Medicare plan f going away?
Medicare Plan F is going away for beneficiaries new to Medicare in 2020. Also called Medicare Supplement Plan F and Medigap Plan F will not be available for people “newly eligible” in 2020. You are considered “newly eligible” when you first enroll in Medicare. For example, when you first turn age 65, have a qualifying disability, or terminal illness. On the other hand, if you already had Medicare prior to 2020, then you still have the option of enrolling in Medicare Plan F.
What is medicare plan F?
Medicare Plan F is the most comprehensive Medicare supplement plan. Also referred to as Medigap Plan F, it covers Medicare deductibles and all copays and coinsurance. Thus, you only pay the monthly premium and have no other out-of-pocket expense. Plan F continues to be the most popular Medigap plan. Research from American Health Insurance Plans trade association reports 55% of policyholder in 2016 enrolled in Plan F. In 2020, Medicare Plan G has become the most popular Medicare Supplement for beneficiaries new to Medicare.
What does medigap plan F cover?
Medigap Plan F provides you with full coverage benefits. To be eligible for Plan F, you must first enroll in Medicare Part A and Part B. Below is Medigap Plan F Benefits chart listing all your benefits.
Medicare Part A: Inpatient Hospital Coverage and Cost
Plan F covers inpatient care in hospital, skilled nursing facility, hospice care, and home health care. Before you receive any Medicare Part A benefits, you must first pay Part A deductible $1408 in 2020. Medigap Plan F pays your $1408 Part A deductible. Moreover, it covers and pays the following:
- After the first 20 days of skilled nursing, Plan F pays $176 coinsurance in 2020 up to 100 days. When you add up 100 days, that’s a $14,080 benefit.
- Between 61 days and 90 days in a Long-Term Car Hospital, Plan G pays $352 coinsurance each day in 2020. If you use the full benefit, the total is $10,560.
- When a hospital has to buy blood for you, the first 3 pints of blood is covered by Plan F.
Medicare Part B: Outpatient Medical Coverage and Cost
Plan F covers Medicare Part B outpatient medical services at any hospital or medical facility for less than 24 hours. Moreover, plan F covers outpatient preventive services such as your annual flu shot and annual wellness visit. Furthermore, plan F covers and pays for the following medical screenings:
- When colorectal cancer screening discovers the presence of abnormal tissue (polyp) and the doctor removes a sample for later examination, Plan F pays your 20% coinsurance bill
- Plan F pays your 20% coinsurance bill for diabetes self-management training.
- For men over the age of 50, Plan F pays your 20% coinsurance costs for prostate cancer digital rectal exam.
medicare plan F vs plan g – Which is better for you?
First, if you are newly eligible for Medicare in 2020, than Plan F is not available. In this case, Plan G is your better choice. Second, if you switch to a different plan, you will have to answer health questions and may not qualify due to health problems. Moreover, if you have a pre-existing condition, the supplement company can refuse to cover your out-of-pocket costs for these pre-existing health problems for up to 6 months. This is called a “pre-existing condition waiting period”. After 6 months, the new plan will cover the pre-existing condition.
What is a Pre-existing Condition?
A pre-existing condition is a health problem which started more than 6 months prior to the date your new insurance policy starts. For example, if your new plan starts March 1, 2020 and you had a health problem within the last six months, than this is not a pre-existing condition. However, if your health problem was treated or diagnosed more then six months ago, then it is a pre-existing condition.
Why Plan G is a Better Value Than Plan F
First, Plan G has lower premiums than Plan F. Second, Medigap Plan G rates increase less than Plan F. For example, year after year Plan G is a better value because it has lower rate increases than Plan F. Over the last 5 to 6 years MedicareBob, owner of Senior Healthcare Direct, has correctly predicted Plan G would be a better value than Plan F. In 2020, MedicareBob continues to recommend Plan G as a better value than Plan F. For more details, watch the video below and learn why Medicare Plan G is better than Plan F.
In recent years, Medicare Plan G has sometimes increased as little as 3% with some carriers. This is considerably less than the rate increases from year to year on Plan F. Furthermore, you can switch from Plan F to Plan G anytime. You do not have to wait until the next annual enrollment. You can switch to a Plan G today. Call Senior Healthcare Direct at 1-855-4717 to speak with a licensed agent.
What does Medigap Plan F Cost?
Medigap Plan F monthly premium costs you more than Plan G. When you shop rates at Senior Healthcare Direct, we can find you a supplement Plan G that save you $500 or more in premiums over Plan F. In other words, Medicare Plan F costs you $500 or more per year than Plan G. The only cost difference between Medigap Plan F and G is you pay $198 Part B deductible with Plan G. However, since you pay $500 or less in annual premiums with Plan G, you save the difference $300 or more.
The monthly premium you pay for Medigap Plan F depends on a number of factors:
- Geographic location (zip code)
- Tobacco usage
For most carriers discount rates are given to female, non-tobacco users. Consequently, companies charge more for male, tobacco users. However, a number of companies offer household discounts for Medicare supplement polices.
Switch Carriers and Save on Medigap Plan F
We speak with many people who have been on Medigap Plan F for several years. The full coverage of Plan F is very popular and many people do not know they can change carriers and save money. The good news is Medigap Plan F benefits are standardized. So all Medigap companies provide the same Plan F benefits. Therefore, you can call a Medicare broker such as Senior Healthcare Direct to shop and compare Medigap Plan F rates between insurance companies.
An annual review of your Medicare Supplement Plan F rates can save you a bundle over the years.
Shop and Save on Medigap Plan F
When you shop for a new Medigap Plan F carrier, you will need to answer health questions. However, many of our clients (75%) can pass the underwriting with no problem. Shopping your Plan F every year is easy. Just call Senior Healthcare Direct at 1-855-368-4717. We can compare Plan F with insurance companies in your area so you can lower your rate and save money.
Senior Healthcare Direct works with about 30 carriers in every state. These include Mutual of Omaha Medicare Supplements, Aetna Medicare Supplements and Cigna Medicare Supplements. All there of these carriers have competitive Plan F rates in 2020. Click the get quote button to find out how much you can save.
common questions about medicare plan f
$0. Medicare Plan F has no deductible.
Medicare Plan F pays for your Part A hospital deductible and Part B medical deductible. In addition, Plan F pays for all your copays and coinsurance under Medicare.
No, neither original Medicare nor Medigap plans cover dental, vision, or hearing care. These benefits are available through Medicare Advantage Plan or a stand alone plan. Senior Healthcare Direct offers both Medicare Advantage and stand alone plans.
Medicare Plan F covers the coinsurance for any Part B prescription drugs. These medications are typically limited to people with specific medical conditions. Plan F covers chemotherapy drugs, anti-nausea medications, immunosuppressive medications, and drugs for end-stage renal diseases (ESRD). Plan F does not cover outpatient retail prescription. For those you need a Part D drug plan.
Yes Medicare Plan F is going away for beneficiaries newly eligible for Medicare in 2020. However, Medicare Plan F is not going away for beneficiaries who had Medicare prior to 2020.
Medicare Plan G is a better value than Plan F. This is because the annual premium savings is greater than the $198 Part B deductible cost in 2020.