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Find Out if Medigap Plan M Is Right for You

October 6, 2016

Medicare Supplement plans (also known as Medigap plans) are available through private insurance companies. They may help pay for your out-of-pocket costs under Original Medicare, Part A and Part B, like copayments and coinsurance. Medigap Plan M is often described as the middle point between Medigap Plan A, which offers basic health coverage, and the more thorough and comprehensive Medigap Plan F. Medigap Plan M may be the right fit for you if you sometimes need care at a hospital or skilled nursing facility.

Health coverage under Medigap Plan M

Medigap Plan M is almost identical in benefits to Medigap Plan D except that unlike Plan D, it only covers 50% of your Medicare Part A deductible. The Medicare Part A deductible amount is $1,340 in 2018. Since Medigap Plan M only covers half of the Medicare Part A deductible, you would still be responsible for the remainder of the deductible for Medicare Part A services. This means that under Medigap Plan M, you could have out-of-pocket expenses of $670 per calendar year (the remainder of the Part A deductible) when receiving services covered by Medicare Part A, including inpatient hospital care, skilled nursing facility (SNF) care, hospice care, and certain home health care services.

Medigap Plan M covers the following benefits:

  • Medicare Part A coinsurance and hospital costs up to another year after Medicare Part A benefits are used up
  • Medicare Part B coinsurance or copayment
  • The first three pints of blood (if the hospital has to buy blood for you)
  • Medicare Part A hospice care coinsurance or copayment
  • Skilled nursing facility care coinsurance

Note that Medigap Plan M does not offer coverage for the Medicare Part B excess charges or deductible.

To understand the differences between Medigap Plan M and the other standardized Medigap plans, and to find the plan that best suits your health needs, feel free to use our Medigap plan comparison chart.

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