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Medicare Supplement Plan Matrix
A summary of Medigap plan benefits for the available plans as of June 1, 2010
If a checkmark appears in a column of this chart, the Medigap policy covers 100% of the described benefit. If a column lists a percentage, the policy covers that percentage of the described benefit. If a column is blank, the policy doesn’t cover that benefit. Note: The Medigap policy covers coinsurance only after you have paid the deductible (unless the Medigap policy also covers the deductible).
Medigap Benefits | 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 | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Medicare Part B Coinsurance or Copayment | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓*** |
Blood (First 3 Pints) | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ |
Part A Hospice Care Coinsurance or Copayment | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ |
Skilled Nursing Facility Care Coinsurance |
|
| ✓ | ✓ | ✓ | ✓ | 50% | 75% | ✓ | ✓ |
Medicare Part A Deductible |
| ✓ | ✓ | ✓ | ✓ | ✓ | 50% | 75% | 50% | ✓ |
Medicare Part B Deductible |
|
| ✓ |
| ✓ |
|
|
|
|
|
Medicare Part B Excess Charges |
|
|
|
| ✓ | ✓ |
|
|
|
|
Foreign Travel Emergency (Up to Plan Limits) |
|
| ✓ | ✓ | ✓ | ✓ |
|
| ✓ | ✓ |
Medicare Preventive Care Part B Coinsurance | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
|
|
| Out-of-Pocket Annual Limits for | $4,620 | $2,310 |
|
| |||
Notes:
* | Plan F also offers a high-deductible plan. This means you must pay for Medicare-covered costs up to the deductible amount $2,000 in 2010 before your Medigap plan pays anything. |
** | After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($155 in 2010), 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 up to $20 copayment for office visits and up to $50 for emergency department visits. |
June 2010 Update
