Medicare Supplement Plan F is the long-standing champion of Medicare plans. Because it was simple to explain, understand, and use.

It helps cover all the Medicare cost-sharing that the beneficiary has to pay. Plan F is the most comprehensive Medicare Supplement available.

It has also been the most popular for a very long time due to these reasons. Unfortunately, it’s no longer available to those considered newly eligible.

What is Medicare Plan F?

Plan F is known as the cadillac plan. You pay your monthly premium, and the plan takes care of the rest. All you have to do is pay your monthly premium and sit back and relax. The plan will do the rest. In other words, you have zero cost-sharing.

Who’s Eligible for Medigap Plan F?

Due to the MACRA Act, CMS has discontinued Plan F. Beneficiaries eligible for Medicare on or after January 1, 2020, aren’t eligible for Plan F, Plan C, or High-Deductible Plan F. Those who were eligible prior, even if they didn’t have a Plan F before, you’re still eligible to enroll.

What does Medicare Supplement Plan F Cover?

Plan F is a first-dollar coverage plan. This means you’ll pay zero out of pocket outside the monthly premium. No matter your medical costs, you’ll never pay any copays, coinsurance, or deductibles. If Medicare covers it, you won’t pay a penny.

How Much Does Medigap Plan F Cost?

On average, the monthly premium for Plan F costs between $120 to $250 a month. Some things that will impact your cost are your age, gender, where you live, tobacco usage, and in some cases, your height and weight.

Less Expensive Alternatives for Plan F

There are two ways to get Plan F coverage for a lower cost:

  • Medicare SELECT Plan F – A Medicare SELECT option will have the same coverage as a Plan F. However, it does come with network limitations.
  • High Deductible Plan F – The High Deductible Plan F has the same coverage level as the traditional Plan F. The only difference is you’ll have to pay the plan deductible before it kicks in to cover your costs.

When to Enroll

Since Plan F is a Medigap plan, you can enroll at any time as long as you’re healthy enough and eligible. Medigap does not come with annual enrollment periods like Medicare.

Usually, the best time to enroll in a Medigap plan is during your Medicare Supplement Open Enrollment Period. You must answer health questions unless you’re in open enrollment or have a guaranteed issue right.

FAQs

Who can enroll in Plan F?

Any Medicare beneficiaries with Parts A and B of Medicare & are not considered newly eligible. This means that if you were eligible for Medicare before 2020, you can still enroll in Plan F regardless if you enrolled in a Medigap plan.

Does Plan F have rate increases?

Yes, no matter who the carrier is, or even the plan letter., Medigap plans will have annual rate increases in most cases. Over the past five years, the rate increase has been roughly 7% to 9% for Plan F. Keep in mind that other factors contribute to rate increases.

Inflation will always impact increases. Other factors that can impact rate increases are age and the claims history of people living in your area and on the same plan. You cannot be singled out based on your personal claim history.

Why is Medicare Plan F being discontinued?

CMS killed off all first-dollar plans. This change discontinued all versions of Plan F. If you already have Plan F, you can your grandfathered in. As long as you were eligible for Medicare before 2020, you can still enroll in Plan F with any carrier that offers it in your area.

What is the difference between Medicare Plan F and Plan G?

The only difference between these two plans is that Plan G doesn’t cover the Part B deductible, which is currently $226.

Does Plan F Cover prescription drug plans?

None of the current Medigap plans cover prescription medications picked up at the pharmacy. However, they will cover drugs administered in the hospital or medical office.

To have prescription drugs covered that you receive from a pharmacy, you must enroll in a Part D prescription drug plan.

How to Get Help Enrolling in Medicare Supplement Plan F

The next step is to give us a call or fill out our online request form. Our licensed agents will help guide you through the enrollment process. They can answer any questions regarding Plan F or any other supplemental policy.

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by Lindsay Malzone, Lindsay Malzone is the Medicare editor for Medigap.com. She's been contributing to many well-known publications since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.