Medicare Plan F
Medigap Made Easy
Medicare Plan F – Part F
Note: Medicare Plan F is no longer available to those who are eligible for Medicare after January 1, 2020.
Medigap Plan F is the most comprehensive Medicare supplement you can buy. Also referred to as Medicare Supplement Plan F, it covers both Medicare deductibles and all co-pays and coinsurance, leaving you with nothing out of pocket.
Medicare supplement Plan F has also been the best seller with Ashford Insurance for many years. Ashford Insurance offers a selection of Texas Medicare Supplement Plan F’s from many top carriers.
Medicare Supplement Insurance, also called Medigap coverage, protects people who buy traditional Medicare against many of the additional costs a patient might pay. In return, Medigap charges a premium in addition to what the person already pays for Medicare Parts A (many people get this free), B, and D.
When you add a Medicare Supplement Plan F to your Original Medicare benefits, your coverage will be quite comprehensive. By definition, Medigap Plan F is the Medicare supplement policy with the most benefits.
Texas Medicare Supplements are standardized by the Federal Government. They are labeled A, B, C, D, F, G, K, L, M, and N. Each standardized Medigap policy must offer the same basic benefits no matter which insurance company sells it. Cost is usually the only difference between Medigap policies with the same letter sold by different insurance companies. Plan A pays the Medicare hospital and physician coinsurance, the first three pints of blood, and 365 days of hospitalization beyond Medicare. Plans B through N provide these benefits and add more benefits such as coverage for Medicare deductibles, excess charges and limited preventive care, and foreign travel. You can only have one Med Sup plan. No one should try to sell you an additional Medigap plan unless you decide you need to switch policies.
Texas Medicare Supplement Plan F
Plan F tends to be a popular pick for most people because it actually offers a lot more coverage than other supplement plans. It is important to notice that there are two types that are different. There’s the standard Plan F and another one that has the same benefits as the standard but comes with a higher deductible. This means if you were to choose the higher deductible which you would need to pay a certain amount of money ahead of the coverage would even begin. Call us for a free quote on Plan F today!
Should you decide you want to pick the higher deductible plan then you will be required to pay for all the out-of-pocket costs until you’ve reached a certain amount the original Medicare does not cover. But, by choosing the higher deductible plan you could end up paying a much lower monthly amount than with the standard Medigap Plan F.
Since Plan F does offer the largest number of benefits, normally it’ll be the most expensive plan, however, in the event you shop around you can find a plan that’s less expensive.
Open Enrollment for Texas Medicare Supplement Insurance is at age 65 for all consumers, including those already receiving Medicare due to disability. The Open Enrollment period is a six-month period, beginning when you are both age 65 or older and enrolled in Medicare Part B, companies must sell you any Medicare supplement plan they offer. After this limited open enrollment period, companies can pick and choose whom they will cover and how much they will charge based on your health. If you have an individual or “bank group” insurance policy, becoming Medicare eligible does not require you to cancel it and purchase a Medicare supplement. Doing so may save premium costs but it is important to compare benefits before deciding which will work best.
If you are eligible for employer retirement insurance, review the plan carefully to understand what benefits are available and how it works with Medicare. Be aware that employer plans are not standardized and are not subject to the requirements governing standardized Medicare supplement policies. Also, it is important to remember, if you leave an employer plan you may not be able to go back on it.
Never Pay a Doctor Copay Again
The reason Medicare Plan F is so well-liked is that it will pay for ALL the gaps in Original Medicare Part A and Part B, including both your hospital and outpatient deductible. It even pays the 20% that Medicare Part B does not cover. This is why we consider it one of the top Medicare supplement plans
Medigap Plan F covers the basic set of benefits. These basic benefits include most Medicare Part A and B coinsurance amounts, blood, and additional hospital benefits not covered by Original Medicare. Plan F also covers the Part A Deductible, Part B Deductible, Skilled Nursing Facilities, Part B Excess Charges, Skilled Nursing Facilities, and Foreign Travel Emergency.
Part A Hospital Coinsurance
- Days 61-90 of a hospital stay in each Medicare benefit period.
- Days 91-150 of a hospital stay. Medicare will only pay for these 60 days once during your lifetime.
Additional Part A Hospital Benefits
- An extra 365 days of inpatient hospital care after you use your Original Medicare hospital benefits.
Part B Coinsurance
- Pays for the Part B coinsurance after you meet your annual deductible.
Part A and B Blood Coverage
- Pays for the first three pints of blood per calendar year.
Part A Hospice Coinsurance
- Pays for outpatient prescriptions drug and inpatient respite care coinsurance.
Part A Deductible
- In 2019, the Medicare Part A Deductible is $1,364. Medigap Plan F covers the deductible amount.
Part B Deductible
- In 2019, the Medicare Part B Deductible is $185.00. Medigap Plan F covers the deductible amount.
Skilled Nursing Facilities
- In 2019, the co-payment for skilled nursing is $170.50/day for days 21-100. Medigap Plan F covers the co-payment amount.
Part B Excess Charges
- If you go to a provider that does not accept Medicare assignment, that provider is allowed to charge an additional 15%. Plan F will cover that additional 15% charge at 100%.
Foreign Travel Emergency
- Pays only for emergency care
- Pays only after you first meet and pay a $250 deductible.
- Pays 80% of billed charges for Medicare-eligible expenses for medically necessary hospital, physician, and medical care received in a foreign country. You would be responsible for the other 20%.
- Has a $ 50,000-lifetime maximum benefit.
Your cost-sharing is covered 100% by Medicare Supplement Plan F.
Medicare Plan F policies are considered first-dollar coverage. After Medicare pays its share of your claims, Medigap Plan F pays the remainder. This leaves you with $0 out of pocket.
To see a list of all the Medicare supplements available – take a look at our Medigap supplement chart. This chart can be found in the booklet called “Choosing a Medigap,” which is published by Medicare itself. The chart details the benefits that are included in each Medicare supplement, which are labeled Plan A – Plan N.
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Ashford Insurance is an independent health insurance agency specializing in Texas Medicare insurance and has been helping seniors since 2005. Ashford Insurance is here to help you understand Medicare and health insurance in simple, plain terms that anyone can grasp. We specialize in assisting folks who are Medicare eligible to learn about the coverage options available through the Medicare Health Insurance Program.
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