Medigap Plan F: Medicare Supplement Insurance Plan F
Plan F supplemental Medicare coverage is comprehensive. This Medicare Supplement Insurance policy fills the gaps of Original Medicare’s deductibles, copayments, and coinsurance.
Answer the following questions about your Medigap Insurance needs:
- Would you like comprehensive coverage?
- Would you like not paying for deductibles?
- Would you like not dealing with coinsurance?
- Would you like not paying copays?
- Were you eligible for Medicare before 2020?
If you answered yes to the coverage questions above, we recommend a Medigap Plan F. A Medicare supplement Plan F provides comprehensive coverage in areas that Medicare does not. Only people eligible for Medicare before 2020 are able to purchase a Plan F.
Medigap Plan F Supplemental Insurance Benefits:
- No Insurance Deductibles
- No Coinsurance
- No Co-pays
- No Referrals Needed
- No Claims Paperwork
Medigap Plan F Coverage Supplements Medicare
Specifically, Medicare Supplement Plan F includes coverage of Medicare Part A deductible and coinsurance. As well as some costs after you’ve exhausted hospital benefits. Medigap Plan F covers Medicare Part B deductible of $203 and coinsurance of 20%.
Medicare covers for costs related to blood but only after the first three pints. An “F” policy provides coverage for the first three pints of blood.
Medicare Plan F pays the deductible payments for both Medicare parts. If you were have Medicare Part B excess charges, you are covered. This Medigap plan covers costs related to foreign travel emergencies, up to specific limits.
Medicare Supplemental plans are standardized by regulators. There isn’t a different between a Plan F’s benefits and multiple insurance companies. If a company offers multiple Medicare Supplement Insurance Plans, each plan must be exact to the benefits listed below. A Medicare Supplemental Insurance Plan F must be the same from one company to the next. The only difference between the companies is the amount they charge, also known as insurance premiums.
Compare Medicare Supplement Insurance Plans now on our website. This is your opportunity to compare insurance premiums from multiple companies to get the best rates with the most comprehensive coverage.
Get Help with Medicare and Compare Multiple Medicare Supplement Quotes Online
Or Call Retirement Transitions (402) 805-4626
To Speak with a Medicare Supplement Specialist about Plan F
Medigap Plan F – Medicare Supplemental Insurance Benefits
Plan F Covers: Hospital Care
The 2021 Medicare Part A deductible is $1,484 for days 1-60 for hospital inpatient care. Inpatient hospital care days 61-90 is $371 each benefit period. If you are in inpatient hospital care for more than 90 days, the Medicare Part A cost sharing is $742 per “lifetime reserve day”, which is a total of 60 days over your lifetime. If you exceed 60 days over your lifetime reserve days, you would have to pay all the cost without having a Medicare Supplemental Insurance Plan F policy. Medicare Supplement Plan F Insurance pays 100% of the Part A insurance deductible, coinsurance, and hospital costs up to an additional 365 days after Medicare benefits are used.
Plan F Covers: Skilled Nursing Facility Care
Medicare covers skilled nursing facility care and the supplement Plan F will pay the coinsurance. Most agents and companies do not inform individuals that Original Medicare will NOT pay for skilled nursing facility care – if the individual hasn’t been in an inpatient hospital for three consecutive days.
Medigap Plan F: Coverage for Services
Medicare Supplemental Plan F pays 100% of the Part B deductible. The 2020 Part B deductible is $198. The Part B deductible is $203 in 2021. After the Part B deductible is met, typically you would have to pay 20% of the Medicare-approved amount for the services provided. Your Medicare Plan F policy pays the 20% coinsurance.
Medigap Plan F provides piece-of-mind with comprehensive care. Unlike group health insurance or individual insurance, Original Medicare doesn’t have an annual limit, also known as Max-Out-Of-Pocket (MOOP).
| Medigap Benefits | Medigap Plans | |||||||||
| Plan A | Plan B | Plan C | Plan D | Plan F* | Plan G | Plan K | Plan L | Plan M | Plan N | |
| Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Part B coinsurance or copayment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes*** |
| Blood (first 3 pints) | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
| Part A hospice care coinsurance or copayment | Yes | Yes | Yes | Yes | Yes | Yes | 50% | 75% | Yes | Yes |
| Skilled nursing facility care 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 charges | No | No | No | No | Yes | Yes | No | No | No | No |
| Foreign travel exchange (up to plan limits) | No | No | Yes | Yes | Yes | Yes | No | No | Yes | Yes |
| Out-of-pocket limit** | N/A | N/A | N/A | N/A | N/A | N/A | $5,880 | $2,940 | N/A | N/A |
* Medigap Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,340 (in 2020) before your Medigap plan pays anything.
** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the Medigap plan pays 100% of covered services for the rest of the calendar year.
*** Plan N pays 100% of the Part B coinsurance. Except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in inpatient admission.
Learn about other Medicare Supplemental Plans available.