Medicare Supplement Plans Major Providers comparison chart

Plan comparison chart

The benefits included in each plan are listed in the chart below. A check mark √ means the plan covers that particular benefit 100%.

Medicare Supplement benefits	A	B	C	D	F1	G	K2	L3	M	N4
Medicare Part A co-insurance and hospital costs	√	√	√	√	√	√	√	√	√	√
Medicare Part B co-insurance or co-payment	√	√	√	√	√	√	50%	75%	√	√
First 3 pints of blood	√	√	√	√	√	√	50%	75%	√	√
Part A hospice care co-insurance or co-payment	√	√	√	√	√	√	50%	75%	√	√
Co-insurance for skilled nursing facility			√	√	√	√	50%	75%	√	√
Medicare Part A deductible		√	√	√	√	√	50%	75%	50%	√
Medicare Part B deductible			√		√
Medicare Part B excess charges					√	√
Foreign travel emergency			√	√	√	√			√	√
1. Plan F offers a high-deductible plan. This plan requires you to pay a $2,180 deductible before it covers anything. 2. Plan K has an “Out-of-Pocket” yearly limit of $4,940 (in 2015). After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year. 3. Plan L has an “Out-of-Pocket” yearly limit of $2,470 (in 2015). After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year. 4. Plan N pays 100% of the Part B co-insurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that don’t result in an inpatient admission.