PLAN F

Medicare Supplement Plan F, often simply referred to as Plan F, is one of the standardized Medigap plans available to beneficiaries enrolled in Original Medicare (Part A and Part B). It has been one of the most comprehensive Medigap plans available, covering virtually all of the “gaps” in Original Medicare.

Here’s what the Plan F Medigap policy typically covers:

• Part A Deductible and Coinsurance: Plan F covers the Medicare Part A deductible and the coinsurance for hospital stays. This means that once you’re admitted as an inpatient, all of your hospital expenses are covered.
• Part B Deductible: Plan F covers the Part B deductible, which you normally pay for covered medical services and items before Medicare starts to pay.
• Part B Coinsurance or Copayment: After the deductible, you usually pay 20% of the Medicare-approved amount for services. Plan F covers this 20%.
• Blood: Plan F covers the first three pints of blood you might need during a medical procedure.
• Part A Hospice Care Coinsurance or Copayment: Hospice care costs under Medicare Part A are covered by Plan F.
• Skilled Nursing Facility Care Coinsurance: If you need care in a skilled nursing facility after a hospital stay, Plan F covers the associated coinsurance.
• Foreign Travel Emergency: If a medical emergency occurs while you’re outside the U.S., Plan F will cover 80% of billed charges (after you meet a yearly deductible) up to plan limits.
• Part B Excess Charges: If a doctor or provider does not accept Medicare assignment (meaning they don’t accept Medicare’s approved amount as full payment), they might charge up to 15% more than the Medicare-approved amount. Plan F covers these excess charges.