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Santa Barbara Insurance

Supplements to Medicare: A Comparison of Coverage

By March 23, 2017September 27th, 2023No Comments

There are currently 10 different Medicare Supplement Plans available for purchase. These plans are standardized. Any insurance company that sells Medigap policies is required to offer Plan A and if offering more options, Plan C and F must be included. While not a complete list, the following basic benefits/coverage is offered by each plan. Please contact an agent for more information and to find the right plan for you.

Plan A:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used), Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%

Plan B:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Part A deductible, Covered at 100%

Plan C:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Skilled nursing facility care coinsurance , Covered at 100%
Part A deductible, Covered at 100%
Part B deductible, Covered at 100%

Plan D:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Skilled nursing facility care coinsurance , Covered at 100%
Part A deductible, Covered at 100%

Plan F:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Skilled nursing facility care coinsurance , Covered at 100%
Part A deductible, Covered at 100%
Part B deductible, Covered at 100%
-Part B excess charges, Covered at 100%

Plan G:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Skilled nursing facility care coinsurance , Covered at 100%
Part A deductible, Covered at 100%
Part B excess charges, Covered at 100%

Plan K:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 50%
Blood (first 3 pints), Covered at 50%
Part A hospice care coinsurance or copayment, Covered at 50%
Skilled nursing facility care coinsurance , Covered at 50%
Part A deductible, Covered at 50%
-After you meet your out of pocket yearly limit and your yearly Part B deductible ($147 in 2015), the Medigap plan pays 100% of covered services for the rest of the calendar year.

Plan L:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 75%
Blood (first 3 pints), Covered at 75%
Part A hospice care coinsurance or copayment, Covered at 75%
Skilled nursing facility care coinsurance , Covered at 75%
Part A deductible, Covered at 75%
-After you meet your out of pocket yearly limit and your yearly Part B deductible ($147 in 2015), the Medigap plan pays 100% of covered services for the rest of the calendar year.

Plan M:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Skilled nursing facility care coinsurance , Covered at 100%
Part A deductible, Covered at 50%

Plan N:

-Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) Covered at 100%
-Medicare Part B coinsurance or copayment, Covered at 100%
Blood (first 3 pints), Covered at 100%
Part A hospice care coinsurance or copayment, Covered at 100%
Skilled nursing facility care coinsurance , Covered at 100%
Part A deductible, Covered at 100%

Source: http://www.insurance.ca.gov/01-consumers/105-type/75-medsupp/upload/ChoosingAMedigapPolicy.pdf