The new Medigap F plan offers the most extensive coverage of all the Medigap plans available. There are no annual deductibles or out-of-pocket expenses for Medigap F for Medicare-covered procedures. When compared to the other Medicare Replacement plans, it has the highest monthly premium since it has extensive coverage. It is the most common Medigap plan, despite its high premium.
For many years, Medigap High-F has been available. It offers the same benefits as Medigap F but at a much lower cost. It does, however, have a $2,240 annual deductible in 2018.
What is the mechanism behind it? Sections A and B under Medicare continue to pay for covered expenses first. For example, if you visit your primary care provider and the cost of the visit is $100, Medicare Part B would cover 80% of the cost, or $80. (For more information, see the table below.) The Medigap F program would cover the $20 balance owed, leaving the customer with no out-of-pocket expenditures. If the client has not yet met the annual deductible of $2,240, he or she will be responsible for the $20 out-of-pocket fee. Until his or her gross OOP expenses exceed $2,240, the Medicare recipient would continue to pay the rate that Medigap F would have paid for medical services.
