Medigap Plan M is a deductible-sharing Medicare Supplement policy that provides a lower premium in exchange for fewer benefits. Plan M is a deductible sharing or cost-sharing plan. If you’re comfortable with paying more out-of-pocket medical costs, Plan M might be right for you.

Medicare Supplement Plan M Coverage

Medigap Plan M will cover the Part A hospital coinsurance, Part A hospice coinsurance, Part B coinsurance, Part B preventive care coinsurance, and 50% of the Part A deductible.

Medicare Supplement Plan M covers the first 3 pints of blood each year, skilled nursing facility care, and foreign travel emergency.

What is Deductible Sharing Plan M?

Medigap Plan M leaves you responsible for paying 50% of your Part A deductible. Since you pay a portion of this deductible, we call Plan M a deductible-sharing plan. Other cost-sharing Medicare Supplement plans include Plan K and Plan L.

What Does Medigap Plan M Not Cover?

Medicare Plan M won’t cover the Part B deductible or excess charges. Like other Medigap plans, Plan M won’t cover dental, vision, Part D prescriptions, long-term care, or private nursing. You can purchase a separate policy covering dental, vision, and Part D drugs.

Who Can Benefit from Medicare Plan M?

You could benefit from Medigap Plan M if you need a lower monthly premium and don’t mind paying 50% of your Part A deductible.

Plan M can be beneficial, but it’s worth comparing Plan N and Plan G to Plan M before you make your final decision. An insurance agent can help you determine which policy will be most beneficial for you.

How Much Does Medigap Plan M Cost?

Medigap Plan M costs on average, between $130 to $210 monthly. The cost of Medigap can vary depending on location, age, tobacco use, gender, and eligibility. The premium for Plan M is likely lower than most other plans since your out-of-pocket costs are higher. Contact an insurance agent to compare rates in your area for the most accurate quote on Plan M.

FAQs

Is Medicare Plan M Better Than Plan N?

Some beneficiaries may find that Plan N makes more sense and covers the Part A deductible 100%. Comparing the premiums in your area is important.

If Plan N has a lower premium, that plan may seem more appealing. Now, if Plan M has a lower premium, you may decide the portion of the Part A deductible is no big deal.

However, if Plan G has competitive premiums in your area, you may decide to pay more and have more coverage in exchange for fewer out-of-pocket costs.

When Can I Enroll in Medigap Plan M?

Just like with any Medicare Supplement policy, you can enroll anytime if you have Part A and B. You can’t have a Medicare Advantage plan AND a Medigap plan; you must only choose one.

Also, the ideal time to sign up for any Medigap plan is during the Medicare Supplement Open Enrollment Period.

You’ll have Guaranteed Issue Rights during this time, meaning the insurance company cannot deny you a policy and get the best premium ratings. These “Medigap protections” allow you to get coverage without worrying about your pre-existing conditions.

How to Enroll in Medicare Supplement Plan M?

No matter which Medigap plan you decide is right for you, working with a licensed agent can benefit you because they can help you find the right company. Also, an agent can answer any questions you have about Medicare.

Working with our licensed insurance agents allows you to compare top Medigap carriers in your area in just one phone call. So, call the phone number above to get started saving on your Medicare Supplement insurance. If you can’t call, fill out an online rate form to discover your options now.

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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.