Medicare Supplement Plan F: What You Need to Know

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Medicare Supplement Plan F is the most popular choice for most medicare recipients. This is because it leaves the beneficiaries with minimal out-of-pocket expenses. Some people refer to this plan as Medicare Part F, please note that these are the same plans and the correct term is Medicare Plan F.

Also note that these plans are also know as Medigap plans, you’ll see all terms used throughout this information. Below we’ll discuss what the covered benefits are to help you decide if this is the best plan option for you as well as when & how to Enroll. 

What is Medicare Supplement Plan F

Like other supplement plans, Plan F is standardized in most states. What this means is regardless of which carrier you go with or where you live, you’ll get the same exact coverage. After Medicare pays their portion of the claim, Medicare Plan F pays most of the remaining hospital and doctors costs.

This is a popular plan for recipients because it gives them more assistance with out-of-pocket costs. There is also a High Deductible Plan F that’s another plan option for beneficiaries that don’t mind paying higher out-of-pocket costs up front to have a lower premium. 

Medicare Part F Benefits

Again, please note that Part F and Plan F are the same thing. This plan is known as first-dollar coverage since it pays the majority of any remaining costs left after Original Medicare pays their portion. 

Below is a list of the benefits that are covered:

  • Part A
    • Hospital Deductible
    • Additional Hospital Coinsurance Costs
    • Hospice Care Coinsurance/Co-payments
  • Part B
    • Outpatient Deductible
    • Excess Charges
    • Additional Coinsurance/Co-payments
    • Preventative Care Coinsurance
  • Skilled Nursing Facility (SNF) Coinsurance 
  • First 3 Pints of Blood
  • Foreign Travel Emergency

Medigap Plan F will cover 100% of your Part A deductible. Traditional Medicare only covers the costs for the first 60 days of your hospital stay, minus the deductible, before you start paying an additional coinsurance. If you’re their for longer than 60 days, Medicare Part F will cover your coinsurance costs of days 61-90. Statistics show that 20% of seniors end up back in the hospital shorty after being released. If you need to stay in the hospital longer than 90 days, Medicare Plan F will extend your hospital coverage for an additional 365 days. 

This plan will also cover your Medicare Part B deductible as well as 100% of any fees your doctor may charge that exceeds the Medicare reimbursement rate. Traditional Medicare does not pay for the first 3 pints of blood, your supplement Plan F would. Traditional Medicare also doesn’t cover any foreign travel benefits, this supplement plan will cover medical emergencies while traveling to a different country as long as your medical care started within the first 60 days of leaving the United States. 

Plan charts and outline of coverage:

What Does Medicare Plan F Not Cover

Out of all 10 Medigap Plans this plan does offer the broadest coverage. However, it’s important to keep in mind that you still need to pay your Medicare Part B premium payments every month. If you didn’t work enough to qualify for premium-free Medicare Part A then you may also owe a premium for that as well. 

What if I Can’t Afford Part F Medicare

If Part F Medicare is too costly for your budget, another option Medicare recipients have is Medicare Supplement Plan G. This plan is sometimes significantly cheaper than Plan F depending on your area, and can save you a good amount of money on your premiums. The difference in the two plans is that with Plan G you’ll have to pay your Part B deductible.

So, depending on your budget, health and personal preference one plan may save you more money then the other. It’s completely up to you on which plan is the best option for your current situation. It’s recommended to contact an agent to discuss the best plan for your individual needs or complete the form by clicking the “Get a Quote” button to the right and have an agent call you today. 

When Should I Enroll

You must have Part A & Part B, to enroll in a plan. Your six month Open Enrollment beings the first day of the month you’re 65 AND enrolled in Original Medicare. During your Open Enrollment period carriers can’t turn you down or charge you higher rates due to pre-existing health conditions. If you missed your Open Enrollment period you can still apply for coverage at anytime, but a carrier can deny you coverage or charge you a higher rate due to age or health conditions. For more information on Open Enrollment dates please click here.

Steps to Enroll in Medicare Plan F

  1. Read & understand the facts and benefits above
  2. Compare rates in your area by completing the form
  3. Comment below with any additional questions or call the number above to speak to a licensed agent now

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