A Guide to Medicare Supplement Plan F

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Russell Noga
by Russell Noga | Updated June 27th, 2024

Are you looking into Medicare Parts A & B? If so, you might realize these federally-funded healthcare policies only cover 80% of your medical and hospital bills.

Original Medicare requires the beneficiary to pay the remaining out-of-pocket costs associated with their treatments and care for Parts A & B.

Many Medicare beneficiaries enroll in Medicare supplement plans, known as “Medigap,” to cover these out-of-pocket costs. Private healthcare insurers sell these policies for a monthly premium.

A Medigap plan either partially or fully covers out-of-pocket costs for Medicare Parts A & B, depending on the policy you buy.

 

What Is Medicare Supplement Plan F?

Medicare Supplement Plan F 2023Medicare Supplement Plan F is the most comprehensive offering in the current Medigap range. It’s the only policy offering beneficiaries “first dollar coverage.”

That means you get full coverage of your Original Medicare Part A & B expenses. The only financial responsibility you have is your monthly premium.

Medicare Plan F is also the most popular plan in the Medigap range, with over 40% of beneficiaries choosing it for their plan. However, Plan F is now discontinued.

You can still apply for it if you were eligible for Medicare before January 1, 2020, but new Medicare beneficiaries must choose another plan.

What Does Medicare Supplement Plan F Cover?

Plan F is the only current plan in the Medigap range offering comprehensive coverage for all Part A & B expenses.

The CMS, a federal agency, regulates the Medigap industry. This organization ensures all Medigap providers provide the same Plan F benefits in the policies they sell.

That means you get the same benefits if you take a Plan F policy from any provider.

Plan F is the only Medigap policy offering coverage for the Part B deductible, which is why it’s so popular. You also get comprehensive coverage, including the following Part A & B benefits.

  • Part A coinsurance and hospital costs for up to 365 days after using up Medicare benefits.
  • Part A hospice care coinsurance or copayment.
  • Part B coinsurance or copayment.
  • Blood transfusion costs for the first three pints of blood.
  • Part A deductible.
  • Part B deductible.
  • Part B excess charges (Plan N doesn’t cover these charges).
  • Skilled nursing facility care coinsurance.
  • 80% of emergency healthcare costs when traveling outside the US for 60 days. ($250 deductible and $50,000 maximum apply).
  • Unlimited coverage for all out-of-pocket costs.

Emergency Healthcare Costs When Outside U.S. for 60 Days

Plan F is also available in a “high-deductible” version. This plan offers the same benefits as the standard version.

However, your Part A deductible increases from $1,600 to $2,700 annually. In return for paying a higher deductible, you get more affordable premiums.

 

What Isn’t Covered by Medicare Supplement Plan F?

Medigap Plan F doesn’t cover the cost of preventative treatments. For instance, you don’t have coverage for maintenance visits to the chiropractor, physiotherapist, or acupuncturist.

You also don’t have coverage for private-duty nursing or stays in unskilled nursing homes. Plan F also doesn’t cover prescriptions or vision, hearing, or dental costs.

However, some providers offer add-on policies for hearing, dental, and vision for an additional monthly fee.

Other providers offer discounted rates on these services, provided you use their in-network providers.

 

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What are the Average Monthly Premiums for Medicare Supplement Plan F?

The average monthly premium for Plan F varies between states and MedigapThe Costs for Plan F providers. The average cost for a Plan F policy across all states and providers is $230 per month.

There’s no regulation on how much healthcare insurers can charge for a Plan F policy.

So, you could pay anywhere from $150-$400 for your monthly premiums, depending on your age, gender, smoking status, and location in the United States.

The average rate for a high-deductible Plan F policy is HD $69.17

 

Is Medicare Supplement Plan F Available in Massachusetts, Minnesota, or Wisconsin?

Yes, Plan F is available in these states from select providers. Minnesota, Massachusetts, and Wisconsin have federal waivers, and they standardized Medigap plans differently.

For instance, they don’t have options for Plans A, B, D, & G. You get a Basic plan, Basic with Riders, Extended Basic, and Medigap plans F, K, L, M, and N.

How Do You Enroll in Medicare Supplement Plan F?

Medigap Plan F is only available to seniors qualifying for Original Medicare before January 1, 2020.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) prohibited the sale of Medigap plans featuring coverage for the Part B deductible, phasing out Plan F.

However, Plan F is still available to Medicare beneficiaries qualifying for Medicare before this date.

If you’re eligible for Plan F, call our team, and we’ll discuss your guaranteed issue rights to Plan F.

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The best time to enroll in Medigap plans is during the “Open Enrollment” window in the six months after your 65th birthday.

During this time, a Medigap provider must accept your application, even if you have pre-existing conditions. They cannot charge you more than the average market rate for your policy, and they can’t deny you coverage.

However, people applying for Plan F have missed this window, as the latest expiration date for Open Enrollment into Plan F was June 1, 2020. However, you may qualify for “guaranteed issue rights where you can avoid medical underwriting when applying for Plan F.

Call us, and we’ll walk you through the process of applying for Plan F.

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What are the Best Alternatives to Medicare Supplement Plan F?

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The best alternative policy to Plan F is Plan G. Plan G is available to new Medicare beneficiaries.

You don’t have coverage for the Part B deductible, but all other benefits are the same as Plan F. Plan G has more affordable premiums than Plan F.

So, the annual savings you make on your premiums usually account for the cost of the Part B deductible.

Plan G is also available in a “high-deductible” version. You can save up to 75% to 80% on your premiums compared with the standard plan.

 

Call Us to Learn More About Medicare Supplement Plan F

Contact Us for Advice on Medigap and Medicare Advantage Plans

If you want information on whether you qualify for Plan F, call our agents at 1-888-891-0229. We can help you understand if you are eligible or have guaranteed issue rights for Plan F.

Our consultations and quotes for all Medigap plans are free.

If you can’t reach out to us right now, leave your contact details on our form on this site. We’ll get a Medigap expert to contact you to discuss your Medigap requirements.

Or you can use the free tool on our site to get an automated quote on any plan with the best rates in your state.

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Frequently Asked Questions

 

  What is Medicare Supplement Plan F?

Medicare Supplement Plan F, also known as Medigap Plan F, is a private health insurance plan designed to supplement Original Medicare coverage. It helps cover the out-of-pocket costs, such as deductibles, copayments, and coinsurance, that Medicare beneficiaries would otherwise have to pay themselves.

 

  What does Medicare Supplement Plan F cover?

Medicare Supplement Plan F offers comprehensive coverage, including Medicare Part A and B deductibles, coinsurance, and copayments. It also covers excess charges for Medicare-approved services, skilled nursing facility coinsurance, and even provides coverage for medical expenses incurred while traveling abroad.

 

  Is Medicare Supplement Plan F available to new Medicare beneficiaries?

No, Medicare Supplement Plan F is not available to new Medicare beneficiaries who become eligible for Medicare on or after January 1, 2020. However, those who were eligible for Medicare before this date can still enroll in Plan F and enjoy its benefits.

 

  How does Medicare Supplement Plan F differ from other Medigap plans?

Medicare Supplement Plan F offers the most comprehensive coverage among all Medigap plans. It covers all the gaps in Original Medicare, leaving beneficiaries with little to no out-of-pocket expenses. Other Medigap plans may provide different levels of coverage, but none match the extent of coverage provided by Plan F.

 

  Is Medicare Supplement Plan F more expensive than other plans?

Medicare Supplement Plan F generally has higher monthly premiums compared to other Medigap plans. However, it offers comprehensive coverage that can significantly reduce out-of-pocket expenses, making it a popular choice for individuals who prioritize comprehensive coverage over lower premiums.

 

  Can I switch from my current Medigap plan to Medicare Supplement Plan F?

Switching from one Medigap plan to another is possible, but it depends on several factors, including your state’s regulations, the insurance company’s policies, and your health status. In some cases, you may need to undergo medical underwriting, which could impact your ability to switch plans or affect the premiums you pay.

 

  Will Medicare Supplement Plan F cover prescription drugs?

No, Medicare Supplement Plan F does not cover prescription drugs. To get coverage for prescription medications, you will need to enroll in a standalone Medicare Part D prescription drug plan. These plans are offered by private insurance companies and work alongside Original Medicare and Medigap plans.

 

  Can I still see any doctor or specialist with Medicare Supplement Plan F?

Yes, with Medicare Supplement Plan F, you have the freedom to see any healthcare provider who accepts Medicare patients. This plan does not have a network of preferred providers, so you can visit any doctor or specialist who accepts Medicare assignment.

 

  Is it necessary to enroll in Medicare Supplement Plan F?

Enrolling in Medicare Supplement Plan F is not mandatory, but it can be beneficial for individuals who want extensive coverage and predictable healthcare costs. It provides peace of mind by minimizing out-of-pocket expenses and allows you to receive medical care without financial worries.

 

  Will Medicare Supplement Plan F be discontinued in the future?

Medicare Supplement Plan F will not be discontinued for existing beneficiaries who are eligible for Medicare before January 1, 2020. However, as per legislation changes, new Medicare beneficiaries are not eligible to enroll in Plan F. It’s important to stay updated on any future changes to Medicare plans and evaluate available options accordingly.

Find the Right Medicare Plan for You

Finding the best Medicare plan doesn’t have to be confusing. Whether it’s a Medigap plan or you have questions about Medicare Advantage or Medicare Part D, we can help.

Reach out today at 1-888-891-0229 and one of our knowledgeable, licensed insurance agents will be happy to assist you!

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