Medicare Supplement Plan Descriptions

 

Standard Medicare Supplement Benefits Plan A Plan B Plan D Plan G Plan K* Plan L** Plan M

Plan

N

Medicare Part A co-insurance and hospital costs

100%

100%

100%

100%

100%

100%

100%

100%

Medicare Part B co-insurance or co-payment 100% 100% 100% 100% 50% 75% 100% 100%***
First 3 pints of blood 100% 100% 100% 100% 50% 75% 100% 100%
Part A hospice care co-insurance or co-payment 100% 100% 100% 100% 50% 75% 100% 100%
Co-insurance for skilled nursing facility     100% 100% 50% 75% 100% 100%
Medicare Part A deductible   100% 100% 100% 50% 75% 50% 100%
Medicare Part B deductible                
Medicare Part B excess charges       100%        
Foreign travel emergency     80% 80%     80% 80%

 

* Out-of-pocket limit in 2021 is $6,220

** Out-of-pocket limit in 2021 is $3,110

*** Plan N pays 100% of the Part B co-insurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that don't result in an inpatient admission.

 

In some States a Plan G high deductible Plan is offered.  The Out-of-Pocket limit is $2,370. It also has a $250 deductible for foreign travel emargency services.

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