High Deductible Plan F

Medicare Supplement Insurance High Deductible Plan F* has the same benefits as Medicare Supplement Insurance Plan F* after you pay an annual $2,200 deductible. The deductible amount represents the annual out-of-pocket expenses (excluding premiums) that you must pay before the policy begins paying benefits.
Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy, which includes the Medicare deductibles for Part A and Part B, but not the separate foreign travel emergency deductible.

By having a high deductible, your premiums are significantly lower than Medicare Supplement Insurance Plan F.

Costs you can expect to pay

  • Medicare Part A deductible
  • Medicare Part B deductible

Plan Covers

  • Your Part A deductible and coinsurance
  • Your Part B coinsurance and the cost of the first three pints of blood
  • Benefits from this plan will not begin until your out-of-pocket expenses total $2,200 Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy.
  • Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy, which includes the Medicare deductibles for Part A and Part B, but not the separate foreign travel emergency deductible.
  • The Medicare deductibles for Part A and B.
  • Medicare Part A hospital deductible and copayments
  • Skilled nursing facility copayment
  • $183 Part B Medicare deductible
  • Part B doctor charges that are in excess of Medicare-approved amounts
  • The cost of 365 extra days of hospital care during your lifetime after Medicare coverage
  • These expenses do NOT include a separate $250 foreign travel emergency deductible.

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Basic Benefit OptionsPremier Plan OptionsBudget-Conscious Plan Options
Plan APlan BPlan CPlan FPlan GHigh Deductible
Plan F
Plan K*Plan L*Plan N*
Reduced Premium Medicare Select Option Available (eligibility based on ZIP code)
Basic Benefits100%100%100%100%100%100%100%/50%100%/75%
copay
applies
Skilled Nursing Coinsurance100%100%100%100%50%75%100%
Part A Deductible100%100%100%100%100%50%75%100%
Part B Deductible100%100%100%
Part B Excess100%100%100%
Foreign Travel Emergency Care
Annual Out of Pocket Limit**$5,240$2,620

 

*Plans K-N provide for different cost-sharing than plans A-G.
Plans K and L pay 100% of hospitalization and preventive care Basic Benefits. All other Basic Benefits are paid at 50% (Plan K) and 75% (Plan L). Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You are responsible for paying excess charges.
Plan N covers Basic Benefits after a $20 copay for office visits and a $50 copay for emergency room visits.
**The out-of-pocket annual limit may increase each year for inflation. (2017 limits shown)
† Network restrictions apply

*Not connected with or endorsed by the U.S. Government or Federal Medicare Program

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