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 | 80% | 80% | 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
Plan M
Medigap Plan M offers many cost-sharing benefit options and includes many similar benefits to Plan D, but will only cover 50% of the Part A deductible.
Plan M covers Part A hospital coinsurance, skilled nursing facility benefits, and hospice coinsurance. However, it does not cover the Part B deductible ($226 in 2023) and only covers half of the Part A deductible ($1,600 in 2023). However, once you meet your Part B deductible, you will not be responsible for coinsurance for appointments with your physician.
Medigap Plan M also includes coverage for hospital costs up to an additional 365 days after Medicare benefits are used up, coinsurance for Part B, blood services (first three pints), hospice coinsurance for prescription drugs, and 80% of foreign travel emergency benefits.
Not all insurance carriers offer all of the Medicare Supplement Plans. It can also 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 would 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.
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