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Medicare Plan F Benefit Summary

Are All Medigap Plan F The Same

Medicare Advantage Plans Explained (2022)

Due to standardization, all Plan F policies have the exact same benefits regardless of the carrier you enroll with. No carrier can change the benefits covered by this plan. However, in some circumstances, you may be eligible for perks for being enrolled with certain carriers such as gym memberships or discounts on eyeglasses or hearing aids. However, these additional perks must be given to all policyholders from the same carrier regardless of the plan they enroll in.

What Is A High

High-deductible Plan F differs from standard Plan F in that it has an annual deductible.

High-deductible Megiap Plan F has the same benefits as the standard Plan F policy, but you must meet a deductible before you can access its health benefits.

For 2022, the annual deductible for the high-deductible Plan F is set at $2,490. If you want to switch from a high-deductible plan back to the standard Plan F, you may need to undergo a medical exam for underwriting.

A high-deductible Medicare Plan F policy could be useful if you are healthier and do not think you’ll need many medical services. However, you should carefully evaluate your own medical situation before committing to the high-deductible plan, as you would be responsible for the entire $2,490 if you incurred a large medical cost.

For example, say you needed to get a colonoscopy, which can cost up to $3,500. Under a standard Medigap Plan F, the first 80% of that bill would be paid for by Medicare Part B. The remaining 20% would be covered by Plan F. You would end up paying nothing in medical expenses under this scenario, but you would pay the monthly premium. Based on the lowest average premium of $161, your Plan F would cost at least $1,932 per year.

How Does Medicare Plan F Work

The main thing you need to know about how this and all other Medicare Supplement plans work is that you have to be enrolled in Original Medicare, or Medicare Parts A and B, before Part F kicks in and starts filling your Medicare payment gaps.

Once thats out of the way, though, and once youre enrolled in Part or Plan F, Medicare pays its share of your approved healthcare costs like it always does and then your MedSup policy follows up by paying its share.

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How Much Does Medicare Supplement Plan F Cost In 2022

Medicare Supplement Plan F premiums may be more expensive than those for other Medicare Supplement plans. However, the reason is that this plan provides the most benefit to enrollees.

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The plans 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 that determine your cost include your ZIP Code, gender, age, tobacco use, and more.

Remember that the monthly premium for Medicare Supplement Plan F is the only cost you will be paying for your Medigap coverage. You will not be required to pay any copays, coinsurance, or deductible for your service. So, paying a higher premium may save you money in the long run.

When And Where To Buy Medicare Plan F

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If you qualify, you may purchase Medicare Plan F policies directly from private health insurance companies. Although insurers aren’t required to offer Plan F, many do so because of its popularity.

Medigap policies can be purchased during the Medigap open enrollment period, which lasts six months and begins on the first day of the month you turn 65 or older and are enrolled in Medicare Part B. During this time, you can apply to any Medicare Advantage , Part D or Medigap plan , and the policy would be guaranteed. This means you would not be denied coverage due to health issues, and the health insurance company would be required to sell you a policy at the best available rate. For this reason, it is best to know which policy you want before open enrollment starts.

If you decide you want Plan F later on or miss the open enrollment period, you would have to go through medical underwriting. During this process, you would be required to take a medical exam, which may make the policy more expensive or cause you to be denied coverage.

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Aetna Medicare Supplement Plan F

For seniors interested in getting help covering medical expenses and hospital costs, Aetna Medicare Supplement Plan F is one of the best options available. Medicare Supplement insurance provides health care coverage in addition to the Medicare benefits beneficiaries receive through Medicare Part A and Part B .

Aetna Medicare Supplement Plan F is called Aetna Medigap Plan F because it bridges the coverage gap between what Original Medicare pays and what the beneficiary has to pay. It does not offer prescription drug benefits. Like with all Medigap plans, to get outpatient medication benefits, you must buy a stand-alone Prescription Drug Plan.

To remain eligible for Aetna Medigap Plan F, you must remain enrolled in Medicare and pay your Medicare Part B premium.

Skilled Nursing Facility Care Coinsurance

There is no coinsurance requirement for the first 20 days of inpatient skilled nursing care you receive during each benefit period. But daily coinsurance payments of $185.50 are required for days 21 through 100 in 2021, and youre responsible for all costs beyond 100 days.

Medigap Plan F provides 100% coverage of this coinsurance.

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Plan F Vs Other Medigap Plans

80% 80%

* Plan F and Plan C are not available to Medicare beneficiaries who became eligible for Medicare on or after January 1, 2020. If you became eligible for Medicare before 2020, you may still be able to enroll in Plan F or Plan C as long as they are available in your area.

1 Plans F and G offer high-deductible plans that each have an annual deductible of $2,490 in 2022. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high-deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.

2 Plan K has an out-of-pocket yearly limit of $6,620 in 2022. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.

3 Plan L has an out-of-pocket yearly limit of $3,310 in 2022. After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.

4 Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 copayment for emergency room visits that dont result in an inpatient admission.

Medicare Supplement Plan F Benefits

Medicare Supplement Plans / Benefits & Hidden Risks

As mentioned, Medicare Supplement Plan F offers the broadest coverage of all of the standardized Medigap plan offerings .

Medigap Plan F may cover:

  • Part A coinsurance and hospital costs for an extra 365 days beyond what Medicare covers
  • Part A hospice care copayment or coinsurance costs
  • Part A deductible
  • First three pints of blood
  • Skilled nursing facility care coinsurance costs
  • Limited overseas emergency travel coverage, up to plan limits*

* May be covered if your foreign travel emergency care starts during the first 60 days after leaving the United States and Medicare doesnt otherwise cover the care.

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Medicare Supplement Plan F

If youre enrolled in Original Medicare and would like to have most of the federal programs out-of-pocket costs covered, Medicare Supplement Plan F may be a good option. Medicare Supplement plans may help with certain out-of-pocket health-care costs that Original Medicare doesnt pay for, such as deductibles, copayments, and coinsurance. Of the 10 standardized plans that may be available in most states, Medicare Supplement Plan F offers the most comprehensive coverage.

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Please note that Massachusetts, Minnesota, and Wisconsin have their own standardized Medicare Supplement plans. Medicare Supplement Plan F isnt available in those states.

Heres an overview of what Medicare Supplement Plan F may cover and what your costs may be, as well as details on important changes related to this plan.

What Benefits Are Covered Under Medicare Supplement Insurance Plan F

Plan F basic benefits, like other Medigap plans, are standardized in most states. This means that regardless of where you live or which insurance company you purchase from, youâll get the exact same basic benefits for a Plan F sold anywhere in your state . However, keep in mind that even though basic benefits are the same, premiums may vary.

Below is a list of costs and benefits covered by Medicare Supplement Insurance Plan F:

  • Part A hospital and coinsurance costs up to an additional 356 days after Medicare benefits are exhausted
  • Medicare Part A hospice care copayment or coinsurance
  • Medicare Part B coinsurance or copayment
  • Medicare Part B excess charges
  • Medicare Part A deductible
  • First three pints of blood used in an approved medical procedure
  • Skilled nursing facility coinsurance
  • Foreign travel emergency coverage

Even though Medicare Supplement Insurance Plan F offers the broadest coverage of any of the 10 standard Medigap plans available in most states, it doesnât cover all of the costs you may have in Original Medicare. For example, youâll still need to keep paying your Medicare Part B premium payments each month. If you havenât worked enough quarters to qualify for premium-free Medicare Part A , you may owe a premium for Part A as well. Medicare Supplement Insurance Plan F doesnât cover these out-of-pocket costs.

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Aetna Medicare Supplement Plan F Vs Plan G

When you compare Medicare Supplement plans, Aetna Medigap Plan F is attractive for the broad benefits it covers. Another popular Medigap plan is Plan G. Here is how the two plan options compare.

  • Benefits: The only benefits difference between the two Medicare Supplement plans is the Part B deductible. Plan F covers the deductible Plan G does not.
  • Rates: Aetnas Medicare Plan F rates have remained competitive nationwide. They typically are higher than Plan G because Plan F offers the best benefits. When you compare annual rate increases, Plan G increases generally are lower than Plan F.

Applying For A Medicare Supplement Insurance Plan

Medicare Options â Centsable Dollar

The best time to enroll in a Medicare Supplement plan is during your Medicare Supplement Open Enrollment period because your acceptance is guaranteed. It starts on the first day of the month in which you’re both age 65 or older and enrolled in Medicare Part B. Some states have additional Open Enrollment periods and Guaranteed Issue requirements.

If you apply outside of Open Enrollment or Guaranteed Issue periods, you may be denied coverage or charged more based on your health history. This does not apply to residents of Connecticut and New York where Open Enrollment and Guaranteed Issue is ongoing and Medicare supplement plans are guaranteed available.

Scroll for Important Disclosures

UnitedHealthcare pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. AARP does not employ or endorse agents, brokers or producers.

AARP encourages you to consider your needs when selecting products and does not make product recommendations for individuals.

Please note that each insurer has sole financial responsibility for its products.

AARP® Medicare Supplement Insurance Plans

AARP endorses the AARP Medicare Supplement Insurance Plans, insured by UnitedHealthcare.

In some states, plans may be available to persons under age 65 who are eligible for Medicare by reason of disability or End-Stage Renal Disease.

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Medicare Supplement Plan F In 2023

Lindsay MalzoneReviewed by Licensed Insurance Agent: Rodolfo Marrero

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Medicare Supplement Plan F is the long-standing champion of Medicare plans. Because it was simple to explain, understand, and use.

It helps cover all the Medicare cost-sharing that the beneficiary has to pay. Plan F is the most comprehensive Medicare Supplement available.

It has also been the most popular for a very long time due to these reasons. Unfortunately, its no longer available to those considered newly eligible.

Medigap Plan F Benefit Details

Benefits Original Medicare With Medigap Plan F
Doctor Network All Doctors that accept Medicare All Doctors that accept Medicare
Part A Hospital Benefit Period Deductible You pay $1,556*
You pay $389 per day You pay $0
You pay $778 per day You pay $0
You pay $0 up to an additional 365 hospitalization days.
Skilled Nursing Facility Care Days 1-20 You pay $0 ** You pay $0
Skilled Nursing Facility Care Days 21-100 You pay $194.50 per day You pay $0
First 3 Pints of Blood You pay 100%
You pay 20% You pay $0
You pay 20% You pay $0
You pay 20% You pay $0
You pay 100% You pay $0
You pay 20% You pay $0
You pay 20% You pay $0

Check out Medigap Plan Detail Overview where you can find every Medigap Plan available.

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Are Medicare Plan F Premiums Tax

When filing your federal tax return, Medicare Plan F premiums would be tax-deductible. Additionally, any medical expenses that you pay for out of pocket can also be deducted on your taxes. You would need to itemize these medical expenses, but the tax deductions could provide valuable additional returns. During the itemizing process, you would only be able to deduct expenses that exceed 7.5% of your adjusted gross income.

Is Medicare Plan F Still Available

Medicare Supplement Plan G High Deductible / New

Since January 2020, new enrollees have not been able to purchase Medigap Plan F. However, if you were eligible for Original Medicare before 2020, then you are still allowed to enroll or keep your current Plan F policy. Furthermore, Plan F is still one of the best Medicare Supplement plans available on the market. The change occurred due to legislation focused on giving doctors better pay when they provide services to Medicare patients.

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What Doesnt Medigap Plan F Cover

  • Prescription drug coverage: Medicare Supplement policies sold after January 1, 2006, do not cover prescription drugs. Original Medicare doesnt cover prescriptions either. So, you can only get Part D prescription benefits if you enroll in a Medicare Part D prescription drug plan or buy a Medicare Advantage policy that includes coverage for prescription drugs.
  • Supplemental health benefits: Like other Medigap plans, Medicare Supplement Plan F doesnt include coverage for things like hearing aids, vision and dental care, long-term care, and private-duty nursing. You can get some of these benefits through a supplemental health insurance plan or through Medicare Part C, also known as Medicare Advantage.

Plan F Coverage Of Medicare Part A Expenses

Plan F covers the Medicare-approved expenses not covered under Medicare Part A . Part A is the hospitalization component of Original Medicare and covers Medicare expenses typically associated with a hospital stay.

Generally, Medicare covers approved charges for hospitalization at 80%. This leaves the remaining 20% of expenses to be the responsibility of the Medicare patient. Plan F covers the 20% of Medicare-approved hospital expenses not covered under Part A. Plan F also covers other costs, such as:

  • Part A hospital deductible and coinsurance
  • Hospital costs up to an additional 365 days after Medicare benefits are exhausted
  • Part A Hospice care coinsurance or copayment
  • Other Medicare-approved expenses associated with Part A hospitalization

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Aetna Medicare Supplement Plan F Benefits

Aetna Medicare Supplement Insurance Plan F is frequently called first-dollar coverage because it pays your cost-share amount starting with the first dollar you owe. Here is an overview of the benefits that Aetna Medigap Plan F covers 100%:

  • Medicare Part A coinsurance and hospital costs for up to one year after your Medicare benefits are used
  • Medicare Part A deductible

Why Should I Enroll In A High

Blue Cross Blue Shield Of Arizona Individual Plans

High-deductible Plan F policies usually have lower premiums than standard Plan F policies. As a result, if you need or want to keep your monthly payments to a minimum, this might be your best option as far as Medicare Supplement policies are concerned.

Just know that youll have to deal with higher out-of-pocket costs if you get sick or otherwise need medical care. Given that, people who are fairly healthy are the best candidates for high-deductible Medigap Plan F coverage.

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Who Should Enroll In Medicare Plan F Or Why Should Someone Enroll In Plan F

If you would like to deal with as few out-of-pocket healthcare costs as possible while enrolled in Original Medicare, Plan F probably is the Medicare Supplement policy for you.

Plan F also may be the best MedSup policy for you if youre the kind of person who likes covering all the bases, so to speak. Combined with Medicare Parts A and B, MedSup Plan F offers all the coverage you could want or need as you age.

What Does Medicare Supplement Plan F Cover

Medicare Supplement Plan F is one of the most popular Medicare Supplement Insurance plans because it offers the most comprehensive coverage of the currently available Medicare Supplement insurance plans.

Medicare Supplement Plan F covers the most amount of benefits compared to the other Medicare Gap plans. Plan F covers the gap in coverage associated with Parts A and B. This plan enables someone to be able to visit a doctors office or hospital to receive approved treatment and walk out without paying anything, virtually eliminating all out of pocket costs.

Plan F also includes coverage for other Medicare-approved expenses not associated with Parts A or B. This includes foreign travel emergencies and skilled nursing facility coinsurance. Importantly, Plan F is one of only two plans that include coverage for Medicare Part B excess charges.

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