Medicare Blog

what is medicare plan f and c

by Prof. Marge Hills PhD Published 2 years ago Updated 1 year ago
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Plan F covers everything Plan C does, and also covers Medicare Part B excess charges. These two plans are some of the most comprehensive Medicare Supplement Insurance plans you can purchase, which makes them a very attractive option.Dec 2, 2019

Full Answer

What are the top 5 Medicare supplement plans?

  • Plan G
  • Plan N
  • Plan A
  • Plan F
  • High Deductible Plan F

How much does Medicare Part C plan cost?

The cost of a Medicare Part C (also commonly called “Medicare Advantage”) plan can be quite low relative to the cost of other types of health insurance. The Centers for Medicare and Medicaid Services (CMS) estimates that the average premium for a Medicare Part C plan in 2021 is just $21 per month.

What is the best Medicare supplement plan?

  • Medicare Supplement Insurance helps you manage out-of-pocket costs for covered services
  • Also called Medigap because it covers “gaps” in costs after Medicare Parts A and B pay their share
  • Medigap Plans C and F, which cover the Medicare Part B deductible, are being discontinued in 2020

More items...

What are the benefits of Medicare plan?

Who Plan A is Ideal For

  • Those looking for a lower monthly premium
  • People who aren’t concerned about out of pocket hospital costs
  • Those who do not travel outside the United States

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What is a Medicare F plan?

Medigap Plan F is a Medicare Supplement Insurance plan that's offered by private companies. It covers "gaps" in Original Medicare coverage, such as copayments, coinsurance and deductibles. Plan F offers the most coverage of any Medigap plan, but unless you were eligible for Medicare by Dec.

What is Plan C and F?

Plan F and Plan C are both referred to as “first-dollar” coverage plans because they cover the annual Medicare Part B deductible. This benefit allows policyholders to get non-emergency medical care without having to pay an annual deductible. The Part B deductible is $233 per year in 2022.

What does F plan mean?

Find Cheap Medicare Plans in Your Area Plan F is designed to address most of the coverage gaps in Medicare Parts A and B. You may purchase this plan directly from health insurance providers during the Medigap open enrollment period.

What is the advantage of Medicare Plan F?

Medicare Supplement Plan F offers basic Medicare benefits including: Hospitalization: pays Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. Medical Expenses: pays Part B coinsurance—generally 20% of Medicare-approved expenses—or copayments for hospital outpatient services.

Is plan C better than plan F?

Medicare Supplement (Medigap) insurance Plan C is one of the most comprehensive of the 10 standardized Medigap insurance plans available in most states. Out of the 10, only Medigap Plan F offers more coverage. Medigap Plan C covers most Medicare-approved out-of-pocket expenses.

Is plan F better than plan G?

Medigap Plan G is currently outselling most other Medigap plans because it offers the same broad coverage as Plan F except for the Part B deductible, which is $233 in 2022. The only difference when you compare Medicare Supplements Plan F and Plan G is that deductible. Otherwise, they function just the same.

Who is eligible for plan F?

Plan F is only available if you first became eligible for Medicare before January 1, 2020 (which means your 65th birthday occurred before January 1, 2020). Or you qualified for Medicare due to a disability before January 1, 2020.

Why should I keep plan F?

PLAN F PROVIDES COMPREHENSIVE COVERAGE…AT A COST Because Plan F covers the annual Part B deductible, members of the plan are free to visit doctors, hospitals, and other healthcare providers as often as they'd like, with no out-of-pocket costs.

Does Medicare Plan F cover vision?

Plan F is one of the most comprehensive Medicare supplement plans you can purchase, but it doesn't cover everything. This plan will not cover the following: Things that Medicare doesn't normally cover, like acupuncture, vision exams and dental work, are not included in Plan F coverage.

Can I switch back to plan F?

You pay for Medicare-covered costs up to the $2,490 deductible (as of 2022) before the plan begins to pay for anything. If you currently have Medicare Supplement Plan F, you can switch to high-deductible Plan F by contacting your insurance provider.

Does Medicare Plan F cover deductible?

Medigap Plan F is the most comprehensive Medicare Supplement plan. Also referred to as Medicare Supplement Plan F, it covers both Medicare deductibles and all copays and coinsurance, leaving you with nothing out-of-pocket. This post has been updated for 2022.

Can I go back to plan F?

In order to keep your Plan F, you don't need to renew or re-enroll every year. As long as you pay your premiums on time, your coverage will continue. You can also switch to another carrier that offers Plan F in the future, if another company offers a better rate that you would like to apply for.

What is High Deductible Plan F?

The coverage for a high-deductible Plan F is nearly the same as Medicare Supplement Plan F, but you’re required to satisfy an annual deductible bef...

What is High Deductible Plan G?

A high-deductible Plan G requires you to pay an annual deductible before the plan begins to pay. Once you reach the deductible, you will receive th...

Is Medigap Plan C and Medicare Part C the same?

No. Even though Medigap Plan C and Medicare Part C sound similar, they are very different. Medigap is Medicare Supplement Insurance that helps cove...

How can I enroll in a Medicare Supplement plan?

To be eligible for a Medicare Supplement plan, you must enroll in Original Medicare (Parts A and B). The Medigap open enrollment period lasts six m...

Are there other options rather than enrolling in a Medigap plan?

Yes. Consider enrolling in a Medicare Advantage (Part C) plan, an alternative to Original Medicare that comes with additional benefits and features...

How much does Plan N copay?

While Plan N pays 100% of the Part B coinsurance, providers are allowed to require copays up to $20 for doctor’s visits and up to $50 for emergency room visits .

How much will Medicare cost in 2021?

In 2021, you have to pay $2,370 in shared costs before you get the same benefits of regular Plan F. Please note, a High Deductible Plan F also is not available to new Medicare enrollees in 2021.

How long does Medicare Part A coinsurance last?

Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits run out. * Medicare Supplement Plan F and Plan G also offer a plan with a high deductible in some states. You must pay $2,370 in shared costs before the plan begins to pay.

How long does Medicare open enrollment last?

The Medicare supplement open enrollment period lasts six months. It begins the month you turn 65 and are enrolled in Part B. You can enroll through a private insurance company (via their websites or by phone), or by connecting with a GoHealth licensed insurance agent. Learn more about Medicare Supplement enrollment.

How much do you have to pay for Medicare in 2020?

You must pay $2,370 in shared costs before the plan begins to pay. * As of January 1, 2020, new Medicare enrollees are not eligible for Plan C or Plan F. If you were eligible for Medicare before January 1, 2020, but did not enroll, you may still be eligible.

What is deductible insurance?

A deductible is an amount you pay out of pocket before your insurance company covers its portion of your medical bills. For example: If your deductible is $1,000, your insurance company will not cover any costs until you pay the first $1,000 yourself.

How much is a high deductible plan G?

A High Deductible Plan G requires you to pay $2,370 in 2021 before the plan begins to pay. Once you reach the deductible, you will receive the coverage of a regular Plan G. Monthly premiums tend to be lower than regular Plan G because of the high deductible.

What is the Medicare deductible?

The Medicare deductibles, coinsurance and copays listed are based on the 2019 numbers approved by the Centers for Medicare and Medicaid Services. You can go to any hospital, doctor or other health care provider in the U.S. or its territories that accepts Medicare.

Does Blue Cross Blue Shield of Michigan cover Medicare Supplement?

Blue Cross Blue Shield of Michigan administers Blue Cross Medicare Supplement plans. Where you live, your age, gender and whether you use tobacco may affect what you pay for your plan. Your health status may also affect what you pay. This is a solicitation of insurance. We may contact you about buying insurance.

Is Blue Cross Medicare endorsed by the government?

This is a solicitation of insurance. We may contact you about buying insurance. Blue Cross Medicare Supplement plans aren't connected with or endorsed by the U.S. government or the federal Medicare program. If you're currently enrolled in Plan A or Plan C, you can stay with your plan as long as you pay your premium.

Does Medicare cover Part B?

The new MACRA law doesn’t allow Medicare supplement plans to cover the Part B deductible for people who are eligible for Medicare on or after Jan. 1, 2020. Because Plans C, F and high-deductible F cover the Part B deductible, they will no longer be available for beneficiaries who become eligible for Medicare on or after Jan. 1, 2020.

What is the first dollar Medicare Supplement?

First-Dollar Medicare Supplement Insurance plans. Plan F and Plan C are both referred to as “first-dollar” coverage plans because they cover the annual Medicare Part B deductible. This benefit allows policyholders to get non-emergency medical care without having to pay an annual deductible. The Part B deductible is $198 per year in 2020.

How many Medicare plans are there in 2020?

Unless new plans are added, most newly eligible Medicare beneficiaries in 2020 will only have 8 Medigap plan options to choose from: Plans A, B, D, G, K, L, M, and N. If you're a new Medicare beneficiary starting in 2020, you will not be able to enroll in Plan F or Plan C and will not have coverage for the Medicare Part B deductible benefit.

When will Medicare stop allowing you to buy Medigap?

If you became eligible for Medicare on or after January 1, 2020, a federal law will prevent you from purchasing Medigap Plan C and Plan F.

Can you keep Medigap Plan C?

Current Medigap policyholders. If you are currently enrolled in Medigap Plan C or Plan F, you can keep your plan. However, you may still want to explore your options. “Plan F holders may want to make sure Plan F is the right plan for them and make changes while they are healthy and still able to qualify for a new plan,” he said.

Does lower rated insurance increase premiums?

Lower-rated carriers or new insurance carriers may offer lower premiums at first, but they might increase premiums drastically from year to year, or after the introductory rates are over. “If you are uncertain about plan F or the future of Plan F, give us a call,” Esposito said.

Will Medicare Part B deductible increase in 2020?

If you use Medicare Part B services, you must pay the $198 annual deductible in 2020. The Part B deductible may increase in future years. Esposito thinks that it's possible that the Part B deductible will increase at a higher rate than we are used to seeing especially due to the recent increase.

What is a Medigap Plan F?

Medigap Plan F is a Medicare supplement insurance plan that helps you pay for out-of-pocket expenses associated with Medicare. It’s only available for people who have Original Medicare. Medicare Supplement Plans don’t work with Medicare Advantage.

What does Medicare Supplement Insurance Plan F cover?

Medicare Supplement Plan F covers costs that Medicare doesn’t cover, says Laura Decker, co-founder and president of the Employee Benefits Division at SSGI, a Maryland-based employee benefits insurance agency.

What doesn't Medicare Supplement Plan F cover?

Medicare Plan F won't cover any services not covered under Original Medicare.

How much does Medicare Part F cost?

The cost of Medicare Plan F depends on a few factors, including your age.

Medicare supplement plans comparison

Medicare Plan F is no longer available for purchase. However, several other Medigap supplement plans can help cover the out-of-pocket costs associated with Original Medicare.

Frequently Asked Questions

Standard Plan F has a much lower deductible than high-deductible Plan F. A high-deductible Plan F has a lower monthly premium.

Medicare Plan F

Historically, Medicare Plan F provided the most benefits of all the supplemental Medicare plans, says Price. It addresses some of the coverage gaps in Medicare parts A and B, which is why many people thought it was worth the extra premium, he notes.

Who Is Still Eligible for Medicare Plan F?

Those who were eligible for Medicare on or before January 1, 2020 can still sign up for Medicare Plan F. People who already had or were covered by Medicare Plan F before January 1, 2020 are also able to keep their plan.

What Other Medicare Supplement Plans Are Similar to Plan F?

People newly eligible for Medicare can’t sign up for Plan F, but they still have options when it comes to other Medigap plans. Here’s a look at what some experts say are the two best alternatives to Plan F.

How to Choose a Medicare Supplement Plan

Now that Medicare Plan F is only available to a certain subset of the population, those who are just signing up may struggle with their coverage decisions. Is a Medigap Supplement Plan necessary? And is Plan G the best option?

Sources

Meyers DJ, Trivedi AN, Mor V. Limited medigap consumer protections are associated with higher reenrollment in medicare advantage plans. Health Aff (Millwood). 2019;38 (5):782-787.

The phaseout

Medigap Plan F is Medicare’s most popular supplemental plan by far as it offers the most coverage, including the Medicare Part B deductible ($198 in 2020). Medigap Plan C covers the Part B deductible as well.

Why are Plans F and C so popular?

These plans have first-dollar coverage, meaning you won’t have to pay anything before coverage kicks in. For example, if a Medigap plan covers copays (as Plans F and C do) you will be in and out of your doctor’s office without spending a penny.

Why is it being phased out?

Plans F and C are being phased out as a cost-saving measure for the government. According to Congress, Medicare beneficiaries need to put a little more “skin in the game” so they won’t run to the doctor for every cut or bruise.

What Is Medicare Supplement Insurance?

Medicare supplement plans are private health insurance plans that supplement Original Medicare.

What Is Medicare Supplement Plan F?

First, the bad news, Plan F has been phased out for new enrollees as of 2020. This is due to new legislation that no longer allows Medicare Supplement Insurance plans to cover your Part B deductible ($203 in 2021).

Frequently Asked Questions

Medicare Plan F (also referred to as Medigap Plan F) is the most comprehensive Medicare supplement plan. This plan covers Medicare deductibles and all copays and coinsurance (including Part B deductibles), which means you pay nothing out of pocket throughout the year.

Conclusion

We hope you found this overview helpful! If you have a question we did not cover, however, don’t hesitate to leave a comment or send us an email at [email protected]. We’ll be sure to get back to you within 24 hours.

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