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Medicare Supplement (Medigap) plans work alongside your Original Medicare plan to help fill coverage gaps, such as traveling abroad and deductibles. Because it is used with your federal Medicare coverage, it is also accepted at any hospital that accepts Original Medicare.
Medicare Supplement plans offer the advantage of flexibility; unlike some other senior healthcare options, you have the freedom to enroll in or change your Medicare Supplement policy at any time throughout the year. And because Medicare Supplement policies are guaranteed renewable, you cannot lose coverage if you develop a health condition or concern-meaning you're protected year over year, no matter what.
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The chart shows the benefits included in each of the standard Medicare supplement plans. Some plans may not be available. Only applicants first eligible for Medicare before 2020 may purchase Plans C, F, and high deductible F. (✓= 100% of benefit is paid)
| BENEFITS | PLANS AVAILABLE TO ALL APPLICANTS | MEDICARE FIRST ELIGIBLE BEFORE 2020 ONLY |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| A | B | D | G1 | K | L | M | N | C | F1 | |
| Medicare Part A coinsurance and hospital coverage (up to an additional 365 days after Medicare benefits are used up) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Medicare Part B coinsurance or Copayment | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓3 | ✓ | ✓ |
| Blood (first 3 pints) | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ | ✓ | ✓ |
| Part A hospice care coinsurance or copayment | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ | ✓ | ✓ |
| Skilled nursing facility coinsurance | ✓ | ✓ | 50% | 75% | ✓ | ✓ | ✓ | ✓ | ||
| Medicare Part A deductible | ✓ | ✓ | ✓ | 50% | 75% | 50% | ✓ | ✓ | ✓ | |
| Medicare Part B deductible | ✓ | ✓ | ||||||||
| Medicare Part B excess charges | ✓ | ✓ | ||||||||
| Foreign travel emergency (up to plan limits) | 80% | 80% | 80% | 80% | 80% | 80% | ||||
| Out-of-pocket limit in 20262 | $8,0002 | $4,0002 | ||||||||
1 Plans F and G also have a high deductible option which require first paying a plan deductible of $2,950 before the plan begins to pay. Once the plan deductible is met, the plan pays 100% of covered services for the rest of the calendar year. High deductible plan G does not cover the Medicare Part B deductible. However, high deductible plans F and G count your payment of the Medicare Part B deductible toward meeting the plan deductible.
2 Plans K and L pay 100% of covered services for the rest of the calendar year once you meet the out-of-pocket yearly limit.
3 Plan N pays 100% of the Part B coinsurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that do not result in an inpatient admission.
