There’s Medicare Supplement Plan F and Plan F High Deductible, but what really is the difference. It’s actually pretty simple. The two cover the exact same benefits, and the only difference is that you have to meet the deductible before the plan kicks in. We know this can be a little confusing, so take a look at the chart, and we’ll explain more below.
Medigap Plan High F Vs F Benefit Details
Below you will see how the Medigap High F’s annual deductible of $2,300 must be paid before coverage kicks in. As well as, you will see on the chart how once the High F deductible is paid for you have IDENTICAL coverage. We’ll explain more about the High Deductible after the chart.
|Benefits||Original Medicare Alone||Original Medicare With Medigap Plan High F||Original Medicare With Medigap Plan F|
|Doctor Network||All Doctors that accept Medicare||All Doctors that accept Medicare||All Doctors that accept Medicare|
|Part A Hospital Benefit Period Deductible||You pay $1,364*||You pay $0 after you meet High F deductible||You pay $0|
|Hospitalization Coinsurance||You pay $335 per day per day for days 61-90, and $670 per day for 60 lifetime reserve days||You pay $0 after you meet High F deductible||You pay $0|
|Skilled Nursing Facility Coinsurance||You pay $170.50 per day for days 21-100 (Part A deductible applies)**||You pay $0 after you meet High F deductible||You pay $0|
|Part B Annual Deductible||You pay $185||You pay $0 after you meet High F deductible||You pay $0|
|Part B Copays/Coinsurance||You pay 20% (Part B deductible applies)||You pay $0 after you meet High F deductible||You pay $0|
|Part B Excess Charges||You pay 100% (Part B deductible applies)||You pay $0 after you meet High F deductible||You pay $0|
|Foreign Travel Emergency||You pay 100%||You pay 20%***||You pay 20%***|
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High F Deductible Explained
We get a lot of questions about how the High F deductible works. And, we get that it’s confusing. So, here is the simplest explanation: If you have Medigap High F, Original Medicare will pay toward your care, but as you know it leaves GAPS in coverage, and with High F you will pay ALL of the gaps in coverage until you meet the Medigap High F deductible. You may be wondering what are ALL the costs, well, they can be any combination of the Part A deductible, Part B deductible, Part A and B coinsurance, excess charges, and copays. Once you meet a combined total of $2,300, you pay $0 for the rest of the year.
Who Should Choose Medigap High F?
Medigap High F is for a very specific client. If you prefer to save money on your premium, but are okay with paying everything out of pocket until you meet the high deductible, this plan might be right for you. Wait, wait! Before you sign up, you should consider this, High F should only be considered by those in good health AND those who are financially solvent in case of emergency (could have to pay $2,300 at once if you have a serious injury or illness). If this is not your story, then it might be better for you to enroll in Medigap Plan F.
Get more details on Medigap High F.
Who Should Choose Medigap Plan F?
We think everyone enrolling in a Medigap Plan should consider Plan F. Medigap Plan F is probably right for you, if you prefer to just have a set monthly premium, and not have to think about being nickeled and dimed with every service or appointment, or you prefer not to shell out a large sum of money if you had a serious injury or illness. Also, if you live in a state that has the Birthday Rule (CA or OR), or Anniversary Rule (MO) you will have more options for change your plan each year with traditional F.
Get more details on Medigap Plan F.
*Medicare Part A deductible is broken down into 60 day benefit periods. You have to pay the deductible if you reenter the hospital after 60 days from discharge. Example: If you enter the hospital March 1st you’ll pay the Part A deductible. If you leave the hospital 5 days later and return to the hospital on July 6th, you will be charged the Part A hospitalization benefit again.
**For Skilled Nursing you must have a 3-day qualifying stay in the hospital to qualify for Skilled Nursing Facility care AND you’ll still pay the benefit period Part A deductible ($1,364).
***Foreign Travel Emergency requires a deductible of $250. You will have to have your emergency within the first 60 days of travel, and the plan has a lifetime coverage amount of $50,000.
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