Medicare Supplement Plans M

Medicare Supplement Plans M

Medicare supplementary plans, for those who do not know, are designed to cover the gap between the actual bill and the policy coverage of the original Medicare, when it arrives later in the mail. This gap exists because it was discovered that the original Medicare plan did not pay for every medical service actually needed, and this may lead to a medical disaster.

Think about it for a bit, it makes a great deal of sense to discover that there is more than one “gap” between your bill and the original plan. To begin with, you do need to have Medicare to be able to do something about that gap, and then supplement it with other plans to help fill the gaps. This example is more like filling teeth such that to make it whole again, the dentist takes the original tooth and fills in the gaps with supplemental material.

Medicare Supplement Plans 2019

Notice the use of the term “gap” and it will not come as a surprise that the plans designed to fill in the original Medicare are known as Medigap policies. The policies are run by private insurance companies who sell them to the public at different prices. Though the plans themselves are standardized, i.e. they are the same in every state, depending on what the insurance company wishes to charge for them, the prices tend to be different.

Regardless of the truth that Medigap policies are handled by private health insurance companies, they still have compulsory common rules to be followed to actually sell the Medigap policies. There are only 12 standard policies running from plan A to L. Their different policies have its set of benefits as well.

What is usually not clearly understood by most people is that many Medigap policies offer consumers the basic benefits of plans A and B. they also have their own advantages in addition to the basic benefits.  Get a quote at

The 12 plans (A-L) have been in existence since 1992, but now plans M and N were introduced in June 2011. The main benefits of these two plans is that they will provide lower premium rates as an alternative to the already existing Medicare Supplement plans.

There will be a $20 co-pay for each visit to the doctor. The co-payment is $50 for an emergency room visit. This plan covers 100% of the Part A deductible. It provides 100% coverage of the coinsurance required for hospital stays of more than 60 days. Once Medicare benefit limits are reached, it adds 365 additional hospital days. The plan will also cover 100% of the coinsurance requirements in Part B for doctor, lab, and outpatient costs.

Medigap Plan M includes the following costs and benefits:

  • Part A hospital costs and hospital coinsurance up to an extra 365 days after Original Medicare benefits are exhausted
  • First three pints of blood for a medical procedure
  • Part B copayment or coinsurance payment
  • Part A hospice care copayment or coinsurance payment

With any change in Medicare or Medicare supplements, be sure you take time to read each policy you decide to sign up for, so you are aware of the health coverage you actually have.