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Medicare Supplement Plan M


Medicare Supplement (Medigap) Plan M provides coverage for many seniors in the United States. Medicare Plan M is a low-premium policy and great for those seeking affordable healthcare and are capable of covering out-of-pocket healthcare expenses.

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This coverage is also an excellent choice for travelers as Medigap Plan M provides benefits for those traveling abroad. If you’re looking for healthcare benefits that keep your monthly costs low but are there when you need them, Medicare Supplement Plan M may be right for you. Explore these benefits and discover if this option fits your needs.

What is Medicare Plan M?

Medicare Supplement Plan M is a cost-sharing Medigap plan that keeps monthly premiums low while providing important healthcare benefits. While your monthly costs are low, you’ll need to be prepared to pay out-of-pocket costs when you receive healthcare services. This includes 50% of your Medicare Part A deductible.

Despite these out-of-pocket costs, because the premiums for Medicare Plan M are lower than those of some other Medigap plans, many enrollees justify the out-of-pocket costs that come along with it.

Unlike Original Medicare (Medicare Part A and Part B), which the federal government administers, your Medigap coverage comes from private insurance carriers. There are 12 lettered Medicare Supplement plans, and finding the best coverage will come down to your healthcare and budget needs.

Medicare Supplement Plan M Benefits

For those who enjoy keeping monthly costs lower, Medicare Supplement Plan M benefits can be an excellent fit. Helping you cover costs left over after Original Medicare alone, Plan M Medicare Supplement coverage helps with plenty of out-of-pocket costs. These costs include copayments, coinsurance, foreign travel emergency care, and your first three pints of blood.

Review the benefits of Medicare Supplement Plan M

Medicare Supplement Plan M is Good For Those Who:

  • Need a lower monthly premium
  • Don’t mind paying 50% of their hospital deductible
  • Sometimes travel overseas

Again, the best plan for you is going to be the one with benefits that fit your healthcare and budget needs. Taking the time to audit your needs can help you identify which option’s benefits are the best fit. Speaking with a licensed Medicare agent is always advised, as an expert can help you assess your needs and sign you up for the right plan at no cost to you.

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Medicare Supplement Plan M Coverage

Of the three cost-sharing Medigap plan options, Medicare Supplement Plan M offers the most comprehensive coverage. The only cost-sharing involved in Medigap Plan M is 50% of your Medicare Part A deductible, whereas Medicare Supplement Plan K and Medicare Supplement Plan L require more out-of-pocket.

Certainly, you’ll also have better coverage with Medigap Plan M than with Original Medicare alone. This is because Medicare Supplement plans exist to cover the out-of-pocket costs Medicare Part A and Part B leave behind.

Medigap Plan M covers coinsurances and copays for your outpatient coverage (Medicare Part B), as well as your inpatient coverage (Part A) up to 365 days after Medicare benefits are exhausted. This can result in significant savings, should you need to stay in the hospital for an extended period of time. Those who frequent doctor’s offices can also benefit, as copays can easily add up.

The only expenses beneficiaries have to cover with Medicare Supplement Plan M are their Medicare Part B deductible and Part B excess charges. However, not every state allows excess charges, and even in the ones that do, they are rare.

You’ll want to ensure your providers accept Medicare assignment before making appointments. Fortunately, most doctors do accept Medicare assignment.

Medicare Supplement Plan M Comparison Chart for 2023

Looking to compare Medigap plans? There are 12 lettered plan options, and each provides its own level of benefits. Below is our Medicare Supplement Plan M comparison chart for 2023, a visual representation of the coverage you can expect when you enroll.

Medicare Supplement Plan M Comparison Chart 2023
No matter your healthcare needs, there is coverage suitable for you. Medigap Plan M provides plenty of healthcare benefits, but may not be the best fit for your healthcare. Contact a licensed Medicare agent to determine which supplemental plan works best for you.

How Much Does Medicare Plan M Cost?

The average cost for Medigap Plan M is around $120-$200 per month. Due to the cost-sharing, the premium is lower compared to other Medigap plans. However, your monthly premium rates depend on various factors, including your location.

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Does Medicare Plan M Cover Prescription Drugs?

Medicare Supplement Plan M doesn’t cover prescription drug costs. As it stands, no Medigap plan currently on the market offers prescription drug coverage. You’ll need to enroll in a stand-alone Medicare Part D plan for coverage of drugs your doctor prescribes for your to take at home.

What is the Best Alternative to Medigap Plan M?

Determining which Medigap plan is the best alternative will vary from by person. Everyone has different needs and budgets, meaning you’ll need to assess your own personal factors, a task best completed with the help of a licensed Medicare agent.

Still, some plans are more popular than others. Medicare Supplement Plan M’s premiums are higher than the other cost-sharing options, Plan K and Plan L. But if you’re looking for a more comprehensive form of coverage without the need for cost-sharing, Medigap Plan G is a popular option.

If you’re in need of coverage but have budgetary concerns, Medigap Plan N is another popular choice. Let’s compare the benefits of Medicare Supplement Plan M and Plan N to see how they stack up for your needs.

Medicare Supplement Plans M and N

When you compare Medicare Supplement Plan M to Plan N, you’ll notice that these options’ benefits are very similar, but Plan N offers more benefits. Although virtually identical, instead of only covering 50% of your Medicare Part A Deductible, Medicare Supplement Plan N covers it entirely.

Additionally, beneficiaries will notice that a core difference between Medicare Supplement Plans M and N is how cost-sharing is applied. Medigap Plan M requires you to share the cost of your Medicare Part A deductible, and Medigap Plan N requires small copays for Medicare Part B services.

Along with the previously mentioned factors that determine your monthly premium, the number of benefits your chosen plan includes affect your Medicare Plan M cost. The general rule of thumb is that the more benefits your plan has, the more you can expect to pay. Therefore, while Medigap Plan N is a low-cost option, you can still expect to pay more than you would for Plan M.

FAQs

What is Medicare Part M?
When people refer to Medicare Part M, Medicare Plan M, or Medicare M, they actually mean Medicare Supplement Plan M. There’s no Part M in Medicare; Medigap Plan M is another correct term.
Does Medicare Plan M still exist?
Yes, Medigap Plan M still exists and is available for eligible beneficiaries to enroll. If you’re interested in enrolling, contact a licensed Medicare agent to explore your healthcare options.
Is Medicare Plan M better than Plan N?
The answer to this question depends on your healthcare and budget needs. The difference between Medicare Supplement Plans M and N is where they involve cost-sharing. Medigap Plan M involves 50% cost-sharing for the Medicare Part A deductible, while Plan N involves Part B copays.
Can I change from Medicare Plan M to Plan F?
If you’re eligible for Medicare Supplement Plan F, you may switch plans. However, this will involve underwriting questions if you don’t have guaranteed issue rights.
When can I enroll in Medigap Plan M?
You can enroll in a Medicare Supplement plan at any time, as long as you have Medicare Part A and Part B. However, the best time to enroll in any Medigap plan is during your Medigap Open Enrollment Period.
Does Medicare Plan M cover vision?
Neither Original Medicare nor any Medicare Supplement plan includes vision coverage. However, you can pair your coverage with a stand-alone vision plan.

How to Sign Up for Medigap Plan M

There are many considerations to make when choosing Medicare coverage. Thus, you may not know where to start.

Luckily, our Medicare experts know what you should look for in a plan and are happy to help. Call the phone number above to speak to an agent licensed in your state today for a premium rate comparison from top carriers for plans in your area, or fill out our online rate form. Our services are free and you'll have no obligation.

When you purchase a policy from us, our client care team is there for you during the lifetime of your coverage. The assistance we offer to you is available at no additional cost.

Let MedicareFAQ help you explore your options for Medicare Plan M (Medicare Supplement Plan M) today!

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Jagger Esch

Jagger Esch is the Medicare expert for MedicareFAQ and the founder, president, and CEO of Elite Insurance Partners and MedicareFAQ.com. Since the inception of his first company in 2012, he has been dedicated to helping those eligible for Medicare by providing them with resources to educate themselves on all their Medicare options. He is featured in many publications as well as writes regularly for other expert columns regarding Medicare.

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