Medicare Supplement Insurance

Plan F

Medicare Supplement Plan F is generally regarded as the most comprehensive plan out of the 10 Medicare Supplement (Medigap) policies available in most states.

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Medicare Supplement Insurance Plan F
Medicare Supplement Insurance Plan F
Medicare Supplement Plan F is generally regarded as the most comprehensive plan out of the 10 Medicare Supplement (Medigap) policies available in most states. Its ex-tensive coverage makes this a popular plan for beneficiaries who want broader assis-tance with out-of-pocket costs in Original Medicare; however, this also means that pre-miums may be more expensive.
Medicare Supplement Insurance Plan F
Because Plan F covers most remaining hospital and doctor costs after Original Medi-care (Part A and Part B) has paid its share, it’s possible for beneficiaries with this plan to not have any or minimal other hospital and medical expenses.
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Medicare Supplement insurance plans are sold by private insurance companies, which aren’t required to offer all 10 of the Medigap plan types offered in most states. However, they must offer at least Plan A if they offer any Medigap policy, and must also offer Plan C or Plan F if they offer any Medigap plans other than Plan A.

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Because of its popularity, many insurance companies offer Plan F. Plan availability varies by location, so always research and compare plan options for your specific zip code and county.

What benefits are covered under Medicare Supplement Plan F?

Plan F basic benefits, like other Medigap plans, are standardized in most states. This means that regardless of where you live or which insurance company you purchase from, you’ll get the exact same basic benefits for a Plan F sold anywhere in your state (note that there is also a high-deductible version of Plan F discussed below). However, keep in mind that even though basic benefits are the same, premiums may vary.
Below is a list of costs and benefits covered by Medicare Supplement Plan F:
Medicare Part A
Medicare Part A
Part A hospital and coinsurance costs up to an additional 356 days after Medicare benefits are exhausted.
Medicare Part A - Hospice
Medicare Part A hospice care copayment or coinsurance.
Medicare Part A deductible.
Medicare Part B
Medicare Part B
Medicare Part B coinsurance. Medicare Part B excess charges.
Medicare Part B
Medicare Part B deductible.
Blood
Blood
First three pints of blood used in an approved medical procedure (annually).
Nursing & Travel
Skilled nursing facility coinsurance. Foreign travel emergency coverage (80%, up to plan limits).

Medicare Supplement Plan F

Even though Medicare Supplement Plan F offers the broadest coverage of any of the 10 Medigap plans, it doesn’t cover all of the costs you may have in Original Medicare. For example, you’ll still need to keep paying your Medicare Part B premium payments each month. If you haven’t worked enough quarters to qualify for premium-free Medi-care Part A (typically at least 10 years, or 40 quarters), you may owe a premium for Part A as well. Medicare Supplement Plan F doesn’t cover these out-of-pocket costs.

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What are the costs associated with Plan F?

Plan F costs will vary, depending on the county you live in and the insurance companies that sell Medicare Supplement insurance in your location.

Plan F will be outdated in 2020

Keep in mind in 2020 Plan F will no longer be offered to new applicants. This will likely lead to Plan F premiums rising much faster. This would be due to the fact that insurance is based on the Law Of Large Numbers. Since no new healthy people will be able to join Plan F, the risk pool shrinks and insurance companies must make up in premium to cover claims.

High Deductible Plan F

For beneficiaries who don’t mind paying for out-of-pocket costs up front, there is also a high deductible Plan F option. This is a variation on the standard Plan F that requires beneficiaries to pay all out-of-pocket expenses up to the deductible, which is $2,240 in 2018. After meeting the deductible, the plan begins to pay for Medicare-covered costs.

Keep in mind that the high-deductible Plan F option doesn’t vary from the standard Plan F when it comes to basic benefits. Instead, the high-deductible Plan F may have lower premium costs than the standard Plan F; this is offset by the fact that your out-of-pocket costs may be higher until you’ve reached the deductible.

As a Medicare beneficiary, you may be able to find other Medigap plans with lower premiums. However, if you see the doctor frequently, require a lot of health-care services, or are facing mounting out-of-pocket expenses, the comprehensive coverage of Plan F generally offers the most help with your Original Medicare costs.