Medigap Policies
A Medigap policy is a health insurance policy sold by private insurance companies to fill “gaps” in Original Medicare Plan coverage. Every Medigap policy must follow federal and state laws designed to protect you, and they must be clearly identified as “Medicare Supplement Insurance.” Insurance companies can sell you only a “standardized” policy identified in most states by letters A through D, F through G, and K through N. All policies offer the same basic benefits, but some offer additional benefits so you can choose which one meets your needs. In Massachusetts, Minnesota, and Wisconsin, Medigap policies are standardized in a different way..
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Outline of Medicare Supplement Coverage
(Benefit Plans A-N)
The chart below shows basic information about the different benefits that Medigap policies cover. If a percentage appears, the Medigap plan covers that percentage of the benefit, and you’re responsible for the rest. Some plans may not be available in your state as indicated below.
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A | B | C | D | F* | G | K | L | M | N | |
Medicare Part A Coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Medicare Part B Coinsurance or Copayment | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% ** |
Blood (First 3 pints) | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
Part A Hospice Care Coinsurance or Copayment | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
Skilled Nursing Facility Care Coinsurance | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% | ||
Medicare Part A Deductible | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 50% | 100% | |
Medicare Part B Deductible | 100% | 100% | ||||||||
Medicare Part B Excess Charges | 100% | 100% | ||||||||
Foreign Travel Emergency (Up to Plan Limits) | 80% | 80% | 80% | 80% | 80% | 80% | ||||
Out-of-Pocket Limit | $4,960 | $2,480 |