Medicare Supplement Plan F is one of the most comprehensive supplement plans, covering 100% of all your cost-sharing. Plan F is for beneficiaries looking for full coverage for all out-of-pocket costs, including deductibles, coinsurance, and copayments.
What’s Medicare Supplement Plan F
Plan F is a top plan covering EVERY gap that Medicare leaves up to the beneficiary to pay. Once enrolled in this policy; you’ll have $0 cost-sharing, you’ll only be responsible for your monthly premium.
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What Does Medicare Plan F Cover?
Plan F is a first-dollar coverage plan. That simply means after Medicare pays its share, Plan F pays the rest. Thus, leaving you with $0 out-of-pocket expenses.
Full coverage for Part A and Part B deductibles
Coverage for Part A and Part B coinsurance or copayments
Covers the remaining 20% that Part B doesn’t cover
Coverage on Excess charges
Skilled Nursing Facility Coinsurance
Coverage on foreign travel emergency expenses
Medicare Supplement Plan F Comparison Chart for 2021
Plan F is The Ideal Plan for Beneficiaries Who:
Our switching to another Medicare Supplement plan outside their Initial Open Enrollment Period
See the doctor or visit the hospital somewhat frequently
Like to travel abroad
Are concerned about excess charges
How Does Medicare Plan F Work?
Let’s say you need a lung transplant. Part A covers the sourcing of the transplant organs as well as the surgical procedure itself. Then, Part B covers outpatient medical services such as doctors’ visits, preventive care, home and mobility equipment, home healthcare needs, etc.
The total price for both hospital and outpatient services comes to $80,000. Once Medicare pays its portion of the medical costs, the remaining $16,000 is billed to the Medicare Supplement insurance carrier. You pay nothing out-of-pocket.
Without a comprehensive supplement plan to fill in these gaps in coverage, such as Plan F, the remaining $16,000 is sent to you.
How Much Does Medicare Plan F Cost?
There are many factors that impact the cost of the premium. These factors include where you live, gender, age, etc. The average premium is usually somewhere around $150 per month. However, it could be more or less depending on the zip code as well as other factors.
Beneficiaries with two addresses are supposed to apply for coverage in the state that taxes are filed. However, those spending six months in both states should consider quotes from both.
Live in Iowa and Florida? Well, Iowa probably has lower rates. Although, between Texas and Florida, a Florida plan could be more affordable. It’s important to understand that insurance companies can adjust rates when moving full time to one location.
However, it’s essential to understand that premiums are different for everyone. For example, Plan F premiums are a bit higher for males than females.
Why is Medicare Plan F Being Discontinued?
Plan F and C have retired and are not available to newer beneficiaries. CMS has discontinued all first-dollar coverage plans, including Plan F. This also includes the high-deductible Plan F and Innovative Plan F. For those beneficiaries already on these plans, you’ll be grandfathered in and won’t be impacted by this change.
Who Can Enroll in Medicare Plan F?
To enroll in Plan F, you must first have Part A and B of Original Medicare. You must’ve been eligible for Medicare prior to 2020. If you’re newly eligible, you won’t be eligible for Plan F.
Does Medicare Plan F Come with Prescription Drug Coverage?
Plan F will cover the costs of prescription drugs administered at the hospital. However, Plan F will NOT cover prescription drugs that are prescribed by a doctor and taken at home. That’s where Part D comes in handy.
What is the Difference Between Medicare Plan F and Plan G?
Plan G offers excellent benefits and is sometimes more suitable than Plan F. The only difference between Plan F and Plan G is that you’ll have to pay the Part B deductible, but the lower premium is worth it. Some beneficiaries save more money by paying their Part B deductible.
When Can I Sign Up Medicare Plan F?
Medicare Supplements do not have enrollment periods like Medicare. Although the best time to sign up for Plan F is during your one time Medigap Open Enrollment Period. However, you can still apply after the 6-month mark of your Part B effective date. You’ll just have to answer some medical questions and wait for application approval.
Is there a difference between Part F and Plan F?
No, Part F and Plan F are the same things. The correct terminology is Plan F. When someone is referring to Medicare parts, they’re referring to Parts A-D.
How to Sign Up for Medicare Supplement Plan F
It doesn’t cost you anything to have your own personal licensed Medicare agent in your back pocket. Medicare is constantly changing. Keeping up with all these changes, across all the states, is nearly impossible. But not for our agents! They can help you make an informed, educated decision based on all your healthcare options.
Plus, when you sign up for a Medicare plan through us, you’ll get unlimited, FREE support from our Client Care Team.
If you have any problems with the coverage, like a doctor putting in the wrong code for a service or Medicare denying a claim, we’re here to help at no additional cost!
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