If you’re looking for a high-coverage Medicare Supplement (Medigap) plan, Plan F may be right for you. Medicare Supplement Plan F is popular with many of our clients because it offers the most comprehensive coverage out of all the Medigap plans available. However, if you didn’t become eligible for Medicare until January 1st, 2020, or later, you can’t apply for Plan F. Instead, you may want to consider Medigap Plan G, which offers the next closest level of coverage.
What Does Medicare Supplement Plan F Cover?
Medicare Supplement Plan F covers the costs for the services you receive under Original Medicare. Original Medicare is divided into Part A and Part B, and they represent your inpatient and outpatient services. Usually, Original Medicare only pays up to 80% of your bill (after deductibles and copays). Instead of having to pay the remainder out-of-pocket yourself, Plan F pays for you.
Medicare Supplement Plan F coverage includes:
- Medicare Part A coinsurance and hospital costs
- Medicare Part A deductible (1,408 in 2020)
- Medicare Part B coinsurance and copayment
- The Medicare Part B deductible ($198 in 2020)
- Blood (first three pints)
- Part A hospice care coinsurance or copayment
- Skilled nursing facility coinsurance
- Foreign Travel emergency
- Excess charges
What Does Medicare Supplement Plan F Not Cover?
Medigap Plan F will only cover services if Original Medicare pays for them first. So, if Original Medicare doesn’t cover your service, test, or item, neither will Plan F. For instance, Original Medicare will cover some medications that you receive while admitted into the hospital, or injections that you receive at your doctor’s office, but generally not medications that you take at home. Instead, you receive medication coverage from your Medicare Part D Prescription Drug plan. Because Medicare Supplement plans only pay secondary to Original Medicare, not Medicare Part D, Plan F would not pay for your prescriptions.
When Can I Get Medicare Supplement Plan F?
As long as the Part A start date on your Medicare card is before January 1st, 2020, you’re eligible to apply for Medicare Supplement Plan F. However, if you currently have a Medicare Advantage plan, you may have to wait for an enrollment period. Unlike Medicare Supplement plans, which you can change at any time during the year, you’ll most likely have to wait for the Annual Enrollment Period (October 15-December 7th) or the Medicare Advantage Open Enrollment Period (January 1-March 31).
What’s the Cost of Medicare Supplement Plan F?
The cost of Medicare Supplement Plan F tends to be greater than the other Medigap plans because it offers the highest level of coverage. In general, the premiums for Medicare Supplement plans can vary significantly based on factors such as your zip code, the carrier you’re applying with, and whether or not you use tobacco products.
Plan F may be a right choice for you if you prefer not to have to pay out-of-pocket for any of the services you receive from Original Medicare. We recommend that our clients select the plan that provides them peace of mind about their health coverage. Ultimately, everyone’s situation is different, so you should choose the plan that you feel best fits your needs.
Nothing on this website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.