Medigap Plan C
Medigap Plan C
Medicare Supplement Plans, also called Medigap policies, are offered by private companies to offset the out-of-pocket expenses of Original Medicare. These private companies are required by federal law to follow a standard set of templates. Medigap Plan C is one of the most comprehensive Medicare Supplement Plan options. However, it is not available to people who are newly eligible for Medicare after January 1, 2020.
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Coverage: Original Medicare vs. Plan C
Hospital Inpatient Costs
Original Medicare
- Day 1-60 of an inpatient stay: Your annual deductible is $1484 with coinsurance
- Days 61-90: your cost of coinsurance per day is $371
- After Day 90: you pay a lifetime reserve day of $742
Medigap Plan C
- 100% of Medicare Part A coinsurance and hospital costs, up to an additional 365 days after Medicare benefits are used.
Part B Coinsurance
Original Medicare
- You are usually expected to pay 20%
Medigap Plan C
- 100% of Medicare Part B coinsurance or copayment
Blood
Original Medicare
- If the hospital has to buy blood for you, you must pay for the first 3 units of blood you get in a calendar year
Medigap Plan C
- 100% of first 3 pints of blood
Hospice Care Coinsurance/Copayment
Original Medicare
- You pay a copayment of up to $5 per prescription for outpatient prescription drugs for pain and symptom management.
- You pay 5% of the Medicare-approved amount for inpatient respite care.
Medigap Plan C
- 100% Part A Hospice Coinsurance or copayment
Skilled Nursing Facility (SNF) Care Coinsurance
Original Medicare
- Days 1-20 at SNF facility: no cost
- Days 21-100: you pay $185.50 per day
- Day 101 and after: You assume all costs
Medigap Plan C
- 100% SNF Coinsurance
Part A Deductible
Original Medicare
- Annual deductible: $1484 with coinsurance for days 1-60 of each benefit period.
- After Day 60: See Hospital Inpatient costs, above
Medigap Plan C
- Covers 100% of Part A Deductible
Part B Deductible
Original Medicare
- In 2021, the deductible for part B is $203. After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%.
Medigap Plan C
- Covers 100% of the Part B Deductible
Part B Excess Charges
Original Medicare
- No out of pocket expense yearly limit
- After you meet your deductible, Medicare generally covers 80% of the cost and you cover 20%.
Medigap Plan C
- No additional coverage
Bonus: Up to 80% of coverage for foreign travel emergency
As stated above, Medigap Plan C is not available to people eligible for Medicare for the first time on January 1, 2020.
Need Medigap Plan C?
Here at Medicare With Jake, we specialize in helping you make the best decisions for you. To learn more about your Medigap options and if Medigap Plan C is right for you, give us a call today!