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What does Plan F cover?

Plan F is the most comprehensive Medicare Supplement Insurance (Medigap) plan currently available. It helps to fill in all of the major gaps left by Original Medicare and will help pay for hospital-related costs such as blood transfusions and skilled nursing as well as other expenses like doctor’s visits, lab work, surgeries, x-rays, medical supplies, and more. The official list of benefits offered by Plan F can be found below. Overall, Plan F enrollees will have only minimal – if any – out-of-pocket expenses compared to those using Original Medicare alone or with one of the other, less comprehensive Medicare Supplement Insurance Plans. Please note that Plan F is being discontinued as of January 1st, 2020.

  • Part A coinsurance and hospital costs up to a year after Medicare benefits are used up
  • Part B coinsurance/copayments
  • Blood transfusions up to 3 pints annually
  • Part A hospice care coinsurance/copayments
  • Skilled nursing facility care coinsurance
  • Part A deductible
  • Part B deductible
  • Part B excess charge (from doctors who do not accept Medicare assignment)
  • 80% of foreign emergency care (up to a certain limit)

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