Medigap Plan D strikes a balance between affordability and comprehensive coverage, making it a popular choice for those looking to fill major gaps left by Original Medicare without the higher premiums of plans like F or G. While it covers most essential costs, there are still some out-of-pocket expenses to consider. Our Medicare Supplement Insurance Representatives are here to help you explore whether Plan D is the right fit for your healthcare needs—continue reading to discover how this plan could offer you peace of mind at a manageable cost.
Information Provided by a Medicare Supplement Insurance Representative
Medicare with Plan D
The chart below describes the common Medicare benefits along with gaps left by Medicare for you to pay.
| I. In patient | Gap (you pay) | Plan D | |
| days 1-60 | deductible* | $1,632.00 | ✔ Paid |
| days 61-90 life time reserve | coinsurance | $408.00 | ✔ Paid |
| days 91-150 | coinsurance | $816.00 | ✔ Paid |
| after 150 days Medicare quits paying | next 365 paid in full | ✔ Paid |
| II. Skilled Nursing | Gap (you pay) | Plan D | |
| Medicare pays 20 days in full | |||
| days 21-100 | $204.00 | ✔ Paid |
| Gap (you pay) | Plan D | |
| Annual Deductible | $240.00 | ✖ Not Paid |
| Medicare Covers 80% | 20% | ✔ Paid |
| Part B Excess | 100% | ✖ Not Paid |
| $50,000 emergency medical outside USA $250.00 deductible 80/20 | ✔ Paid |
*The hospital benefit period is reset by Medicare 60 days from your previous hospital release date.
*The hospital benefit period is reset by Medicare 60 days from your previous hospital release date.
Historically, Medicare Insurance Supplement Plan D has been an affordable option in select markets. It is designed to cover most of the high risk gaps that are not covered by Original Medicare. This plan also offers lower premiums than the more comprehensive plans like Medicare Supplement Insurance Plan F.
Medicare Supplement Plan D includes basic benefits which include:
- Hospitalization: Medicare Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.
- Medical Expenses: Medicare Part B coinsurance (generally 20% of Medicare-approved expenses) or co-payments for hospital outpatient services. Plans K, L, & N require insured to pay a portion of Part B coinsurance or co-payments.
- Blood: First 3 pints of blood each year. Hospice: Part A coinsurance.
Hospice Care will be included in all Medicare Supplement Insurance Plans as of June 2010. Medicare Supplement Plan D does not include coverage for the Medicare Part B (Medical) deductible or any excess costs for Medicare Part B (Medical) costs. The excess can be very important because you would be responsible for the medical bills above the amount approved by Medicare. This would not be the case with a more comprehensive plan like Medicare Supplement Insurance Plan F or Medicare Supplement Plan G.
All plans were standardized by the federal government in 1992 for your protection. This means that you are to go by the letter I.D. of the plan to determine what benefits each plan will cover.
The only 2 things that an insurance company who offers a Medicare Supplement Plan D can have any control of are:
- Underwriting
- Premium price
We have only briefly touched on one Medicare Supplement Insurance Plans, and as you can see it can be very confusing and somewhat overwhelming. We deal with Medicare daily and your Medicare Specialist here at MedicareMall.com can “Take the Mystery Out of Medicare” by walking you through the maze every step of the way. We are committed to you by shopping the best plans from the top companies available. We will do what it takes to make sure you become a very happy, satisfied MedicareMall.com client. To find out more if a Medicare Supplement Plan D is right for you, contact a Medigap Plan Representative now or talk to one of our licensed Medicare Specialists by entering your zip code and clicking the ‘Go’ button.