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Medicare Supplement Plan

Medicare Supplement plans are offered by private insurance companies, following guidelines set by Medicare for what each plan covers.

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Medicare Supplement Plans

PlanTypeDescription
Plan AEssentialThe bare-bones basics. It covers your 20% coinsurance but leaves the rest of the costs on the Beneficiary.
Plan BFoundationalAll the coverage included in Plan A, but also adds coverage for the $1,736 Part A deductible if you end up in the hospital.
Plan CRestrictedA comprehensive plan, but like Plan F, it is only for beneficiaries who were eligible for Medicare before 2020.
Plan DSteadyA solid mid-tier plan. It covers almost everything Plan G does, except for "Excess Charges."
Plan FLegacyDesigned to be total coverage, Plan F covers all additional costs a beneficiary might face, but it's only available to beneficiaries who were eligible for Medicare before 2020
Plan GGold StandardPlan G covers all additional expenses of Medicare with a sole exception. Part G DOES NOT cover the Medicare Part B deductible of $283.
Plan KProtectiveBeneficiaries pay 50% of most costs, but it caps your total annual spending at $8,000 for 2026
Plan LSecureDesigned to mirror plan K, Plan L covers 75% of most costs, and caps annual spending at $4000 for 2026.
Plan MThe SplitLike Plan G with one main difference. Designed to have a lower premium than plan G, Plan M requires the beneficiary to split the Part A Hospital Deductible of $1,736
Plan NBalancedPlan N covers almost everything, but leaves 3 small expenses for beneficiaries. Part B Deductible, $20 Copay for Office Visits, and a $50 ER Copay. Notably N does not cover "Excess Charges"

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Compare Medicare Advantage and Medicare Supplement Plans

Compare Medicare Advantage and Medicare Supplement plans side by side

Plan TypeMedicare Advantage (Part C)Medicare Supplement (Medigap)
CoverageReceive your Original Medicare Parts A (hospital coverage) & B (medical coverage) through a private carrierA comprehensive plan, but like Plan F, it is only for beneficiaries who were eligible for Medicare before 2020.
Provider NetworkLimited to network providers (HMO/PPO plans)Any provider nationwide that accepts Medicare
CostsMay have lower premiums but more out-of-pocket costs, like copays and deductiblesUsually higher premiums, but little to no out-of-pocket costs
Prescription DrugsOften included (Part D coverage)Not included - requires a separate Part D plan
Additional BenefitsMay include vision, dental, hearing, & fitness benefitsNo additional benefits included
Referral RequirementMay require referrals for specialists and proceduresNo referrals needed

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Medicare supplement benefits & medicare supplement plans table Table:

Medicare Supplement Benefits
Medicare Supplement Plans
ABCDF*G*KLMN

Part A coinsurance and hospital costs + additional 365 lifetime days

Part B coinsurance or copayment

50%
75%

Blood (first three pints)

50%
75%

Part A hospice care coinsurance/copayment

50%
75%

Skilled nursing facility care coinsurance

50%
75%

Part A deductible

50%
75%
50%

Part B deductible

Part B excess charge

Foreign travel exchange (up to plan limits)

80%
80%
80%
80%
80%
80%

Out-of-pocket limit**

N/AN/AN/AN/AN/AN/A
$8,000
$4,000
N/AN/A

Which supplement plan fits you best?

Finding the right plan isn't about finding the "best" plan, it's about finding the one that fits your needs and budget. At Helpha we recommend beneficiaries to start by looking at their medical risk appetite. Are you someone who wants total peace of mind and never wants to see a bill? If so, then Plan G is likely your best fit. Are you a more price conscious user who doesn't mind a small $20 copay if it means keeping your monthly premiums low? In that case, Plan N might be the winner. Talk to a professional to get all your questions about specifics answered!

The most important thing to remember is that because these plans are standardized, the benefits for a Plan G are exactly the same regardless of which carrier you prefer. Anyone can enroll in a Medicare Supplement Plan at any point after they have Medicare, but there is a BEST time to enroll.

There is a One-Time window for Medicare Supplement enrollment. The 6-month Open Enrollment Period begins the first month you are age 65 or older & enrolled in Part B. During this time, insurers cannot deny coverage, impose waiting periods, or charge more due to pre-existing conditions.

What to which

Find a plan that fits your needs with confidence.