Medigap Plan A

Comparing Original Medicare to Medigap Plan A

While Medicare covers a majority of healthcare costs, it still doesn’t cover everything. That’s where Medicare Supplement Plans come in. Medicare Supplement Plans, also called Medigap policies, are plans offered by private insurers to cover out-of-pocket expenses. There are ten different templates that each plan is modeled on. Medigap Plan A is the first and most basic template. Learn more about Medigap Plan A below.

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Hospital Inpatient Costs

Original Medicare

  • Day 1-60 of an inpatient stay: Your annual deductible is $1,408 with coinsurance 
  • Days 61-90: your cost of coinsurance per day is $352
  • After Day 90: you pay a lifetime reserve day of $704

Medigap Plan A

  • 100% of Medicare Part A coinsurance and hospital costs are covered, up to an additional 365 days after Medicare benefits are used. 

Part B Coinsurance 

Original Medicare

  • You’re usually expected to pay 20%.

Medigap Plan A

  • 100% of Medicare Part B coinsurance or copayment is covered.

Blood

Original Medicare

  • If the hospital has to buy blood for you, you must pay for the first 3 units of blood you get in a calendar year.

Medigap Plan A

  • 100% of first 3 units of blood 

Hospice Care Coinsurance/Copayment 

Original Medicare

  • You pay a copayment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management. 
  • You pay 5% of the Medicare-approved amount for inpatient respite care. 

Medigap Plan A

  • 100% of Hospice Coinsurance or copayment

Skilled Nursing Facility Care Coinsurance 

Original Medicare

  • Days 1-20 at SNF facility: no cost 
  • Days 21-100: you pay $176 per day. 
  • Day 101 and after: You assume all costs

Medigap Plan A

  • No additional coverage

Part A Deductible 

Original Medicare

  • Annual deductible: $1,408 with coinsurance for days 1-60 of each benefit period.
  • After Day 60: See Hospital Inpatient costs, above

Medigap Plan A

  • No additional coverage

Part B Deductible 

Original Medicare

  • In 2020, the deductible for part B was $198. After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%. 

Medigap Plan A

  • No additional coverage.

Part B Excess Charges

Original Medicare

  • No annual limit on out of pocket expenses 
  • After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%. 

Medigap Plan A

  • No additional coverage

Have questions? Need a quote? Contact Modern Senior Benefits to learn more about Medicare Supplement Plans.