Licensed Insurance Agents: 888-323-1149 TTY: 711
Mon - Fri, 8am - 8pm ET

Medicare Supplement (Medigap) Plans – Plan F

October 6, 2016

Most Comprehensive Medicare Supplement (Medigap) Plan

Out of the 10 standardized Medicare Supplemental Insurance (Medigap) plans, Plan F is a popular option. Among the 10 standardized plans, Plan F offers the highest level of coverage.

Original Medicare (Part A and Part B) may require you to cover out-of-pocket costs like coinsurance and deductibles. Medicare Supplement Plan F may cover these expenses for you and leave you with few, if any, out-of-pocket Medicare costs. As the most comprehensive Medicare Supplement plan, Plan F often comes with a higher premium than other Medicare Supplement plans that offer fewer benefits.

Medicare Supplement Plan F coverage

Like the other standardized Medigap plans, Medicare Supplement Plan F provides basic gap coverage for the following:

  • Medicare Part A hospital coinsurance costs up to an additional 365 days after Medicare benefits are used up
  • Medicare Part B copayment or coinsurance coverage of outpatient services, supplies, treatment, physician services, and more
  • First three pints of blood used in an approved medical procedure
  • Part A hospice care coinsurance or copayment

Medicare Supplement Plan F also covers:

  • Skilled nursing facility care coinsurance
  • Medicare Part A deductible for hospitalization
  • Medicare Part B deductible for hospital outpatient services and other services and items
  • Medicare Part B excess charges (the difference between what a provider that doesn’t accept Medicare assignment charges and what Medicare will pay up to its limit)
  • 80% of foreign travel emergency coverage (up to plan limits)
  • Medicare preventive care Part B coinsurance

Medicare Supplement Plan F costs

In general, Medicare Supplement insurance costs may include monthly premiums. Medicare Supplement Plan F pricing may vary by insurance company and location; certain companies may use age-related pricing methods while others may offer a set pricing schedule for monthly premiums. Despite these different methods, every company must notify its enrollees in advance if it plans to increase premiums. Along the same lines, companies generally cannot cancel coverage unless an enrollee does not pay the plan premium.

High-deductible Medicare Supplement Plan F

In addition to the standardized Medicare Supplement Plan F, there is also a ‘high deductible’ version of this plan. Under the high-deductible version, you’re required to pay for all fees up to a certain annual deductible. After you’ve spent up to the deductible, the Medicare Supplement plan covers the remainder of your Medicare-approved health-care costs for the year. Because you are responsible for higher out-of-pocket costs associated with your plan deductible, a high-deductible Plan F usually has a lower monthly premium than a standard Medigap Plan F.

Our Medigap plan benefit chart allows you to compare the comprehensive benefits of Plan F to the other standardized Medicare Supplement plans.

 

Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.