Medigap Plans
Benefits | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
Part A hospital coinsurance | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
365 hospital reserve days | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Part B coinsurance/copay | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Blood benefit (first 3 pints) | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Hospice coinsurance/copay | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Skilled nursing facility coinsurance | No | No | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
Part A deductible | No | Yes | Yes | Yes | Yes | Yes | 50% | 75% | 50% | Yes |
Part B deductible | No | No | Yes | No | Yes | No | No | No | No | No |
Part B excess charge | No | No | No | No | Yes | Yes | No | No | No | No |
Foreign travel benefit | No | No | 80% | 80% | 80% | 80% | No | No | 80% | 80% |
Out-of-pocket limit | N/A | N/A | N/A | N/A | N/A | N/A | $6,940 | $3,470 | N/A | N/A |
2023 Data – Table Source
What’s Medigap Plan L?
Medicare Supplement Plan L may be a good choice for those with low medical expenses, as it has an out-of-pocket limit. This gives enrollees the potential of a low monthly premium.
Plan L utilizes different divisions of cost for items and services than most of the supplement plans. You will have to pay some expenses yourself for some covered services until you meet the yearly cap. After you hit the yearly limit, your Plan L policy pays these expenses until the end of the year.
Benefits specifically included with Plan L include Part A coinsurance and expenses for 365 days after your hospital benefits end. It also covers Medicare Part B coinsurance at 75% for all services except preventive care. Also covered at 75% are skilled nursing facility services, hospice care coinsurance or copayment, and the Medicare Part A deductible. Blood coverage is also covered at 75% after the first three pints.
There are services and benefits not covered under Plan L. The Part B deductible is not covered and any excess charges are also your responsibility. Emergency coverage for travel abroad is not included with this plan, so be aware of this when traveling. Recovery at home benefits are also not included in Plan L. The out-of-pocket limit, (amount that you are responsible for), in 2023 is $3,470 and may increase or vary from year to year.
Not all insurance carriers offer all Medigap Supplement Plans and it can be difficult to determine which plan is right for you. Most insurance carriers offer a variety of plans, so our licensed sales agents can help you shop around for the plan that will best fit your needs. Or, do a bit of research on your own with our Find a Plan tool. Just enter your zip code to start comparing Medigap plans in your area.
