Why is Medigap F going away?

Asked by: Ms. Lauriane Thompson II  |  Last update: February 11, 2022
Score: 4.9/5 (44 votes)

The reason Plan F (and Plan C) is going away is due to new legislation that no longer allows Medicare Supplement insurance plans to cover Medicare Part B deductibles. Since Plan F and Plan C pay this deductible, private insurance companies can no longer offer these plans to new Medicare enrollees.

Why is Medigap Plan F being phased out?

Why was Medigap Plan F discontinued? Per MACRA, first-dollar coverage plans will no longer be available to new beneficiaries. This is due to an effort by Congress to curb medical overspending and provide adequate wages for doctors. If you currently have Plan F or are not newly eligible, you can still enroll.

Is Plan F being discontinued?

Is Medicare Plan F Being Discontinued? No, Medicare Plan F is not being discontinued, but it is no longer an option for those who are new to Medicare. The 2015 Medicare Access and CHIP Reauthorization Act (MACRA) prevented Medicare Supplement plans (F and C, specifically) from providing coverage for Part B deductibles.

What is Medicare Plan F being replaced with?

Popular Plan F Replacements Include Medicare Supplement Plan G and Plan N. There are no explicit replacements for Plan F – you'll have to choose from a number of existing Medicare Supplement plans. Fortunately, most Medicare Supplement plans are very similar.

What happened with Plan F?

Medicare Supplement Plan F is off the market for those newly eligible for Medicare Part A and Part B as of January 1, 2020 and thereafter. Medicare Supplement Plan F is still available to those who buy it before that date.

Is Medigap Plan F Going Away?

25 related questions found

Will Plan F be grandfathered?

If you enrolled in Plan F before 2020, you will be “grandfathered” into the plan. This gives you the choice to keep the plan past 2020.

Can you switch from Plan F to Plan G in 2021?

Can't I just move from a Medigap Plan F to a Plan G with the same insurance plan? Yes, you can. However, it usually still requires answering health questions on an application before they will approve the switch.

Will Plan F premiums rise after 2020?

We don't know yet how premiums for Plan F will be affected in 2020 but there is a chance that the increases for Plan F will be higher annually after 2020 than the increases on G, so Plan G now is a good buy for your situation.

Who is eligible for Plan F?

Who Can Enroll in Plan F? Any Medicare beneficiary who was Medicare-eligible prior to January 1, 2020, can enroll in Plan F. If you are within the first six months of having enrolled in Medicare Part B, you are able to enroll in Plan F under the guarantee issue period.

Can I still enroll in Medigap Plan F?

Medicare Plan F has not been discontinued, but it is only available for people who were eligible for Medicare before Jan 1, 2020. ... You can still enroll in Medicare Supplement Plan F if you were newly eligible for Medicare before January 1, 2020.

Are all Medigap Plan F policies the same?

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.

Will Plan F premiums increase?

Will Plan F Rates Go Up in 2022

On average over the past five years, Plan F rate increases have been between 3% and 6%. Ask your agent what the rate increase history is for the carriers with which you are considering enrollment. You'll want to research carrier reviews before making a choice.

Do Medigap premiums increase with age?

Generally the same monthly premium is charged to everyone who has the Medigap policy, regardless of age. Your premium isn't based on your age. Premiums may go up because of inflation and other factors, but not because of your age.

What is the most comprehensive Medigap plan?

Medigap Plan F is the most comprehensive Medigap plan, but it's not available for new enrollees. Plan G could be an alternative. 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.

Why is Medigap so expensive?

How Much is Medigap in California? ... While the birthday rule is beneficial, it's also a factor in the higher costs of Medigap. Birthday rules also apply in four other states, but California's cost of living is higher, as are Medigap premiums in the state. California doesn't have community rating laws.

What Medicare Supplement plans are no longer available?

As of January 1, 2020, Medigap plans sold to people new to Medicare can no longer cover the Part B deductible. Because of this, Plans C and F are no longer available to people new to Medicare on or after January 1, 2020.

Is Plan F available in 2021?

Summary: Medicare Supplement Plan F is the most comprehensive of the standardized Medicare Supplement plans available in most states. These plans are being phased out, starting in 2021.

What is AARP supplement Plan F?

Medicare Plan F covers all of the gaps in Original Medicare. It is considered to be the “Cadillac” coverage among the available Medicare supplements today. Plan F gives you first-dollar coverage for all Medicare-approved services.

Why is Plan F more expensive than Plan G?

Because it offers the most benefits, Plan F premiums are generally the most expensive. If you didn't become eligible for Medicare until 2020 or later, Plan F won't be available to you.

What is the cost difference between Plan F and Plan G?

Medigap Plan G is almost identical to Medigap Plan F with one key difference. Medigap Plan G does not cover the Part B deductible. Thankfully this deductible is sitting at just $203 per calendar year in 2021 and is projected to only increase to $217 in 2022.

Can I switch from F to G?

If you have been asking should I switch from plan F to plan G, you can switch Medicare Supplement Plans at any time but first compare Plan F to Plan G. Most beneficiaries should expect to answer some health queries (Medical Underwriting) to change policies. Here are some important things to note when switching.

Can I change Medigap plans every year?

You can change Medicare supplement plans at any time of year – but in most states you will have to pass medical underwriting to do so. ... This period DOES NOT, however, apply to Medicare supplements, also known as Medigap plans.

What is the deductible for Plan G in 2022?

Medicare Supplement Deductibles by Plan

Medigap Plan F and Plan G have high-deductible options that include an annual deductible of $2,490 in 2022. Plan members must meet this deductible before the plan begins to cover any of Medicare out-of-pocket expenses.

Can you change Medigap plans during open enrollment each year?

During your Medigap Open Enrollment Period, you can sign up for or change Medigap plans without going through medical underwriting. This means that insurance companies cannot deny you coverage or charge you more for a policy based on your health or pre-existing conditions.