Medicare Plan F

Medicare Supplement Medicare Plan F

The Granddaddy of Medicare Supplement plans is Medicare Plan F. This is because it’s the most comprehensive Medicare Supplement available, and covers everything, even the Medicare Part B deductible.

This makes it the most popular Medicare Supplement plan, despite being the costliest.
However, Medicare Plan F is going to be phased out in 2020. So read here about what’s available, and what you can do.

About Medicare Plans in General

It’s well known that Medicare does not cover everything, especially co-pays and co-insurance. So many folks look to purchase a Medicare Supplement Plan to fill the “gaps” in their coverage. These plans are called “Medicare” plans.

Right now, there are ten different Medicare plans available: Plans A, B, C, D, F, G, K, L, M, and N. This proves confusing to some people, because Medicare itself uses A, B, etc. But, for example, Medicare Part A and Medicare Plan A are two different things Like stated above, if anything is confusing, simply call us at 888-316-1432 ext. 3.

Medicare Plan F – Peace of Mind

Medicare Plan F is the most popular Medicare Supplement plan. Looking at the below chart, it’s easy to see why – it covers everything, and gives seniors peace of mind.  

Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used)100%100%100%100%100%100%100%100%100%100%
Medicare Part B coinsurance or copayment100%100%100%100%100%100%50%75%100%100%
Blood (first 3 pints)100%100%100%100%100%100%50%75%100%100%
Part A hospice care coinsurance or copayment100%100%100%100%100%100%50%75%100%100%
Skilled nursing facility care coinsurance100%100%100%100%50%75%100%100%
Part A deductible100%100%100%100%100%75%50%100%
Part B deductible100%100%
Part B excess charges100%100%
Foreign travel emergency (up to plan limits)80%80%80%80%80%80%
Out of-pocket limit in 2019
Plan F is also offered as a high deductible plan by some insurance companies in some states. If you choose this option, this means you must pay for Medicare covered costs (coinsurance, copayments, deductibles) up to the deductible amount of $2,300 in 2019 before your policy pays anything.

For Plans K and L, after you meet your out of pocket yearly limit and your yearly Part B deductible ($185 in 2019), the Medigap plan pays 100% of covered services for the rest of the calendar year.

Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don't result in an inpatient admission.

But What is Happening in 2020?

Medicare Plan F is sort of being eliminated in 2020. We say “sort of” because there are two caveats:

  1. If you already have Medicare Plan F, you’re good – you get to keep it in 2020 and beyond. In other words, you are Grandfathered in. 

  2. If you are eligible for Medicare Part B before Jan 1, 2020, but don’t sign up for whatever reason, you can still get Medicare Plan F.

The big number is Jan 1, 2020. If you turn 65 before this date, Medicare Plan F is still in play for you. If your 65th birthday falls after that date, you will have to settle for Medicare Plan G if you want the best coverage (Plan G is detailed here – trust us, it’s not a bad tradeoff).   

Medicare Plan F Frequently Asked Questions

  • Is Medicare Plan F going to be eliminated in 2020? – Yes. See info above.
  • Does Plan F cover prescription drugs? – Both yes and no. Plan F will cover coinsurance payments on drugs partially covered under Medicare Part B. However, for outpatient prescriptions, you’ll need to enroll in Medicare Part D.
  • What does Medicare Plan F pay for? – Everything. This is why it’s the most popular.
  • Is there a Deductible for Medicare Plan F? – Nope.
  • Why is Medicare Plan F being Eliminated? – In plain terms, because it covers too much. Congress felt that people go to the doctor too often when it’s “free”, and would prefer folks having some financial stake in their healthcare via the Medicare Part B deductible.
  • How Can I get Medicare Plan F, and How Much is It? – Call us at 888-316-1432 and our licensed agents will help you, free of charge.

We Can Help You Better Understand Medicare

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