Medigap Plan M – Medicare Supplement

Benefits
Medigap Plans
A B C D F G K L M N
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
Hospice coinsurance 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%
Out-of-pocket limit N/A N/A N/A N/A N/A N/A $5,120 in 2017 $2,560 in 2017 N/A N/A

Table Source

Plan M

expenses saved by Medigap Plan M

Medigap Plan M offers increased cost-sharing and includes many similar benefits to Plan D, but will only cover 50% of the Part A deducible and none of the Part B deductible.

Medigap Plan M is very similar to current Plan D. It will offer the core benefits of covering the 20% that Medicare doesn’t cover at the doctor, hospital and with skilled nursing and hospice coverage. However, Plan M will not cover the Medicare Part B deductible, which is $183 in 2017 and it will only cover half of the Part A deductible which is $1,316 in 2017.  Also, once the part B deductible is met, you will not be responsible for co-payments for physician appointments.

Plan M includes the principle Core Benefits, which include coverage for Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up, coinsurance for Part B, blood services, hospice charges for drugs, and foreign travel emergency expenses. General hospice care is included in Plan B and all other Medicare Supplement Plans in 2010.

Not all insurance carriers offer all of the Medicare Supplement Plans. This could be especially true for the new Plan M. It can also be difficult to determine which plan is right for you. Most insurance carriers offer a variety of plans, so our licensed sales agents can help you shop around for the plan that would best fit your needs.