Medigap Plan D covers many of the out-of-pocket costs related to Original Medicare Part A and Part B. However, Plan D does not cover the Part B deductible for medical expenses and it also does not cover any excess charges by a doctor over the Medicare-approved amount for a service. In 2014, the Medicare Part B deductible amount is $147.
If you are interested in coverage for all of the out-of-pocket costs listed in the below table, consider Plan F.
Plan C Coverage | |
Medicare Part A Deductible | 100% coverage |
Medicare Part B Deductible | No coverage |
Medicare Part B “Excess Charges”* | No coverage for excess charges* |
Copayment or Co-Insurance Fee for Medicare Part B services | 100% coverage |
Part A Co-Insurance Fees & Hospital Costs for up to 365 days after Original Medicare Benefits are Exhausted | 100% coverage |
Cost of first 3 Pints of Blood | 100% coverage |
Copayment or Co-Insurance Fee for Medicare Part A Hospice Care | 100% coverage |
Co-Insurance Fees for Skilled Nursing Facility Care | 100% coverage |
Foreign Travel Medical Emergency Coverage (up to plan limits) | Yes |
Annual Limit on Enrollee Out-of-Pocket Expenses? | Not applicable |
Be careful not to mistake a Medigap Plan D for Medicare Part D coverage. Medigap Plan D is meant to cover the gaps (i.e. out-of-pocket costs) in Original Medicare. Medicare Part D is the prescription drug program. Contemporary Medigap plans do not include prescription drug coverage. Drug coverage must be obtained separately.
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