Plan F Benefits
Benefit | What Plan F Covers |
---|---|
Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible is $1,632. This amount can change every year. You have to pay this deductible for each benefit period. | Plan F covers 100% of the $1,632 deductible. |
Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $240) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. | Plan F covers 100% of the $240 deductible. |
Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. | Plan F covers 100% of the 20% remainder costs |
365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. | Plan F covers all of the costs for an additional 365 additional hospital days |
3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. | Plan F covers all of the costs of 3 pints of blood per calendar year |
Part B Excess Charges Under federal law, doctors who don’t accept “assignment” (take Medicare’s approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don’t accept assignment. You may also want this benefit if you have to stay in the hospital and can’t control whether the doctors you see accept assignment. | Plan F covers 100% of the excess charges |
Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. | Plan F covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. | Plan F covers up to $389 per day for days 21-100. |
Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. | Plan F covers the 20% remainder not paid by Medicare Part B. |
Plan F Rates
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Non-Tobacco Rates | Zip Codes 609-620, 622-629
Age | Male | Female |
65 | $137.16 | $118.90 |
66 | $137.16 | $118.90 |
67 | $137.16 | $118.90 |
68 | $143.70 | $124.58 |
69 | $149.15 | $129.30 |
70 | $155.69 | $134.97 |
71 | $161.14 | $139.69 |
72 | $167.67 | $145.36 |
73 | $173.13 | $150.09 |
74 | $179.67 | $155.76 |
75 | $185.12 | $160.48 |
76 | $191.66 | $166.16 |
77 | $198.20 | $171.82 |
78 | $204.74 | $177.49 |
79 | $211.28 | $183.16 |
80 | $217.82 | $188.84 |
81 | $224.36 | $194.49 |
82 | $230.90 | $200.17 |
83 | $237.44 | $205.84 |
84 | $243.98 | $211.51 |
85 | $248.86 | $215.73 |
Tobacco Rates | Zip Codes 609-620, 622-629
Age | Male | Female |
65 | $148.28 | $128.54 |
66 | $148.28 | $128.54 |
67 | $148.28 | $128.54 |
68 | $155.35 | $134.68 |
69 | $161.25 | $139.79 |
70 | $168.31 | $145.91 |
71 | $174.20 | $151.02 |
72 | $181.27 | $157.15 |
73 | $187.17 | $162.23 |
74 | $194.24 | $168.39 |
75 | $200.13 | $173.50 |
76 | $207.20 | $179.63 |
77 | $214.27 | $185.75 |
78 | $221.34 | $191.88 |
79 | $228.41 | $198.01 |
80 | $235.48 | $204.15 |
81 | $242.55 | $210.26 |
82 | $249.62 | $216.40 |
83 | $256.69 | $222.53 |
84 | $263.76 | $228.66 |
85 | $269.06 | $232.22 |
Non-Tobacco Rates | Zip Codes 600-608
Age | Male | Female |
65 | $152.21 | $131.95 |
66 | $152.21 | $131.95 |
67 | $152.21 | $131.95 |
68 | $159.47 | $138.25 |
69 | $165.52 | $143.49 |
70 | $172.78 | $149.78 |
71 | $178.82 | $155.03 |
72 | $186.08 | $161.31 |
73 | $192.13 | $166.57 |
74 | $199.39 | $172.85 |
75 | $205.44 | $178.10 |
76 | $212.69 | $184.39 |
77 | $219.96 | $190.67 |
78 | $227.21 | $196.97 |
79 | $234.47 | $203.27 |
80 | $241.73 | $209.56 |
81 | $248.98 | $215.84 |
82 | $256.25 | $222.14 |
83 | $263.50 | $228.43 |
84 | $270.76 | $234.72 |
85 | $276.17 | $239.41 |
Tobacco Rates | Zip Codes 600-608
Age | Male | Female |
65 | $164.56 | $142.65 |
66 | $164.56 | $142.65 |
67 | $164.56 | $142.65 |
68 | $172.40 | $149.46 |
69 | $178.94 | $155.13 |
70 | $186.79 | $161.93 |
71 | $193.32 | $167.60 |
72 | $201.17 | $174.39 |
73 | $207.71 | $180.07 |
74 | $215.56 | $186.87 |
75 | $222.10 | $195.54 |
76 | $229.94 | $199.35 |
77 | $237.79 | $206.13 |
78 | $245.64 | $212.94 |
79 | $253.48 | $219.75 |
80 | $261.33 | $226.55 |
81 | $269.17 | $233.34 |
82 | $277.02 | $240.15 |
83 | $284.87 | $246.96 |
84 | $292.71 | $253.75 |
85 | $298.56 | $258.82 |
Plan F Benefits
Rate Stability:
Competitive Rates:
Market Experience:
Financial Stability:
It is also best to check but in your situation being an emergency it is likely not necessary.
Of course, colo-rectal cancer is a medical condition covered by medicare and supplement policies.
Hepatitis B shots are covered by Medicare Part B. Medicare Part B (Medical Insurance) covers Hepatitis B shots.
The other injections (measles, mumps polio) are not listed on the approved Medicare injection list. That does not necessarily mean they are not covered. Your doctor or other health care provider may recommend you get more services or more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. It’s important to ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.
I am traveling and will not be to my home until about 6 months from now. I have kidney disease and want to find out if Mutual of Omaha Plan F, which I have offers to cover video conferencing with my doctor. Thanks
Can you live in Illinois but get Blue Cross Blue Shield of Indiana coverage?
You can purchase a BCBS Indiana policy which is actually less expensive and the exact same plans: https://brokerportal.anthem.com/ac/indiana2