Medigap Plan K – Medicare Supplement
|Part A Hospital Coinsurance||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|365 Hospital Reserve Days||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes||Yes|
|Part B coinsurance||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Benefit for Blood||Yes||Yes||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Skilled Nursing Facility||No||No||Yes||Yes||Yes||Yes||50%||75%||Yes||Yes|
|Part A deductible||No||Yes||Yes||Yes||Yes||Yes||50%||75%||50%||Yes|
|Part B deductible||No||No||Yes||No||Yes||No||No||No||No||No|
|Part B excess||No||No||No||No||Yes||Yes||No||No||No||No|
|Foreign Travel Benefit||No||No||80%||80%||80%||80%||No||No||80%||80%|
2019 data – Table Source
What is Medigap Plan K?
Plan K utilizes different cost-sharing for items and services than most of the supplement plans. Instead of paying all of your costs, the plan will pay a certain percentage until you meet the yearly cap for out-of-pocket spending. Once you meet the limit, the Medigap policy plan pays 100% of Medicare-approved costs, such as the Medicare Part B co- coinsurance, and the Medicare Part A deductible for the rest of the calendar year.
Specifically included with Plan K benefits are, Part A coinsurance and the 365 hospital days after your Medicare benefits are used up. The coinsurance for Part B services is covered 50% as well as hospice care, the Part A deductible, and skilled nursing facility services. Blood coverage is also covered at 50% after the first 3 pints.
Your Medicare Part B deductible is not covered. Also, charges from your doctor that exceed Medicare-approved amounts, called “Part B excess charges,” aren’t covered and don’t count toward the out-of-pocket limit. Also not included in this plan is emergency travel abroad coverage, so be aware of this when traveling. Benefits for home health care recovery are also not included in Plan K.
The maximum amount that you are responsible for paying yourself (out-of-pocket limit) for 2019 is $5,560 and can increase each year due to inflation.
Plan K could be a good option if you prefer a lower premium and also have low medical expenses but still want a fair amount of coverage for a wide variety of services.
Not all insurance carriers offer all of the Medicare Supplement Plans. It can also be difficult to determine which plan is right for you. Our licensed sales agents can help you find the plan that best fits your needs and budget. Most insurance carriers offer a variety of plans, so our licensed sales agents can help you shop around for the plan that best meets your needs.