Medigap Plan L
Medigap Plan L may be a low-cost option for those with low out-of-pocket medical expenses, but are still looking for comprehensive coverage.
Medicare Plan L pays the Part A Hospital coinsurance along with 365 days of additional Hospital coverage after Medicare days are used.
Plan L will cover 75% of Skilled Nursing facility costs up to 100 days.
Medicare Plan L will NOT pay the Medicare Part B annual deductible or excess charges, but it will pay 75% of Part B coinsurance.
There is an out-of-pocket maximum limit of $2,620 in 2018, to minimize the most you will pay out of pocket with a Plan L.
Because Plan L is not as popular as some of the other plans, we find that there may only be a small number of insurance companies offering a Plan L in most states.
Medigap Plan L - Consider this Example:
Barbara has been healthy most of her life and decided to purchase a Plan L Supplemental Policy. She had outpatient surgery to remove skin cell basil melanoma. If Medicare’s approved amount for this procedure is $1,000, then her Medigap Plan L will pay $750, and Barbara is responsible for the remaining $250.
The amount Barbara has paid is considered her out-of-pocket expense. With a Medicare Supplement Plan L, once Barbara’s out-of-pocket expenses reach a maximum of $2,620 in the calendar year, she will no longer share in the expenses, and her Plan L will pay all additional costs.
If your relatively healthy and your living on a fixed income, where “every penny count’s”, Medigap Plan L may be a good option for you.
Working with one of the trusted insurance agents at New Jersey Medicare Plan won’t cost you a dime. And, can minimize the amount of time and effort you’d have to invest going it alone.
We work with all the major insurance companies in New Jersey. Give us a call NOW at 1 (844) 280-0785 and let us help you get the Medicare monkey off your back.
|Medicare Supplement Insurance Plans (Medigap)|
|Part A coinsurance and
hospital costs (up to an
additiona 365 days after
Medicare benefits are used)
|Part B coinsurance or
|Blood (first 3 pints)||100%||100%||100%||100%||100%||100%||50%||75%||100%||100%|
|Part A hospice care
coinsurance or copayment
|Skilled nursing facility care
|Part A deductible||100%||100%||100%||100%||100%||50%||75%||50%||100%|
|Part B deductible||100%||100%|
|Part B excess charges||100%||100%|
|Foreign travel emergency
(up to plan limits)
* Plan F is also offered as a high-
dedutible plan by some issuers in
some states. If you choose this
option, this means you must pay for
Medicare-covered costs (coinsurance,
copayments, deductibles) up to the
deductible amount of $2240 in 2018
before your policy pays anything.
** Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don't result in an inpatient admission.
*** For Plans K and L, after you meet your out-of-pocket yearly limits and your yearly Part B deductible ($183 for 2018), the Medigap plan pays 100% of covered services for the rest of the calendar year.