Medigap Plan F: Its phasing out, substitute options, and additional details
In the realm of healthcare, navigating the various plans and options can often be a complex task. One such area is Medigap, a type of health insurance that helps cover the costs that Original Medicare doesn't. Here's a breakdown of the key points you need to know about Medigap plans.
As we move into 2025, there will be two Medigap plans that offer out-of-pocket limits: Plan K and Plan L. While Plan K provides 50% coverage, Plan L offers 75% coverage[1]. It's important to note that as of January 2020, Medigap Plan F is no longer available to new enrollees[4]. However, those who already had Plan F before this date can keep it.
All Medigap plans, with the exception of Plans C and F, do not cover the Medicare Part B deductible[1][3][4]. This deductible, currently standing at $257 for 2025[5], is covered only by Medigap Plans C and F, but these plans are no longer available to new enrollees who became eligible for Medicare on or after January 1, 2020.
Medigap plans are standardised, but companies may charge different amounts for the same or similar policies. A Medigap comparison table can help you compare various plan premiums and coverage[7]. You can use a Medicare online tool to check the plans available in your area[6].
To enroll in a Medigap plan, you must have Original Medicare (Part A and Part B)[8]. You can enrol in a Medigap policy using the company's online form or by requesting a paper version. If you don't enrol during your designated enrolment period, you may not be able to enrol later or may have to pay more for the plan, or find fewer plan options available[9].
Individuals have a 6-month Medigap Open Enrolment period that begins the first month they have Medicare Part B and are 65 years old. During this period, you cannot be denied coverage or charged more for a Medigap policy, regardless of any pre-existing conditions[2].
In some states, Medicare may offer a SELECT policy, which is similar to Medigap but limits a person to a local network of doctors and hospitals[10]. You may switch Medigap plans without penalty if you've had the first policy for under 6 months[2].
Remember, you will pay a premium for the Medigap plan in addition to the premium for Medicare Part B[11]. You may also be eligible for guaranteed issue rights if you have other coverage that has changed[3].
In conclusion, understanding Medigap plans can help you make informed decisions about your healthcare coverage. By being aware of the plans available, their coverages, and the enrolment periods, you can ensure that you have the right coverage to meet your needs.
[1] https://www.medicare.gov/supplements-other-insurance/how-do-i-get-medigap-insurance/compare-medigap-policies [2] https://www.medicare.gov/supplements-other-insurance/medigap-policy-information/when-can-i-get-medigap-insurance [3] https://www.medicare.gov/supplements-other-insurance/medigap-policy-information/when-can-i-get-medigap-insurance-if-i-have-a- Medicare-SELECT-policy [4] https://www.medicare.gov/supplements-other-insurance/medigap-policy-information/medigap-policy-changes-and-open-enrollment [5] https://www.medicare.gov/your-medicare-costs/costs-at-a-glance/part-b-costs [6] https://www.medicare.gov/find-a-plan/questions/home.aspx [7] https://www.medicare.gov/supplements-other-insurance/how-do-i-get-medigap-insurance/compare-medigap-policies [8] https://www.medicare.gov/supplements-other-insurance/how-do-i-get-medigap-insurance/eligibility-and-enrollment [9] https://www.medicare.gov/supplements-other-insurance/medigap-policy-information/when-can-i-get-medigap-insurance [10] https://www.medicare.gov/supplements-other-insurance/medigap-policy-information/medigap-policy-changes-and-open-enrollment [11] https://www.medicare.gov/supplements-other-insurance/how-do-i-get-medigap-insurance/how-much-does-medigap-insurance-cost
Joining the discourse on health-and-wellness, it's worth noting the role of science in designing Medigap plans. For instance, the development of plans like Plan K and Plan L in 2025, offering out-of-pocket limits, is a testament to ongoing research within health organizations.
Moreover, the dynamic nature of healthcare and the advancements in science have led to changes in eligibility for Medigap plans. As an example, Medigap Plan F is no longer available to new enrollees begun on or after January 2020, highlighting the importance of staying informed about such shifts.
