This is actually not a common question that we receive but I am going to address it here today anyway. In this article, I’ll provide a breakdown of the High Deductible Plan F itself and suggest the ideal “consumer” who I believe is a good candidate.
So why am I choosing to write about the High Deductible Plan F you ask? After all, it isn’t a common plan by the sales data anyway.
Well, now days, most senior health insurance agents are highlighting Medigap Plan G. I have done it a fair share myself. Started doing it a good 20+ years ago.
However, at the same time, many agents discourage the standard Plan F for it’s questionable value based on its considerably higher cost. In fact, Plan F is the most expensive Medigap plan of the 10+ standardized choices. However, it does offer 1st dollar coverage for everything approved by Original Medicare. Your only “skin in the game” is the higher money premium.
Now, High Deductible Plan F (HD-F) is at the other end of the spectrum and is very, very affordable. With that said, you should always have coverage you are comfortable with, first and foremost. Listen to what your indepedent Medicare specialist agent/broker has to say carefully. Just buy the coverage you want and can comfortably afford to live with. Insurance is a personal thing. That is why Medicare created several plans to choose from.
Truth be told though, there are typically 3 plans that are the best choices for the majority of seniors who have or will elect Original/Traditional Medicare for their healthcare needs.
The key word from the former is “typically.”
Yes, there are exceptions to this general rule and it seems that many, many agents are not catching it or are refusing to promote it. We are going to talk about 1 of the “exceptions” today.
The High Deductible Plan F or Is It… Plan F High Deductible?
Call it what you will. It is a matter of choice. If you live in Southern Florida…say Boca Raton, Miami or even up in Tampa for example, premiums for most Medicare Supplements are much higher than most other areas of the country. Premiums are so high in fact, that paying the deductible in the “High Deductible” Plan F because of the pure premium savings it offers.
Never heard of the Medicare Supplement High Deductible Plan F? You’re not alone. Many have not. Similar information can be found in your “Medicare and You Guide Book” (2018 edition) on page 80. The high deductible option is denoted as Plan F* and the details are available at the bottom the page.
If you live in specific areas of the country like Florida or even New York, it may be something to take a serious look at. Just remember, you have to satisfy a yearly deductible before the Medicare Supplement will start paying the portion of any Medicare approved claims.
If you want to get the rates in your area to do a comparison, take a moment and get in touch with us. Our help is free to you.Verify License w/State
How Does The Plan F High Deductible Work?
Here is the all important item to note. As of 2023, the “high deductible” required by Medicare before supplemental benefits is $2700.
If medical care is required for you, the $2700 annual deductible would be paid by you before any supplemental benefits are paid by the insurer.
Therefore, you would be responsible for the balance of Medicare approved charges typically paid by the Plan F including coinsurance, co-payments and deductibles until you have reached the “high deductible” out of pocket. So, as of now, you may be responsible for up to $2700 in 2023 for out of pocket, Medicare approved services. After that however, any approved Medicare claim is paid in full.
Now that sounds like a good deal of money to have to pay if you end up in the doctors office or hospital. However, when you look at the premium savings each year and the benefits offered, this plan will keep your total out of pocket for healthcare on Original Medicare to minimal amount yet offer great benefits if your health turns for the worse.
Nothing changes regarding your base Medicare Part A and B benefits. The deductible is applied towards the 20% that Medicare does not pay on approved claims.
Who Is The High Deductible Plan F For?
A 65 year old Male, non smoker in Boca Raton, FL would have a premium for Medigap Plan G of $212/mo. with Mutual of Omaha. This is aggressively priced for comparison sake and not easy to qualify for. Plan G is considered to be a value plan by most senior health agents/brokers. It is typically purchased for its affordability and the excellent benefits it offers. It has a Part B deductible of $226 in 2023 for Part B, outpatient care. At age 65 this male, Medicare Supplement policy owner would pay $2544 a year as of January 2023. He would also be responsible for the first $226 for Medicare approved care outside of the hospital to me his Part B deductible if he utilized any healthcare during the year.
Now, let’s take a closer look at the Medigap High Deductible Plan F which pays full benefits after you meet the annual deductible of $2700 in 2023. The monthly cost for a 65 year old male would be $64 for the United American High Deductible Plan F. This particular example from United American, a High Deductible Medigap Plan F would save you $1776 a year with insurance premiums. This money could be put in savings in a separate bank account to accumulate over time. You are self insuring yourself with an accumulation strategy versus giving it to the insurance company in monthly premiums.
How much more would you save if you didn’t have $1776 in medical expenses each year? You see, you aren’t paying this money out thru insurance premiums so it is potential savings. Remember, this plan is full benefits after you meet the $2700. Nothing more out of pocket on any Medicare approved claim for the year. On a Plan G, you would have already paid thousands out in additional premiums ($2544) and be required to pay the $226 Medicare Part B deductible for outpatient care.
As you age, your insurance premiums will rise. The opportunity to save money on premiums is there. You must lay this money aside and have the necessary nest egg set aside if you end up hospitalized. You will be responsible for the 20% that Medicare does not cover in hospital.
So, in summary, you risk paying up to $2700 (2023) this year less your premium savings by electing the High Deductible Plan F.
Remember, that potential savings will be adding up over the years. If you end up in the hospital, you should have some of all funds to cover the $2700 deductible, right?
If you elect a Plan G or standard Plan F, you are going to pay a lot of money out per year in your premiums, guaranteed. Depending on your financial resources and good general health, you could consider this strategy.
It’s a frame of mind you must have, definitely. Having discipline to tuck money away to cover the $2700 is necessary if you have limited means. If money is real tight, we recommend a standard Plan G or N. If you health deteriorates, you may not be able change
No one likes to cough up money for medical bills when they are paying for insurance, right? You can either cough it up to the insurance company upfront or in the a health crisis, use your premium savings fund to cover a large medical claim.
Insurance is a very personal choice.
Has The High Deductible Plan F Gone Away?
Due to Medicare changes January 1, 2020 the new MACRA laws became effective. There are some definite Medigap changes.
Some of you may know the standard Plan F will not be available as it once was. People eligible for Medicare after January 1, 2020 are not be able to purchase a Plan F.
This also includes the High Deductible Plan F.
The reason it was changed…
Medicare decided they wanted new, eligible recipients to have more “skin” in the game.
The opinion of Medicare is…first dollar benefits drive “over utilization” of benefits. Whether that is true or not, the fact remains, standard Plan F covers dollar one.
Those who already have it may purchase it from any company that offers it if they qualify health wise, regardless of the change. Policy owners will be grandfathered in and able to change carriers if their health qualifies them.
If you are already on a Plan F High Deductible policy, you can change to another company to save money if your health can qualify you as well. Some states do allow Medicare beneficiaries the right to change to other Medigap plans without going thru medical underwriting to qualify.
Is There Anything Else I Should Know About The High Deductible Plan F?
With any Medigap Plan or Medicare Supplement (as it is otherwise known), the decision as to whether the plan will pay out benefits is dependent on Medicare. If Medicare does not approve your healthcare claim, no supplement will pay a nickel. It has absolutely nothing to do with the supplemental insurer or plan.
Medicare pays 80% of their approved amounts while the rest is sent on to any carrier you have a Medigap policy with. From there, any additional claim support will be determined by the standardized benefits in that plan. Remember, if you do not have Medigap coverage, you are responsible for the remaining 20% whether these are hospital or outpatient care expenses. Don’t lose site of this Medicare fact!!
There are particular parts of the country have some real opportunity to save lots of money, yet have protection when it is needed. These areas are prime locations that demonstrate what I suggest might be a better way to go with your Medicare Supplement insurance. Sometime HD Plan F is a great alternative to the most popular Medicare Supplements which ultimately cost more in premium expense.
As a company article writer and agent, it is hard for me to advise anyone specifically without knowing your financial protection goals. If you having been thinking about making a change, there is no better time than the present. Insurance only gets more expensive as we age. Take action today.Verify License w/State
Does High Deductible Plan F make sense? If your still wondering…should I get a Plan F High Deductible? Take a good look at where you live.
A high deductible Plan F supports the concept of affordability with fully comprehensive benefits after reaching $2700 (2023). Note, the high deductible amount will generally rise over time. You will be responsible for the increase. For reference, the annual deductible was $2240 in 2018.
It should not be disregarded over the big 3 if you live in some select coastal areas.
No one likes to overpay for insurance especially if their health has been good for many years.
If your a healthy senior and have a good rainy day fund in place, this might be a diamond in the rough. The high deductible plan F is a good option here.
Have a tendency to feel nickled and dimed to death? If so, you probably will not be happy with any High Deductible Medicare Supplement. Medicare approved medical bills will all end up in your mailbox until you reach $2700 each year.
The Medicare Supplement plan you select of course is your personal decision. I am going to stick my neck out and say that the High Deductible Plan F is a viable option for healthy people around the coastal areas of the country where insurance premiums are often very high.
Ultimately you need to ask yourself if you can financially set aside a rainy day fund if you need to get healthcare under a Plan F High Deductible policy. Futhermore, will you have the resources if your health takes a real turn in the near future before you can build a savings necessary pay the annual deductible of $2700.
Conclusion: Plan F High Deductible (HD-F)
Maybe our site was part of gathering information from various high deductible Plan F reviews out there in cyberspace? My goal here has been to simply get you the information you need to make a good decision regarding your Medicare options.
I felt compelled to write about the Medicare Plan F High Deductible today as so much emphasis by many insurance agents are on the standard Plan F, Plan G and Plan N (most popular plans and big 3) without looking at high deductible options. I am not picking on anyone as I’m guilty as charged of touting the same plans with good reason of course. Plan G High Deductible has now been added as well.
Plan F High Deductible can be a real premium saver for people who want to save money and have a solid nest egg to cover the annual deductible as it presents itself.
Hope this has helped you learn a little something new today. As part of our “what is Medigap” articles, the High Deductible Plan F has its role. If you live in the right area of the country, it is a real winner especially if you have a good health history… regardless of popularity.
The bonus of electing a high deductible Plan F is massive, long term premium savings. This creates a pool of money to cover any deductible or even purchase other coverage Medicare does not cover. Remember, Medicare will be paying 80% of all approved charges. That leaves you with 20% up to the annual deductible of $2700. With the upfront premium savings potential over a few years, you could accumulate monies to cover the medical bills that will inevitably come.
Some seniors will purchase a dental, vision and hearing policy with some of their massive premium savings.
Medicare does not cover those issues.
If you live near a coastal area, the Medicare Supplement Plan F High Deductible is something to keep on the radar if you have good health and have the discipline to set aside funds you will likely need down the road.
Just food for thought.
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