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Medicare Supplement Plan F


If you are new to Medicare or shopping for a Medigap plan, Medicare Supplement Plan F may have caught your attention. Medicare Supplement (Medigap) Plan F is the most comprehensive Medigap option available for qualifying Medicare seniors.

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Specifically, this plan covers 100% of your Medicare cost-sharing and leaves you with no out-of-pocket expenses for Medicare-covered services. Below, we help you understand when Medigap Plan F is the best choice for you and whether you’re eligible.

What is Medicare Supplement Plan F?

Original Medicare (Part A and Part B) only covers 80% of the out-of-pocket costs for Medicare-approved services. Thus, Medicare Supplement (Medigap) policies can save you money on your healthcare in retirement.

Medigap Plan F is a standardized Medicare Supplement plan that covers all the gaps in coverage Original Medicare leaves behind.

Medicare Supplement Plan F includes complete coverage for the following costs:

Standardized coverage means that all benefits are the same regardless of the carrier through which you enroll. For example, a Medigap Plan F through Mutual of Omaha covers the same benefits as a Medigap Plan F through Aetna. Due to standardized benefits, you can use your Medigap coverage at any doctor or hospital that accepts Original Medicare.

Once you enroll in Medigap Plan F, you will have $0 cost-sharing, other than your monthly Medicare Part B and Medigap premiums. This type of plan is called first-dollar coverage. First-dollar coverage means you receive coverage from the first dollar you spend under your policy. Once Medicare pays its share of your medical-related costs, your Medigap Plan F will pick up the remaining balance, leaving you paying nothing.

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Medicare Supplement Plan F Benefits

All Medigap plans of the same letter share identical benefits, regardless of carrier. This is due to the federal standardization of Medicare Supplement plans. Thus, reviewing all available plan options is the best way to determine which Medigap plan letter is best for you.

Learn about Medicare Supplement Plan F's comprehensive benefits.

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Medicare Supplement Plan F is not lacking when it comes to benefits. This plan offers the highest benefit level of all Medicare Supplements. A unique feature of Medigap Plan F is that it covers costs from the very first dollar spent. Meaning, you will pay no out-of-pocket costs for services covered by Medicare.

So, when you enroll in Medigap Plan F, you are not responsible for any Original Medicare copayments, coinsurances, or deductibles. As long as you stay current on your monthly premium, you won’t pay a penny more out-of-pocket.

Medicare Supplement Plan F Comparison Chart for 2023

There are 12 Medicare Supplement plans available to seniors. Ten plans are identified by a letter, A through N, plus there are high-deductible versions of two plans.

Medicare Supplement Plan F Comparison Chart for 2023

What Does Medicare Supplement Plan F Cover?

Medicare Supplement Plan F covers all services Medicare Part A and Part B cover. If your doctor accepts Original Medicare and Medicare pays its benefit first, your Medigap Plan F will cover the rest of the costs.

Medicare Supplement Plan F covers:

This coverage picks up all the costs Original Medicare leaves for you to pay. In addition to these costs, Medigap Plan F also includes foreign travel emergency coverage. Medigap Plan F will cover a lifetime limit of $50,000 of emergency foreign travel coverage after a $250 deductible.

What is Not Covered by Medicare Supplement Plan F?

Although Medicare Supplement Plan F covers the most out-of-pocket costs among all Medicare Supplement plans, there are still benefits that the plan does not include.

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Benefits not covered by Medigap Plan F include:

If you enroll in Medicare Supplement Plan F, these benefits are not unobtainable. However, you will also need to purchase a separate policy to receive additional coverage. It is not uncommon for Medicare Supplement policyholders to have stand-alone plans for other desired benefits.

Average Cost of Medicare Supplement Plan F in 2023

Medicare Supplement Plan F premiums may be more expensive than other Medicare Supplement plans. However, the reason for the higher premium is that this plan provides the highest level of benefits to enrollees.

The plan’s average cost is about $230 per month. However, many factors impact the premium price. Premium costs for Medigap Plan F can range from around $150-$400 per month or more. Factors determining your cost include your ZIP Code, gender, age, tobacco use, and more.

Remember that the monthly premium for Medicare Supplement Plan F is the only out-of-pocket cost you will pay for your Medigap coverage. You will not be responsible for copays, coinsurance, or deductibles for your services. So, paying a higher premium may save you money in the long run.

Below, we’re comparing the average monthly costs of Medicare Supplement Plan F coverage across multiple cities. For our methodology, we’ve used data for both male and female residents that are ages 65 and 75. None use tobacco products:

Plan F Average Monthly Cost in Las Vegas, NV (88901)*
Gender: Female, Age: 65 $298.00
Gender: Male, Age: 65 $336.00
Gender: Female, Age: 75 $317.00
Gender Male, Age: 75 $356.00
*Please note: the above are sample rates. These are subject to change. Call us for your accurate, personalized quotes today. You must be eligible for Medicare before 01/01/2020 to enroll in Medigap Plan F.
Plan F Average Monthly Cost in New York, NY (10001)*
Gender: Female, Age: 65 $548.00
Gender: Male, Age: 65 $548.00
Gender: Female, Age: 75 $548.00
Gender Male, Age: 75 $548.00
*Please note: the above are sample rates. These are subject to change. Call us for your accurate, personalized quotes today. You must be eligible for Medicare before 01/01/2020 to enroll in Medigap Plan F.
Plan F Average Monthly Cost in Chillicothe, OH (45601)*
Gender: Female, Age: 65 $263.00
Gender: Male, Age: 65 $298.00
Gender: Female, Age: 75 $295.00
Gender Male, Age: 75 $338.00
*Please note: the above are sample rates. These are subject to change. Call us for your accurate, personalized quotes today. You must be eligible for Medicare before 01/01/2020 to enroll in Medigap Plan F.

Medicare Supplement Plan F Pros and Cons

Medigap Plan F Pros Medigap Plan F Cons
Offers more benefits than any other Medigap plan available. Your out-of-pocket expenses are covered. Enrollment is restricted to those who are eligible for Medicare benefits before January 1, 2020.
Those who are eligible to enroll receive guaranteed issue rights during qualifying life events. The sizable amount of benefits also means you’ll pay a higher premium on average.
Because of its comprehensive coverage, those who go to the doctor often can enjoy notable savings for their health expenses. As fewer and fewer people enroll, beneficiaries can expect Plan F to rise notably in price over time.

What Carriers Offer Medicare Supplement Plan F?

There are many carriers offering Medicare Supplement plans, and it’s important to compare rates as they will vary from brand to brand. We offer a wide range of Medicare Supplement Plan F coverage options from top-rated carriers that can fit your needs, including the following:

Finding the right company can feel like an impossible task with so many options, but with the help of a licensed Medicare agent, you can compare your options and find the right coverage for your healthcare and budget.

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Are All Medigap Plan F Policies the Same?

Due to standardization, all Medicare Supplement Plan F policies have the exact same benefits regardless of the carrier you enroll with. No carrier can change the benefits by this plan covers. However, in some circumstances, you may be eligible for perks that come with being enrolled through certain carriers, such as gym memberships or discounts on eyeglasses or hearing aids. Yet, these additional perks must be given to all policyholders from the same carrier regardless of the plan they enroll in.

Is Medicare Supplement Plan F Being Discontinued?

Unfortunately, not every Medicare beneficiary can enroll in Medicare Supplement Plan F, as the plan was discontinued for many Medicare seniors. You are only eligible to enroll if you received any part of Medicare before January 1, 2020. This is due to a change in Medicare known as MACRA.

MACRA is the Medicare Access and CHIP Reauthorization Act. This change to Medicare eliminated all first-dollar coverage plans for new Medicare beneficiaries.

Those who enrolled in Original Medicare before the deadline are still eligible to freely enroll and disenroll in Medigap Plan F just as they could before MACRA. However, new Medicare seniors are unable to enroll in the plan.

In 47 of 50 states, beneficiaries can enroll in Medigap Plan F. The three states that do not offer this plan are Massachusetts, Minnesota, and Wisconsin. These three states have Medicare Supplement plans similar to the lettered plans available in most other states, but with different naming conventions.

What Happens to your Medicare Supplement Plan F When you Move to a New State?

When you move to a new state, you can keep your current Medicare Supplement plans. In most cases, you must contact your carrier and submit your new address. Since Medicare Supplement plans are standardized, your benefits will not change. However, your premium may increase or decrease depending on your new ZIP Code.

Is There an Alternative to Medicare Supplement Plan F?

Suppose you are interested in enrolling in Medicare Supplement Plan F but find that the premium rates are more than you want to spend. In that case, Medigap High Deductible Plan F is a potential alternative for you to consider. The lower premium could be worth it if you are comfortable needing to reach a higher deductible before receiving full coverage.

Medicare Supplement High Deductible Plan F provides the same excellent Plan F benefits at a lower premium price by eliminating first-dollar coverage. Once you meet the deductible, you receive 100% coverage from the high-deductible version.

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For those who missed eligibility for Medigap Plan F, Plan G could be a great alternative if you wish to have comprehensive coverage with a low deductible and a lower monthly premium. Plan G may be worth considering. The chart below compares the top three plans in 2023.

Medicare Supplement Plan F vs G vs N Comparison

Medicare Supplement Plan F Premium Increase

Each year, Medigap plan premiums are subject to rate increases. This is especially true for Medicare Supplement Plan F due to its phasing out. As fewer people enroll each year, the insurance carrier’s risk grows, increasing premiums at a higher rate than other Medigap plans.

It is beneficial to research rate increase histories and pricing methods when choosing a plan. Over the past five years, Medicare Supplement Plan F rate increases have been between 3% and 6%. However, that number is quickly rising.

Ask your agent what the rate increase history is for the Medicare companies with which you are considering enrollment. You will want to research carrier reviews before making a choice.

Does Medicare Supplement Plan F Include Prescription Drug Coverage?

Medicare Supplement Plan F will only cover the costs of prescription drugs administered at the hospital that typically receive coverage from Medicare Part A. However, Medigap Plan F will NOT cover prescription drugs you take at home. You will want to enroll in a Medicare Part D plan to receive prescription drug coverage. Medicare Part D prescription drug plans work alongside Original Medicare – with or without a Medicare Supplement plan.

When Can I Enroll in Medicare Supplement Plan F?

You can enroll in Medicare Supplement Plan F at any time, as long as you are eligible. However, the best time to sign up for any Medigap plan is during your one-time Medicare Supplement Open Enrollment Period.

If you apply outside this window or do not have guaranteed issue rights, you must answer underwriting eligibility questions and await application approval.

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FAQs About Medicare Supplement Plan F

What is Medicare Part F?
There is no such thing as Medicare Part F. Medicare Parts refer to Parts A through D, which are the parts of Original Medicare, Medicare Advantage, and Medicare Part D prescription drug coverage. The Plan letters refer to Medicare Supplement plans, which include Medigap Plan F.
Is Medicare Supplement Plan F still available?
Medicare Supplement Plan F is still available to seniors who were Medicare-eligible before the plan’s elimination.
Is Plan F the best Medicare Supplement?
The best Medicare Supplement plan for you is the plan that provides you with the best value. For some, Medigap Plan F does this by covering all cost-sharing. However, Medicare Supplement Plan F may not be the best plan for others due to budgetary reasons.
Is Medicare Supplement Plan F better than Plan G?
Medicare Supplement Plan F offers the most coverage of all Medigap plans. Yet, it is not available to all beneficiaries, and the Medicare Part B deductible you save with Plan F might be less than the premium savings you get with Plan G.
Is Medicare Advantage better than Medicare Supplement Plan F?
The answer to this question differs for each person. Your healthcare coverage goals will determine which is better for you. For example, if you do not want to deal with restrictive doctor networks, Medigap Plan F is the better choice. But if keeping monthly premiums low is more important to you, a Medicare Advantage plan would be more suited to your needs.

How to Get a Medicare Supplement Plan F Rate Comparison

If you are interested in comparing the cost of Medicare Supplement Plan F options near you, we are here to help. A Medicare agent licensed in your state will help guide you through the process of choosing the best coverage for your needs.

Call the number above to speak with a licensed agent today! Don't have time to call now? Complete our rate comparison form online, and we'll prepare quotes from top carriers in your area.

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Sources:

MedicareFAQ is dedicated to providing you with authentic and trustworthy Medicare information. We have strict sourcing guidelines and work diligently to serve our readers with accurate and up-to-date content.

  1. How to Compare Medigap Policies, Medicare. Accessed May 2022.
    https://www.medicare.gov/supplements-other-insurance/how-to-compare-medigap-policies
  2. Medigap F and J, CMS. Accessed May 2022.
    https://www.cms.gov/medicare/health-drug-plans/medigap/f-g-j-deductible-announcements

Jagger Esch

Jagger Esch is the co-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.

14 thoughts on “Medicare Supplement Plan F

  1. Is there a recommended Dental and Vision Plan for those of us who have Medicare Supplement Plan F since 2017?

    1. Hi Richard,
      There are several ancillary dental plans available for those with Medicare Supplement Plan F. However, availability will depend on your location. (plans can vary by state/ZIP Code). If you are interested in learning about plans available in your area, you can submit our rate form here.

  2. Im am currently with aetna supplement but the copays are draining me. I would like to know about plan F could you give me some prices. Im 66 08/08/1955 on medicare.Thankyou

    1. Vickie, we are more than happy to help you find the best price for Medicare Supplement Plan F. So we can get a better understanding of what you would qualify for, complete this online rate form and we will be able to provide you with personalized rates based on your health, location, and other factors.

  3. I am disabled and on disability and medicare since 2012. I turn 65 in April 2022. Am I eligible for plan F yet? I am interested in medigap insurance for obvious reasons
    thank you
    karl pedone

    1. Karl, happy early birthday! Since you are turning 65 in April, you are currently in your Initial Enrollment Period. This means you are eligible to enroll in a Medigap plan at any time with no underwriting health questions. If you enroll before April, the Medigap coverage will begin on April 1. Since you started Medicare before 2020, you will be eligible for Plan F. If you would like, complete this rate form and one of our expert licensed agents can help you enroll.

    1. Hi Theresa – yes, all doctors who accept Medicare also accept any Medicare Supplement plan to pay the balance.

  4. My mom has been enrolled with the plan F for some time. Her assisted care facility is offering a Medicare Part C plan. Which is better to have- Medigap policy plan F, or a Health Advantage (Medicare Part C) plan? Are there penalties for changing at certain times? Can you give me an idea of what they might mean by “complex care needs”? Thank you!

    1. Danny, Part C plans are quite different from Plan F. There are no penalties for changing plans, however, depending on her health history, there is a chance she might not be able to return to a Medicare supplement plan in the future. Without knowing her specific needs, I cannot say which plan is best, but be sure to compare deductibles, premiums, coverage, and the Advantage plan network before making any changes to her policy.

  5. Hello,
    I am assisting my husband sign up for a Medicare Supplement. We are interested in Bankers Fidelity Plan F. I do not know how to enroll him into the current desired plan. He was recently eligible for Medicare on 11/01/2020. Where do we begin? Thanks

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