Has Medicare Plan F gone away?
Medicare Plan F, also known as Medicare Supplement Plan F or Medigap Plan F, is no longer available for people new to Medicare as of January 1, 2020. You will not be allowed to purchase Plan F if you are new to Medicare on or after January 1, 2020. For example, anyone who turns 65, has a qualifying disability or terminal illness, and enrolls in Medicare in 2021 can not purchase Plan F. However, if you already had Medicare before January 1, 2020, 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 has historically been the most popular Medigap plan. Research from AHIP – State of Medigap reports 53% of policyholders (down 2% in 2018) enrolled in Plan F. However, Medicare Plan G enrollment increased 39% and is the fastest-growing Medigap Plan.
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. The Medigap Plan F Benefits chart lists all your benefits, which includes:
Medicare Part A: Inpatient Hospital Coverage and Cost
Plan F covers inpatient care in hospitals, skilled nursing facilities, hospice care, and home health care. Before you receive any Medicare Part A benefits, you must first pay the Part A deductible of $1484 in 2021. Medigap Plan F pays your $1484 Part A deductible every 60 day hospital benefit period. Moreover, it covers the following:
- After the first 20 days of skilled nursing, Plan F pays $185.50 coinsurance in 2021 up to 100 days. When you add these 80 days, that’s a $14,840 benefit.
- Between 61 days and 90 days in a Long-Term Car Hospital, Plan F pays $371 coinsurance each day in 2021. These last 30 days provide you a benefit of $11,130.
- Your first 3 pints of blood are covered when a hospital buys you blood.
Medicare Part B: Outpatient Medical Coverage and Cost
Plan F covers Medicare Part B outpatient medical services at hospitals and medical facilities for less than 24 hours. Moreover, Plan F covers outpatient preventive services such as your annual wellness visit and vaccinations. Furthermore, plan F covers the following screenings, supplies, and services:
- When colorectal cancer screening discovers 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, supplies, foot care, and more!
- For men over the age of 50, Plan F pays your 20% coinsurance costs for prostate cancer screenings.
Medicare Plan F vs Plan G
If you are newly eligible for Medicare in 2021, you can not enroll in Plan F. In this case, Plan G may be your best choice. However, if you switch to a different Medigap Plan, you will have to answer health questions and may not qualify due to health problems.
For example, 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. Medicare calls this a “pre-existing condition waiting period.” After six months, the new plan will cover the pre-existing condition.
What is a Pre-existing Condition?
A pre-existing condition is a health problem that started more than six months before the start of your Medicare policy. For example, if your new plan begins on March 1, 2021, and you had a health problem within the last six months, this is not a pre-existing condition. However, if your doctor treated or diagnosed a health problem more than six months ago, it is a pre-existing condition.
According to CMS.gov, 86 percent of older Americans, ages 55 to 64, have a pre-existing condition. Because you are very likely to have a pre-existing condition, Medicare says, “The best time to buy a Medigap policy is during your 6-month Medigap Open Enrollment Period.” During this open enrollment period, you can get a Medigap plan without medical underwriting. Thus, Medicare supplement companies can not deny you because of a pre-existing condition.
Why Plan G is a Better Value Than Plan F
Medicare Plan G is a better value than Plan F for several reasons. First, Plan G has lower premiums than Plan F. Furthermore, Plan G’s premiums increase less than Plan F. For example, year after year, Plan G is a better value than Plan F.
Robert Bache, the owner of Senior Healthcare Direct, has correctly predicted Plan G to be a better value than Plan F. Furthermore, he continues to recommend Plan G in the video. Watch and learn why Medicare Plan G may offer a better value than Plan F.
In recent years, Medicare Plan G has sometimes increased as little as 3% with some carriers. In comparison, Plan F during the same time has increased significantly more. If you have Original Medicare, find out when you can enroll in a Medigap Plan. For people in a Medicare Advantage Plan, discover when you can switch to a supplement plan.
What does Medigap Plan F Cost?
Medigap Plan F costs more than Plan G. When you shop rates at Senior Healthcare Direct, we can find you a supplement Plan G that can save you $500 or more in premiums over Plan F. In other words, Plan F could cost you $500 or more per year than Plan G.
Furthermore, the only out-of-pocket cost difference between Medigap Plan F and G is the $203 Part B deductible with Plan G. Since you could spend $500 less in annual premiums with Plan G, you could save the difference of about $300 per year! The monthly premium you pay for Medigap Plan F depends on the following factors:
- Geographic location (zip code)
- Tobacco usage
Most insurance carriers give discounts to female,
non-tobacco users. Consequently, companies charge more for male tobacco users. However, you can also get a household discount by enrolling two or more people.
Switch 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 Plan F rates can save you a bundle over the years.
Shop for 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.
Senior Healthcare Direct works with about 30 carriers in every state, including the Top 10 Supplement Insurance Companies. We can compare Plan F with all available insurance companies in your area, so you get the best rate. Get your Free Quote.
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 has gone away for people newly eligible for Medicare after January 1, 2020. However, Medicare Plan F is not going away for people who had Medicare prior to January 1, 2020.
Medicare Plan G can be a better value than Plan F. This is because the annual Plan G premium savings can exceed the $203 Part B deductible cost in 2021.