MEDIGAP PLAN K COVERAGE
Medicare supplement Plan K covers some benefits in full and others at 50%. It covers the Part A coinsurance, foreign travel emergencies, and the Part B coinsurance for preventive services at 100%.
Plan K covers next services:
- 100% Part A coinsurance, up to an additional 1 year of hospital costs after Medicare benefits are exhausted
- 50% Part B coinsurance and copayment
- 50% of the first 3 pints of blood each year
- 50% Part A hospice care coinsurance and copayment
- 50% skilled nursing facility care coinsurance
- 50% Part A annual deductible
- $6620 out-of-pocket limit in 2022
Plan K does not cover the Part B deductible or the Part B excess charges. However, Part B excess charges are not common and if you live in a state that does not allow them, this is not an issue.
PLAN K OUT-OF-POCKET MAXIMUM
Medicare supplement Plan K is a cost-sharing plan available to Medicare beneficiaries. It has benefits similar to other Medicare supplement plans but has a lower monthly premium. It is sold by private insurance companies approved by the federal government.
Medigap Plan K is one of two Medicare supplement insurance plans that offer a maximum out-of-pocket limit which in 2023 is $6940, but this typically increases each year. The other one is Plan L. After the maximum has been met, Plan K will pay for 100% of covered services for the remainder of the year.
MEDIGAP PLAN K ENROLLMENT
If you are interested in Plan K, make sure to sign up for Original Medicare Part A and Part B first. Then, you will have six months to enroll in a Medicare Supplement plan, when you are guaranteed to be accepted, no matter your health. This six-month period is called your Medicare supplement Open Enrollment Period. You can enroll at other times, but it is possible you will be denied or charged a higher rate because of your health.
MEDIGAP PLAN K PREMIUMS
Individual premiums will vary based on which state the individual is seeking coverage in, which carrier they are purchasing from, and also individual factors like gender, age, tobacco use, and a few other details. The average cost for Plan K ranges from $40-$100 per month. Medigap premiums are generally higher in states who have a higher cost of living.