What Does Medigap Plan D Cover?
As with all Medigap policies, this plan also provides coverage for deductibles and coinsurance costs that are left off by Parts A and B. Therefore, this specific plan will cover the costs for:
- Part A deductible
- Part A hospice care copayments
- Part B copayment
- Skilled nursing facility care coinsurance
- The first three pints of blood for a medical procedure
- 80% of foreign travel emergency costs (up to plan limits)
- Part A hospital coinsurance and costs for an extra 365 days after Original Medicare benefits are exhausted
Medigap Plan D does not cover Medicare Part B’s excess charges or deductibles. Medicare accepts up to 15% excess charges. This means that some doctors and hospitals don’t accept Medicare Assignment or Medicare’s payment as payment in full. So they can charge the above Medicare-approved amount. Some states disallow this, so ask Ron Ray if this coverage is necessary, and he will gladly sift through it. If your state (like Texas) allows for excess charges, there are Medigap plans that do cover them.
It also doesn’t cover Part B’s annual deductible which is 226$ in 2023. Except for Part B deductible and excess charges beneficiaries are responsible for a monthly premium which may cost from 120$ to 200$ per month. But, premium costs depend on several factors like ZIP code, tobacco usage, age, gender, etc. To be sure how much your costs actually will be, check with an experienced insurance agent before purchasing a policy.