Why are they phasing out Plan F?

Asked by: Casandra Pfeffer  |  Last update: August 28, 2023
Score: 4.7/5 (2 votes)

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.

Why is Plan F going away?

So, why is Plan F going away? 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.

Why switch 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.

Is Plan F going away?

Medicare Plan F has not been discontinued, but it is only available for people who were eligible for Medicare before Jan 1, 2020. If you are currently enrolled in Plan F, your enrollment remains active unless you choose a different plan or fail to pay your premiums.

When was Plan F discontinued?

The Medicare Access and CHIP Reauthorization Act of 2015 states that, after January 1, 2020, insurance companies can no longer offer any Medigap plan that covers the Original Medicare Part B deductible. On that date, insurance carriers cannot offer Medigap plans C and F.

Medicare Supplement Plan F - Not worth it anymore?

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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.

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.

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.

What's the difference between Medicare Plan F and G?

What's the coverage difference between Plan F and Plan G? Medigap Plan F and Plan G have almost the same coverage. The only difference is the Medicare Part B deductible.

Is Medicare Advantage going to be discontinued?

In a word—no, Medicare isn't going away any time soon, and Medicare Advantage plans aren't being phased out.

Can I move 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 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.

Should I switch from Medicare Plan F to G?

The major difference between these two plans is that Plan F covers the annual Medicare Part B deductible while Plan G does not. Even with the increasing cost of Original Medicare Part B deductible over time, it may make sense financially to opt for Plan G since it usually has a lower monthly premium than Plan F.

Does Plan F cover drugs?

Medicare Supplement Plan F does not cover prescription drugs. By law, Medicare Supplement plans do not cover prescription drug costs. Medicare beneficiaries who want prescription drug coverage typically have two options: Enroll in a Medicare Advantage (Medicare Part C) plan that includes prescription drug coverage.

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 Plan F cover medication?

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 does Plan F cover?

According to Medicare.gov, Plan F covers: Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up. Part A deductible. Part A hospice care coinsurance or copayment.

Is it necessary to have a Medicare supplement?

Medicare supplement plans are optional but could save you big $$$ on doctor bills. Your cost-sharing under Part B is similar. You are responsible for paying your Part B deductible, which is $226 in 2023. Then Part B Medicare only pay 80% of approved services.

Does Plan F offer basic benefits?

Medigap Plan F covers many of the out-of-pocket expenses that Original Medicare does not, including the following benefits: 100% coverage of Part A coinsurance and costs while staying in the hospital, for up to 365-day once Medicare benefits are exhausted. 100% coverage of Part B outpatient coinsurances and copayments.

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.

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

High Deductible Plan F overview

High Deductible Plan F includes the comprehensive benefits of regular Plan F, but you manage your health care costs until you've reached the calendar year deductible amount. After that, the plan functions like regular Plan F. Having a high deductible can reduce your monthly premiums.

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.

How do I switch back to original Medicare?

If you're already in a Medicare Advantage plan and you want to switch to traditional Medicare, you should contact your current plan to cancel your enrollment and call 1-800-MEDICARE (1-800-633-4227). Note there are specific enrollment periods each year to do this.

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.