Is Medicare getting rid of Plan F?

Asked by: Jesus Hessel  |  Last update: December 1, 2023
Score: 4.8/5 (16 votes)

Medigap Plan F is being phased out as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which prohibits the sale of Medicare Supplement plans that cover Medicare Part B's annual deductible in full.

Is Medicare Plan F being phased out?

In case you missed the news, Medicare Supplement Plan F is being phased out starting January 1, 2020. If you currently have a Plan F, don't panic. You can keep your plan as long as you want. However, if you become eligible for Medicare after January 1, 2020, you can't purchase a Plan F.

Why is Plan F no longer available?

Medicare Supplement Plan F is being phased out as a result of “The Medicare Access and CHIP Reauthorization Act of 2015”, also known as MACRA. As a result of MACRA, anybody who becomes eligible for Medicare in 2020 will not be able to purchase Plan F.

When did Plan F go away?

What Happens When Medigap Plan F Goes Away in 2020? The Medicare Access and CHIP Reauthorization Act of 2015 states that, after January 1, 2020, insurance companies can no longer offer any new Medigap plan that covers the Original Medicare Part B deductible.

Is Medicare plan F grandfathered in?

If you already have Plan F, you can your grandfathered in. As long as you were eligible for Medicare before 2020, you can still enroll in Plan F with any carrier that offers it in your area.

Medicare Supplement Plan F - Not worth it anymore?

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What Medicare plan is closest to Plan F?

If you're not eligible for Medigap Plan F but want a similar option, Plan G is the closest alternative.

Should I change from Plan F to Plan G?

Two Reasons to switch from Plan F to G

You can often save $50 a month moving from F to G. Even though you will have to pay the one time $226 for the Part B deductible on Medigap G, the monthly savings will be worth it in the long run. 2) Plan G will be a better deal in the future.

What is the difference between Part F and Part G Medicare Supplement?

The main difference between Medigap Plan F and Medigap Plan G is that any Medicare beneficiary can buy Plan G, whereas Plan F is limited to beneficiaries who became eligible for Medicare before Jan. 1, 2020. For new Medicare beneficiaries, Plan F isn't an option.

Does Medicare plan F cover cataract surgery?

Generally speaking, if you are enrolled in Original Medicare or a private Medicare insurance plan, you have coverage for cataract surgery. It's always best to research and have an open conversation with your medical provider about any additional charges before the procedure is done.

How much is Medicare Part F?

Average Cost of Medicare Supplement Plan F in 2023

The plan's average cost is about $230 per month. However, many factors impact the premium price. Premium costs for Medigap Plan F can range from around $150-$400 per month or more. Factors determining your cost include your ZIP Code, gender, age, tobacco use, and more.

Are all Medicare Plan F the same coverage?

Remember, all Plan F policies offer the exact same benefits. This is true no matter where you buy the plan. Different insurance companies may charge different premiums, deductibles, copayments or coinsurance for it, but they can't change its coverage.

What is Medicare Part B deductible for year 2023?

In 2023, the Medicare Part A deductible is $1,600 per benefit period and the Part B annual deductible is $226.

Does Medicare Plan F have an out of pocket maximum?

Medigap High Deductible Plan G or Plan F Out of Pocket

That's easy. The maximum out-of-pocket is equal to the deductible. That deductible is $2,490 for the year 2022.

What is modernized Plan F?

Plan F includes the Basic Benefits, pays the Part A deductible and includes the Skilled Nursing Coinsurance. Plan F Includes Foreign Travel Emergency benefits. Plan F includes the hospice coinsurance not paid by Medicare. Bottom Line: The is no modernized Medicare Supplement better. The regular Plan F is a winner.

What is the deductible for Medigap Plan F?

Your Costs for Medigap High Deductible Plan F

The first $226 out-of-pocket covers the standard Medicare Part B deductible. After that, Medicare Part B will cover 80% of your healthcare costs. Then, you will pay the remaining 20% of the expenses until you pay a total of $2,700 out-of-pocket.

When can you change from Plan F to Plan G?

Whether you want to switch from Medigap Plan F to Plan G, you want to work with a different insurance company, or you want to get a better-priced Medicare Supplement plan, you can do so at any time by submitting a new application.

Which is better Medicare Part C or F?

Of the 10 Medigap plans, C and F currently pay that deductible, which is $233 for 2022. The difference between plans C and F is that C does not cover the 15 percent in excess charges that doctors who don't participate in Medicare are allowed to charge their patients; Plan F does.

What is the advantage of Medicare Plan F?

Medicare Supplement Plan F offers basic Medicare benefits including: Hospitalization: pays Part A coinsurance plus coverage for 365 additional days after Medicare benefits end. Medical Expenses: pays Part B coinsurance—generally 20% of Medicare-approved expenses—or copayments for hospital outpatient services.

What is the deductible for Plan F in 2023?

Effective January 1, 2023, the annual deductible amount for these three plans is $2,700. The deductible amount for the high deductible version of plans G, F and J represents the annual out-of-pocket expenses (excluding premiums) that a beneficiary must pay before these policies begin paying benefits.

Why is Plan F more expensive than Plan G?

The difference between F and G is the cost of Part B deductible. Plan G doesn't cover the Part B deductible (In 2023, it is $226.) After the deductible is met, Plan G benefits are exactly the same as Plan F. Plan F benefits include coverage for all copays, deductibles and coinsurance.

Which is better Plan C or Plan F?

Medigap Plan C

It is very similar to Plan F, having only one benefit difference from Plan F benefits. Keep in mind that Plan F is the most common and comprehensive plan – it pays everything that Medicare doesn't cover at the doctor/hospital. Plan C does the same with the exception of the Medicare Part B Excess charges.

Can you still get Plan F?

Is Medicare Supplement Plan F being discontinued? Yes. Medicare Supplement insurance plans that pay the Medicare Part B deductible are not available to you if you became eligible for Medicare on January 1, 2020 or later. This change is part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Does Medicare Plan F require a referral?

Choose any doctor – from over 900,000 physicians in the United States. No referrals required! Medigap plans allow you to see any Medicare specialist whenever you like. You are not required to get a referral from your primary care doctor.

What is AARP Supplement Plan F?

Plan F is the most comprehensive of the 10 Medigap plans offered in the U.S. Plan F is a supplemental policy to Original Medicare (Parts A and B) and can fill many of the gaps of Original Medicare and provide broader assistance with out-of-pocket costs. However, not all health insurance gaps will be covered by Plan F.