Medicare Supplement Quotes

What is Medigap Plan F?

Written by Evens Stevenson

There are a total of ten Medicare supplemental insurance plans offered to cover the gaps in coverage left by Medicare coverage. While each plan covers a different number/combination of the holes, but the most comprehensive and popular of all the plans is Medicare Supplement Plan F. If you are already familiar with the different plans and understand the purpose of Medicare, you can get quotes for any of the Medicare supplements by filling out the form on the side of this page, or you can keep reading to get all the information you need to understand the most popular plan might be the best plan for your needs. If you are in Georgia and looking for a Medicare supplement, we can certainly help. Also, if you already have coverage such as with a Medigap Plan J and you have questions, we have answers.medicare supplemental insurance plan f

Medicare supplemental plans are a valuable tool for anyone enrolled in Medicare. We have heard countless stories of retirees being left with hefty hospital bills that Medicare didn’t cover. As we age, health care costs become one of the biggest portions of our budgets, which can quickly drain a bank account and ruin a retirement dream. 

Plan F is typically called the “buy it and forget it” plan because of how much the plan covers. For anyone that doesn’t have to worry about any out-of-pocket expenses or having to pay for unexpected expenses because of gaps left in Medicare, is for them. If you’re looking for a plan that offers extra coverage for an affordable price, Plan F is your best option. We will explain everything you need to know about Plan F.

The Coverage

Medicare has nine gaps in the coverage you receive. What makes Medicare Part F such a popular plan is that it fills all nine of these coverage gaps. This means when you have a Medicare Plan F policy you pay for the monthly premiums of your supplement, the monthly premiums for Medicare Part B and the premiums for your prescription drug coverage (Medicare Part D) and you have no other charges for medical services. Now this may seem like you will be writing three checks each month, but once you are receiving Social Security payments the premiums for Medigap Plan F and the other premiums will all be taken directly out of your Social Security before it is deposited into your account. This is great because with all the bills you already pay, it’s easy to forget to mail a check for your Medicare supplemental coverage.

Medicare Supplemental Insurance Plan F, just like all the Medicare supplement plans, is billed through the Medicare billing system. This means that you don’t have to pay anything out of pocket. It will go to Medicare for the primary coverage and then get billed directly to you Medicare Plan F carrier. Overall you are going to have the least hassle with this type of policy, but to make it clearer here is a chart showing exactly how Plan F works if you were to be hospitalized:

Medical Service
What Medicare Pay
What Plan F Pays
Your Cost
Hospitalization - First 60 Days
Everything Except $1,184
$1,184
$0
Hospitalization Day 61-90
Everything Except $269 per day
$269 per day
$0
Hospitalization - Day 91-150
Everything Except $592 per day
$592 per day
$0
Hospitalization - Next 365 Days
$0
All Medicare Elligable Expenses
$0
Hospitalization - any Past Additional 365 days
$0
$0
All Costs

As you can see Medigap Plan F picks up all the charges and you are given an additional 365 days of hospitalization coverage by the plan. Having a Plan F policy will keep you from being saddled with a dozen of different medical bills after you leave the hospital. This goes for all nine gaps left by Medicare. In fact, the only charges you could incur when you have one of these plans are the hospitalization past 515 days, skilled nursing care past 100 days, and the first $250 and a 20% coinsurance if you were to have a foreign travel emergency. Compared to all the other out-of-pocket expenses left my other Medigap policy, Plan F could save you thousands of dollars in an emergency situation.

The Cost

The only real way to know how much any Medicare supplement will cost is to run a set of quotes. Because each person is different, there is not really a way to give you a ballpark figure. If you are 75 and have some health issues that will be a much different cost than someone who is 69 and in perfect health. The costs will also vary depending on what state you live in, and each state has drastically different premium averages. For example, if you are looking for life insurance, specifically South Carolina Medicare Supplemental Plans, we can help!

Another factor in the cost of your Medigap policies is the way in which the insurance company rates your coverage. There are three ways to rate Medicare supplement insurance: attained age, community, and issue age.

  • Attained-Age Rating – This means your premiums are based on your current age and that the premiums will most likely increase as you age.
  • Community Rating – This type of rating means that everyone in a community gets the same rates. Whether you are 65 or 71, you will still pay the same rates.
  • Issue-Age Rating – This means that your premiums are based on the age you are when the policy is issued. So as you age the premiums stay the same. This type of rating tends to be slightly higher than attained-age if you get the policy right at 65, but over time could save you money.

Each of these pricing methods has different advantages and disadvantages depending on your age and current health. For example, with a community rated plan, you may pay more in monthly premiums when you first enroll, but you’ll save money as you age. When you are looking to purchase a Medigap policy, as the insurance company which pricing method they use.

With all these types of ratings it is very important to enroll in your Medigap plan within six months of starting your Medicare Part B Coverage. This period is known as the open enrollment period. During this time, the insurance companies are not legally allowed to take your health into consideration when they issue your policy. This means they only take your age and other demographic factors into account. So if you have any health conditions, open enrollment will be the absolute best time to get the lowest rates. To see what your rates will look like just use the form on this page to get started.

When looking for a Medigap plan, you should be aware of a “pre-existing condition waiting period” clause that could impact your supplemental insurance. The pre-existing condition waiting period essentially means that the insurance company has the right to refuse to pay any health care expenses related to a health complication you had before you purchased the policy. While they are legally allowed to have on of these waiting periods, they can only deny you coverage for the pre-existing condition for six months are you sign the policy.

Alternatives to Medicare Supplement Plan F

While Medicare Supplement Plan F is the most popular, people frequently choose a different plan. This happens when the cost of Plan F exceeds the combination of charges and premium that you receive from one of the other Medicare supplement plans or when someone has significant savings and can afford to have less coverage. There are plenty of other options to Plan F, but the two most popular options are Plan G and the High Deductible Plan F.

Plan G

Medicare supplemental plan G has the same coverage as Medicare part F except that it does not cover the $147 annual deductible that comes with Medicare Part B. At this point we have to do some math. If the premiums for Plan G are $20 less per month, then you would spend $240 less per year. Even after paying the deductible that is a savings of $93 annually for plan G over Medicare supplement insurance plan F. Now if the monthly savings for Plan G had been less, then F would have been a better choice.

Now if your budget isn’t as tight, you might like the idea of not having to think about any additional charges.  On top of that these two plans frequently get closer in price as a person ages.  So you may decide to pay the slightly higher amount now in order to not have to deal with the hassle of a deductible.

High Deductible Plan F

The difference between the standard Medigap Plan F and the high deductible version is pretty simple. In exchange for getting much lower monthly premiums, you will have a $2,120 annual deductible. This means that you have to pay for the first $2,120 of Medicare charges that would have been covered by the standard plan. This includes the Medicare Part A and Part B deductibles as well as any other coinsurance and copay’s that the standard plan would cover. So why would someone choose this plan?

There are a few different situations that would make the HD Plan F a better option than the regular Plan F. If you have large cash saving that you can use for health care deductibles, then you can afford to pay the high deductible and save money on the monthly premiums. The other situation is if you are in great health and have a good family history. Anyone that is in excellent health and doesn’t go to the doctor often or need any extra medical treatments, you can save money every month with the lower premiums.

Other Alternatives

If these two options aren’t exactly what you are looking for, don’t worry, there are plenty of other options for you to choose from. While it might be overwhelming to compare all of the Medigap plans, we can help. Tell us what type of coverage you want and we will find the plan to match your needs.  We will take your information, compare it to what plans are available in your state and make a recommendation based off of all your options.  Since the plans are subsidized you will get an exact apples to apples comparison.

Medicare Supplemental Insurance

Sufficient health care can be expensive. Between treatments, doctor appointments, prescriptions, and more can quickly add up to a bill that is difficult to cover. Having a comprehensive Medigap plan, like Plan F can ensure that you get the health care coverage you need without breaking your retirement nest egg. Not only will these supplemental insurance policies give you the coverage you need, but they also bring peace of mind knowing that you will be able to afford a healthy and happy retirement.

The only way to know which of these plans is right for you is to get a Medicare supplement quote and compare all the plans and their pricing. One of the worst mistakes you can make when shopping for a Medigap plan is to purchase the first plan you receive a quote from. Often the first insurance company you hear from doesn’t have the lowest rates. Instead of having to call dozens of different insurance companies to find the best rates, we will show you all of the best plans for the best price.

At CompareMedicareSupplements.net we are dedicated to helping you find the best Medicare supplement policy for your needs. So whether that ends up being Medigap Plan F or one of the other Medicare supplements you can be sure that you are getting the personal touch to make sure you get the best plan. We can also help you with obtaining information on AARP Medicare Supplement rates. So if we can help you in any way, please contact us.

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