Why purchase a Medicare Supplement (Medigap)?
Copied directly from the Medicare website.
The what you pay assumes you have a Medigap plan:
Medicare Part A Hospital Coinsurance/Deductible
What Medicare Pays
Days 1-60 All but $1364
Days 61-90 All but $341 per day
Days 91-150 (while using your 60 lifetime reserve days) All but $682 per day
Additional 365 Days $0
After the Additional 365 Days $0
What Medigap Pays
Days 1-60 $1364 (Part A Deductible)
Days 61-90 $341 per day
Days 91-150 (while using your 60 lifetime reserve days) $682 per day
Additional 365 Days 100% of Medicare-approved expenses
After the Additional 365 Days $0
What You Pay (for Covered Services)
Days 1-60 $0
Days 61-90 $0
Days 91-150 (while using your 60 lifetime reserve days) $0
Additional 365 Days $0 of Medicare-approved expenses
After the Additional 365 Days All costs
Medicare Part A Skilled Nursing Facility Coinsurance (for Medicare-covered stays)
What Medicare Pays
Days 1-20 100% of approved amounts
Days 21-100 All but $170.50 per day
After 100 Days $0
What Medigap Pays
Days 1-20 $0
Days 21-100 Up to $170.50 per day
After 100 Days $0
What You Pay (for Covered Services)
Days 1-20 $0
Days 21-100 $0
After 100 Days All costs
Medicare Part B Coinsurance or Copayment
What Medicare Pays
First: $0 until you meet $185 Part B deductible *Plans C & F pay Part B deductible Then: Generally 80%
What Medigap Pays:
First: $0 until you meet $185 Part B deductible *Plans C & F pay Part B deductible. Then: Generally 20%
What You Pay (for Covered Services)
First: $185 (Part B deductible) *Plans C & F pay Part B deductible Then:$0
Blood
What Medicare Pays
First 3 pints $0
After 3 pints 100%
What Medigap Pays
First 3 pints 100%
After 3 pints $0
What You Pay (for Covered Services with a Medigap plan)
First 3 pints $0
After 3 pints $0
Basic Benefits for Medigap Plan K
Basic Benefits for Medigap Plan L
Basic Benefits for Medigap Plan M
Basic Benefits for Medigap Plan N
Medicare Part A Hospital Coinsurance/Deductible
What Medicare Pays
Days 1-60 All but $1364
Days 61-90 All but $341 per day
Days 91-150 (while using your 60 lifetime reserve days)All but $682 per day
Additional 365 Days $0
After the Additional 365 Days $0
What Medigap Pays
Days 1-60 $1364 (Part A Deductible)
Days 61-90 $341 per day
Days 91-150 (while using your 60 lifetime reserve days)$682 per day
Additional 365 Days$100% of Medicare-approved expenses
After the Additional 365 Days$0
What You Pay (for Covered Services)
Days 1-60 $0
Days 61-90 $0
Days 91-150 (while using your 60 lifetime reserve days)$0
Additional 365 Days $0 of Medicare-approved expenses
After the Additional 365 Days All costs
Medicare Part A Skilled Nursing Facility Coinsurance (for Medicare-covered stays)
What Medicare Pays
Days 1-20 100% of approved amounts
Days 21-100 All but $170.50 per day
After 100 Days $0
What Medigap Pays
Days 1-20 $0
Days 21-100 Up to $170.50 per day
After 100 Days $0
What You Pay (for Covered Services)
Days 1-20 $0
Days 21-100 $0
After 100 Days All costs
Medicare Part B Coinsurance or Copayment
What Medicare Pays
First: $0 until you meet $185 Medicare Part B deductible Then: Generally 80%
What Medigap Pays
First: $0 until you meet $185 Medicare Part B deductible Then: Generally 20%
What You Pay (for Covered Services)
$185 (Part B Deductible) Up to $20 copay for some doctor’s office visits and an up to $50 copay for ER visits that don’t end in an admission
Blood
What Medicare Pays
First 3 pints $0
After 3 pints 100%
What Medigap Pays
First 3 pints 100%
After 3 pints$0
What You Pay (for Covered Services)
First 3 pints $0
After 3 pints $0