Medigap Plan M
Comparing Original Medicare to Medigap Plan M
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 offered by private carriers to cover out-of-pocket expenses. There are ten different templates that each plan is modeled on. Medigap Plan M is template number nine. Learn more about Medigap Plan M 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 M
- Covers 100% of Medicare Part A coinsurance and hospital costs, 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 M
- Covers 100% of Medicare Part B coinsurance or copayment.
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 M
- Covers 100% of the first 3 pints 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 M
- Covers 100% Part A Hospice Coinsurance or copayment.
Skilled Nursing Facility (SNF) 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 M
- 100% SNF Coinsurance
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 M
- Covers 50% of Part A Deductible.
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 M
- No additional coverage
Part B Excess Charges
Original Medicare
- No annual limit on out of pocket costs.
- After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%.
Medigap Plan M
- No additional coverage
Bonus: 80% of foreign travel emergency medical care — up to the plan limits.
Looking for a free quote? Need more information? Contact Modern Senior Benefits to see which Medigap policies are available in your area.
