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What are the Medicare Supplement plan benefits and how will they change in 2024?

Category: Medicare Supplements or Medigap
Updated: Nov, 04 2023


Medicare Supplements (also called Medigap policies) work together with your original Medicare coverage, filling the “gaps” (deductibles, coinsurance, and co-payments) in your Medicare Part A (in-patient or hospital insurance) and Medicare Part B (out-patient or physician insurance) coverage.  In short, Medicare Supplements offered by private insurance companies provide additional coverage to your original Medicare coverage.

The following is a chart showing the different Medicare Supplement or Medigap policies and the coverage benefits associated with each plan.

Please note that Medicare Supplements are regulated on a state basis (not a federal basis) and not all Medicare Supplements are available in each state.

Remember that all Medicare Supplements are "standardized", offering the same coverage benefits for a particular plan (such as Plan G), but the monthly premiums for a Medicare Supplement can vary depending on the insurance company - and premiums can increase over time, with approval from your state.

For more information about the Medigap offerings in your area, please either contact a Medicare representative (1-800-Medicare) or a local insurance agent representing a Medicare Supplement carrier (insurance company).


Here is a key to the chart below:
Yes = the plan covers 100% of this benefit
No = the policy doesn't cover that benefit
% = the plan covers that percentage of this benefit
N/A = not applicable

Note: Please see the article below for important changes to Medigap plans: » I learned that no Medicare Supplement Plan F can be sold after 2020. If I am already enrolled in a Plan F, will I be able to keep my Medigap Plan F beyond 2020?



Medigap Benefits
Medigap or Medicare Supplement Plans

A

B

C

D

F
F* High Deductible
G

K

L

M

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 Yes
Part B coinsurance or copayment
  Yes Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes***
Blood (first 3 pints)
  Yes Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Part A hospice care coinsurance or copayment
  Yes Yes Yes Yes Yes Yes Yes 50% 75% Yes Yes
Skilled nursing facility care coinsurance
  No No Yes Yes Yes Yes Yes 50% 75% Yes Yes
Part A deductible
  No Yes Yes Yes Yes Yes Yes 50% 75% 50% Yes
Part B deductible
  No No Yes No Yes Yes No No No No No
Part B excess charge
  No No No No Yes Yes Yes No No No No
Foreign travel exchange (up to plan limits)
  No No 80% 80% 80% 80% 80% No No 80% 80%
Out-of-pocket limit**
  N/A N/A N/A N/A N/A N/A N/A $7,060 in 2024 ($6,940 in 2023) $3,530 in 2024 ($3,470 in 2023) N/A N/A
Estimated premiums as per Medicare.gov (10/22/2023) Allegheny Co., Pennsylvania
  $0 to $894 $0 to $903 $150 to $690 $120 to $443 $0 to $1,098 $32 to $275 $0 to $912 $54 to $197 $78 to $297 $88 to $331 $0 to $684
Estimated premiums as per Medicare.gov (10/22/2023) Los Angles Co., California
  $107 to $926 $164 to $668 $196 to $834 $137 to $529 $178 to $1,262 $34 to $231 $137 to $1,096 $60 to $342 $108 to $497 N/A $105 to $840
Estimated premiums as per Medicare.gov 10/22/2023) Miami-Dade Co., Florida
  $181 to $1,875 $238 to $1,365 $276 to $1,488 $268 to $1,307 $273 to $2,472 $61 to $867 $228 to $1,820 $79 to $568 $175 to $845 $268 to $997 $176 to $1,460

Medigap Benefits
Medigap Plans

A

B

C

D

F
F* High Deductible
G

K

L

M

N

* Plans F, G and J also offer a high-deductible plan in some states. With this option, you must pay for Medicare-covered costs (coinsurance, copayment, and deductible) up to the deductible amount of $2,800 in 2024 ($2,700 in 2023) before your policy pays anything. (Plans C and F aren't available to people who were newly eligible for Medicare on or after January 1, 2020.)

** For Plans K and L, 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.




Reminder:  Since 2020, no Medicare Part C, F, and high-deductible F are no longer being offered.

As part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), starting in 2020, Medigap plans that cover the Medicare Part B deductible (Plan C, Plan F, and high-deductible Plan F) will no longer be sold.  Medigap members who purchased their plans before 2020 can keep their Plan C or Plan F policies, but can expect increasing monthly premiums as plan healthcare costs rise without the addition of new, healthier plan members.

With the outlook of increasing premiums, some current Medigap plan members are expected to move to more affordable Medicare Supplement plans.  For example, you might expect people currently enrolled in Medigap Plan F to move to the similar Plan G (that does not cover the Medicare Part B deductible, but has a slightly lower premium as compared to a Plan F) and if the person stays with the same Medicare Supplement carrier, there should be no medical underwriting as Plan G offers less coverage (the Part B deductible) than the Plan F.

If you live in Massachusetts, Minnesota, or Wisconsin . . .

If you live in one of these 3 states, Medigap policies are standardized in a different way.

source:
https://www.medicare.gov/health-drug-plans/medigap/basics/compare-plan-benefits
https://www.medicare.gov/health-drug-plans/medigap






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