024. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.

3 Plan L has an out-of-pocket yearly limit of $3,530 in 2024. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.

4 Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 copayment for emergency room visits that don’t result in an inpatient admission.
+ Read more

 

Plan F in review

Medicare Supplement Insurance Plan F is the only Medigap plan to offer coverage in all nine benefit areas, and it’s the only plan to offer full coverage in eight areas.

Plan F also offers a high-deductible version, which requires members to meet a $2,800 annual deductible in 2024 before the plan’s coverage may begin. By paying a higher deductible, beneficiaries of the plan may pay a lower monthly premium.

If you became eligible for Medicare after January 1, 2020, you will not be able to enroll in standard Plan F or high-deductible Plan F. However, if you already had Medicare before that date, you can still enroll in Plan F if it’s available in your area.

Enroll in Medicare Supplement Insurance Plan F

Medicare Supplement Insurance is sold by private insurance companies, so the cost and availability of Plan F may differ from one area to the next. However, the basic benefits of Medigap Plan F remain the same, no matter where you live.

To learn more and to get started enrolling in Medicare Supplement Insurance Plan F, compare your plan options at MedicareSupplement.com today!

Learn more about Medicare Supplement plans available where you live.

Speak with a licensed insurance agent

1-800-557-6059
|
TTY 711, 24/7
Christian Worstell

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

..

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

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