What is modernized Plan F?

Asked by: Magnus Weissnat  |  Last update: November 20, 2023
Score: 4.6/5 (8 votes)

Medigap Plan F is a Medicare Supplement Insurance plan that's offered by private companies. It covers "gaps" in Original Medicare coverage, such as copayments, coinsurance and deductibles. Plan F offers the most coverage of any Medigap plan, but unless you were eligible for Medicare by Dec.

What does Plan F mean for Medicare?

With Medicare Supplement Plan F, you get the most complete coverage available. First, it includes all the benefits of Medicare Supplement Plans A, B and C. In addition, Plan F provides coverage for skilled nursing facility care, Medicare Part A and B deductibles, and international travel medical emergency help.

Is Plan F better than an advantage plan?

Your healthcare coverage goals will determine which is better for you. For example, if you do not want to deal with restrictive doctor networks, Medigap Plan F is the better choice. But if keeping monthly premiums low is more important to you, a Medicare Advantage plan would be more suited to your needs.

What is the replacement for Plan F?

What Will Replace Medicare Plan F? No plan completely replaces Medicare Part F, but the closest available is Medicare Supplement Plan G. Like Plan F, Plan G covers 100% of many benefits, including: Part A coinsurance and hospital costs.

Is 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.

The Ultimate Guide for Medicare Supplement Plan F

22 related questions found

Can you go back to Medicare Plan F?

Unfortunately, no. You can join other Medicare Supplement plans, but any plan that has the Part B deductible coverage (like Plan F) is out of the running. We have other suggestions for coverage though – keep reading for more.

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.

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.

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.

Why are they getting rid of Plan F?

Plan F is no longer available to those who are new to Medicare as of January 1, 2020. If you were eligible for Medicare before January 1, 2020, you can still enroll in Plan F. Plan F is being phased out because they didn't want physicians to leave the Medicare program.

Is Plan F grandfathered?

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.

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.

Does Plan F pay Part B premium?

What does Medicare Plan F cover? Those who have Medicare Plan F won't pay out-of-pocket costs for Medicare Parts A and B. Policyholders would only pay the monthly rates, which start at $0 for Part A and $164.90 for Part B.

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.

Does Medicare F cover prescriptions?

No, Medicare Supplement Plan F does not cover prescriptions. You will need to purchase a separate prescription drug plan to cover your prescription costs. Supplemental insurance for prescription drugs is available through private insurers.

What is the difference between Plan F and Plan G in Medicare?

With Plan F, you have no out of pocket costs, no co-pays or deductibles to pay. Plan G is almost identical to Plan F, with only one exception. That exception is that Plan G does not cover the Medicare Part B deductible. For 2022, the Medicare Part B deductible is $233/year.

What is the difference between high deductible Plan F and Plan G?

The Plan F High Deductible is for those who were eligible for Medicare prior to 2020. The Plan G High deductible is for everyone else. They have the same benefits and should have the same premium. With that aside, here is what you need to know going into 2022.

What is the difference between Plan F and innovative Plan F?

Innovative Plan F offers the same benefits as Plan F with the addition of routine eye exams, eyewear, hearing exams and hearing aids. These additional benefits are not covered by Medicare or a standard Medicare Supplement Plan.

Does Plan G have an out-of-pocket maximum?

Original Medicare doesn't have an out-of-pocket limit. Similarly, Plan G has no out-of-pocket limit to protect you from spending too much on covered health care in a year. If you are interested in an out-of-pocket limit, consider Plan K or Plan L. Plan G is most similar in coverage to Plan F.

Can you switch from Plan F to G without underwriting?

As a short answer, yes. You can switch, but you'll need to pass the underwriting process to qualify. Underwriting involves looking at your medical history to review your eligibility for joining Plan G. Plan G might not cover you for certain pre-existing medical conditions.

What is the G plan for Medicare?

Plan G includes all the benefits of Medicare Supplement Plans A, B and C with the exception of the Medicare Part B deductible. It's a good fit for people who want some coverage for hospitalization, but are willing to pay the Medicare Part B deductible on their own. A high-deductible Plan G is also available.

What will the Medicare Part D deductible be in 2023?

Most Part D PDP enrollees who remain in their current plan for 2023 will be in a plan with the standard (maximum) $505 deductible and will face much higher cost sharing for brands than for generic drugs, including as much as 50% coinsurance for non-preferred drugs.

Is Medicare deductible going down in 2023?

Deductibles also going down

The annual Part B deductible for 2023 is decreasing to $226, a $7 decline from 2022 and the first drop in a decade.

What is the new Medicare deductible for 2023?

In 2023, the Medicare Part A deductible is $1,600 per benefit period and the Part B annual deductible is $226. The Centers for Medicare & Medicaid Services (CMS) releases new premiums, deductibles and coinsurance amounts for Part A, Part B and the Medicare Part D income-related monthly adjustment amounts every fall.