Medigap Plan Benefits Chart
Medigap Benefits |
Medigap Plans effective on or after June 1, 2010 |
|||||||||
|
|
A |
B |
C |
D |
F * |
G |
K |
L |
M |
N |
Medicare Part A Coinsurance hospital costs up to an additional 365 days after Medicare benefits are used up |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Medicare Part B Coinsurance or Copayment |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
50% |
75% |
Yes |
Yes** |
Blood (First 3 Pints) |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
50% |
75% |
Yes |
Yes |
Part A Hospice Care Coinsurance or Copayment |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
50% |
75% |
Yes |
Yes |
Skilled Nursing Facility Care Coinsurance |
No |
No |
Yes |
Yes |
Yes |
Yes |
50% |
75% |
Yes |
Yes |
Medicare Part A Deductible |
No |
Yes |
Yes |
Yes |
Yes |
Yes |
50% |
75% |
50% |
Yes |
Medicare Part B Deductible |
No |
No |
Yes |
No |
Yes |
No |
No |
No |
No |
No |
Medicare Part B Excess Charges |
No |
No |
No |
No |
Yes |
Yes |
No |
No |
No |
No |
Foreign Travel Emergency (Up to Plan Limits) |
No |
No |
Yes |
Yes |
Yes |
Yes |
No |
No |
Yes |
Yes |
Medicare Preventive Care Part B Coinsurance |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
Out-of-Pocket Limit*** |
None |
None |
None |
None |
None |
None |
$4,620 |
$2,310 |
None |
None |
* Plan F also offers a high-deductible plan. If chosen, you must pay for Medicare-covered costs up to the deductible amount of $2,000 (in 2010) before your Medigap plan pays anything. ** Plan N pays 100% of the Part B coinsurance except for up to $20 copayment for office visits, and for up to $50 for emergency department visits.
*** After you meet your out-of-pocket yearly limit, and your yearly Part B deductible of $155 (in 2010), the Medigap plan pays 100% of covered services for the rest of the calendar year. The out-of-pocket limit is the maximum amount you would pay for coinsurance and copayments |
