Basic Benefits of Medigap Plans A-N

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Medigap plans A-G, M and N are required to offer the following basic benefits:

  • Coinsurance for hospital days 61-90 ($289/day in 2012) and 60 lifetime reserve days ($578/day in 2012)
  • 100% of hospital care beyond the 150 days covered by Medicare, up to a maximum of 365 lifetime days
  • Hospice cost share
  • 20% coinsurance for the Medicare-approved amount after you meet the $140 annual Part B deductible
  • The first 3 pints of blood in each calendar year

Medigap plans K and L also offer these basic benefits, but only cover 50% (K) or 75% (L) of the Part B coinsurance, hospice cost share and the first 3 pints of blood each year.

Plan A offers only the basic benefits listed above. Plans B-N (B, C, D, F, G, K, L, M and N) offer additional benefits. See Standardized Medigap Plans A-N for a list of benefits.

Note: If you have questions about the Medigap plan change that took place in 2010, see our article FAQs on the New Standardized Medigap Policies Available June 2010.

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Updated Jan 22, 2012

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