The chart below shows the different benefits covered by each plan. Scroll down for more information.

Explore Coverage Differences Across Plans

Medicare Supplement Benefits
Available to all applicants
A
B G1 HIGH G L M N
Eligible before 1/1/2020 only
F1
HIGH F
Monthly premium $645* $172* $154* $42* $122* $189 $137* $189* $43*
Medicare Part A coinsurance and hospital coverage (up to an additional 365 days after Medicare benefits are used up)
100%
100%
100%
100%
100%
100%
100%
100%
100%
Medicare Part B coinsurance or copay
100%
100%
100%
100%
75%
100%
100%3
100%
100%
Blood (first three pints)
100%
100%
100%
100%
75%
100%
100%
100%
100%
Part A hospice care coinsurance or copay
100%
100%
100%
100%
75%
100%
100%
100%
100%
Skilled nursing facility
0%
0%
100%
100%
75%
100%
100%
100%
100%
Medicare Part A deductible
0%
100%
100%
100%
75%
50%
100%
100%
100%
Medicare Part B deductible
0%
0%
0%
0%
0%
100%
100%
100%
100%
Medicare Part B excess charges
0%
0%
100%
100%
0%
0%
0%
100%
100%
Foreign travel emergency (up to plan limits)
0%
0%
80%
80%
0%
80%
80%
80%
80%
Out-of-Pocket limit in 2023
N/A
N/A
N/A
N/A
$3,4704
N/A
N/A
N/A
N/A
 
 

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