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Medicare Supplement Plan Differences

Home / Medicare Supplements / Plan Differences

Medicare Supplement plans, also known as MediGap, provide more coverage for medical care than original Medicare itself does. Nearly 25% of Medicare beneficiaries are enrolled in MediGap plans, with the number increasing each year. Shockingly, this means 3 out of 4 Seniors and Baby Boomers are missing out on saving thousands of dollars on medical care each year because they don’t have a MediGap plan!

Medicare Supplement plans are administered by private insurance companies, also called insurance carriers. All MediGap plans are standardized, meaning all plans of the same letter offer the same benefits. A Plan G from Company X offers the same exact benefits and out of pocket costs as a Plan G from Company Z.

Traditional or Original Medicare, which are Parts A and B only, leaves beneficiaries exposed to high financial risk due to Medicare’s deductibles and coinsurance costs. A great way to reduce your out of pocket Medicare costs is by enrolling in a Medicare Supplement plan!

Medicare Supplement Plans

There are ten Supplement plans to choose from: Plan A, Plan B, Plan C, Plan D, Plan F, Plan G, Plan K, Plan L, Plan M, and Plan N (Minnesota, Massachusetts, and Wisconsin all have plans not available to other states). The plans are different in how much of Original Medicare’s costs are covered. The benefits covered under each Plan are determined by the state and must be the same benefits offered, regardless of which insurance company is offering the plan. In other words, all of the same plan in the same state offer the same benefits.

*(Notice: “Plans” are different than “Parts”!)

While plans are standardized from state to state, there are differences between the premium costs based on the insurance company the plan is purchased through. Plan premium prices may differ based on a variety of factors, but the benefits covered cannot vary.

For example, all Plan A policies in Texas offer the same coverage – but Insurance Carrier #1 may charge a different monthly amount than Company #2.

It is important to work with an independent agent like My Medicare Partners’ Agents to get MediGap quotes from a variety of top-rated insurance companies. Calling an Agent who only works with one insurance company or insurance carrier could cost you money!
Plans By Comparisson Chart 2017

*Please pay special attention to the difference between “Plans” and “Parts”

Data gathered from the Kaiser Family Foundation’s 2013 (most recent) report “MediGap: Spotlight on Enrollment, Premiums, and Recent Trends” and AHIP’s 2014 (most recent) report “Trends in MediGap Enrollment and Coverage Options”

Medicare Supplement Plan A

  • About 2% of Medicare Supplement enrollees have a Plan A
  • On average, Plan A has the lowest premiums compared to other Medicare Supplement plans
  • Plan A covers 4 of the 9 benefits offered by Medicare Supplement plans
    Plan A

Medicare Supplement Plan B

  • About 3% of Medicare Supplement enrollees have a Plan B
  • On average, Plan B has some of the lowest premiums compared to other Medicare Supplement plans
  • Plan B covers 5 of the 9 benefits offered by Medicare Supplement plans
    Plan B

Medicare Supplement Plan C

  • About 10% of Medicare Supplement enrollees have a Plan C
  • Part C is one of only two plans (the other is Plan F) that has “first-dollar” coverage. This means Part C plans cover the complete deductibles for Medicare Part A ($1,316 deductible per benefit period) and Medicare Part B ($183 deductible per year); the Medicare beneficiary does not have to pay those deductibles.
  • Plan C offers the most comprehensive coverage
  • Plan C covers 8 of the 9 benefits offered by Medicare Supplement plans
    Plan C

Medicare Supplement Plan D

  • About 2% of Medicare Supplement enrollees have a Plan D
  • On average, Plan D are moderately priced compared to other Medicare Supplement plans
  • Plan D covers 7 of the 9 benefits offered by Medicare Supplement plans
    Plan D

Medicare Supplement Plan F

  • About 56% of Medicare Supplement enrollees have a Plan F. It is the most popular plan statistically (Plan F plus High Deductible F combined).
  • Part F is one of only two plans (the other is Plan C) that has “first-dollar” coverage. This means Part F plans cover the complete deductibles for Medicare Part A ($1,316 deductible per benefit period) and Medicare Part B ($166 deductible per year); the Medicare beneficiary does not have to pay those deductibles.
  • Plan F is the only option that covers all 9 of the benefits offered by Medicare Supplement plans
  • The only difference between Plan F and Plan G is that Plan G does not cover the Medicare Part B deductible. Plan G  premiums are often higher than Plan F, however the difference is premium is typically less than the cost of the deductible.
  • *There is also a High Deductible Plan F (HDF). With HDF plans, you must first pay the annual deductible ($2180 in 2016, $2200 in 2017) before the Supplement begins to cover services.
    Plan F

Medicare Supplement Plan G

  • About 6% of Medicare Supplement enrollees have a Plan G.
  • Plan G is one of the fastest-growing plans! Enrollments have increased by 25% in one year
  • Plan G offers very comprehensive coverage
  • Plan G covers 8 of the 9 benefits offered by Medicare Supplement plans
  • The only difference between Plan F and Plan G is that Plan G does not cover the Medicare Part B deductible ($183 deductible per year). Plan G  premiums are often higher than Plan F, however the difference is premium is typically less than the cost of the deductible. In other words, most people save money by enrolling in a Plan G rather than a Plan F!
    Plan G

Medicare Supplement Plan K

  • Less than 1% of Medicare Supplement enrollees have a Plan K
  • Plan K has some of the highest cost-sharing out of all Medicare Supplement plans, meaning that you pay more out of pocket for services
  • Plan K has an annual maximum out of pocket limit of $5120 in 2017. Once the Out of Pocket Maximum is met, the Medicare Supplement plan pays 100% of covered services. 
  • Plan K covers 1 of the 9 benefits offered by Medicare Supplement plans in full, and covers 5 other benefits at 50%
    Plan K

Medicare Supplement Plan L

  • Less than 1% of Medicare Supplement enrollees have a Plan L
  • Plan L is a cost-sharing plan, meaning you pay for a portion of out of pocket expenses
  • Plan L has an annual maximum out of pocket limit of $2560 in 2017. Once the Out of Pocket Maximum is met, the Medicare Supplement plan pays 100% of covered services. 
  • Plan L covers 1 of the 9 benefits offered by Medicare Supplement plans in full, and covers 5 other benefits at 75%
    Plan L

Medicare Supplement Plan M

  • Less than 1% of Medicare Supplement enrollees have a Plan M (this plan was first introduced in 2010)
  • Plan M covers 5 of the 9 benefits offered by Medicare Supplement plans in full, and covers 2 others at a coinsurance rate
    Plan M

Medicare Supplement Plan N

  • About 7% of Medicare Supplement enrollees have a Plan N (this plan was first introduced in 2010)
  • Plan N is one of the fastest-growing plans
  • Plan N covers 6 of the 9 benefits offered by Medicare Supplement plans in full, and covers 1 other at a coinsurance rate
  • Plan N does not cover Part B excess charges, which can be up to 15% of the Medicare Part B approved bill. There is no limit to how large the bill can be. The excess charge of 15% is to be paid by you, no matter how big the bill is.
  • Plan N also includes small co-pays: $20 co-pay for some office visits and $50 co-pay for emergency room visits (only paid when person is not admitted to hospital)
    Plan N
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