Plan M

E549830

Medicare Supplement insurance plan standardized Medigap plan

Plan M is a standardized Medicare Supplement (Medigap) insurance plan that offers moderate coverage of Original Medicare costs in exchange for lower monthly premiums, typically requiring beneficiaries to pay a portion of the Part A deductible.

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Statements (48)

Predicate	Object
instanceOf	Medicare Supplement insurance plan ⓘ standardized Medigap plan ⓘ
appliesTo	individual Medicare beneficiaries, not groups ⓘ
availability	varies by state and insurer ⓘ
benefitDesignGoal	trade lower premiums for higher cost sharing on Part A deductible ⓘ
benefitStandardization	benefits are identical across insurers offering Plan M ⓘ
benefitStructure	defined by federal Medigap standardization rules ⓘ
cannotBeCombinedWith	Medicare Advantage plans NERFINISHED ⓘ
comparedWith	Plan F NERFINISHED ⓘ Plan G NERFINISHED ⓘ Plan N NERFINISHED ⓘ
costSharingLevel	moderate ⓘ
country	United States of America ⓘ surface form: United States
coverageType	supplemental insurance to Original Medicare ⓘ
covers	50% of Medicare Part A deductible ⓘ 80% of approved foreign travel emergency costs up to plan limits ⓘ Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up ⓘ Medicare Part B coinsurance or copayment ⓘ Part A hospice care coinsurance or copayment ⓘ first three pints of blood per year ⓘ portion of Medicare Part A deductible ⓘ skilled nursing facility care coinsurance ⓘ
doesNotCover	Medicare Part B deductible ⓘ Medicare Part B excess charges ⓘ foreign travel emergency care at 100% ⓘ
excludes	long-term custodial care coverage ⓘ prescription drug coverage ⓘ
guaranteedRenewable	yes, if premiums are paid ⓘ
introducedBy	Medicare Improvements for Patients and Providers Act of 2008 NERFINISHED ⓘ
isPartOf	Medigap plan system NERFINISHED ⓘ
marketingName	Medigap Plan M NERFINISHED ⓘ
policyType	individual health insurance policy ⓘ
premiumLevel	moderate to lower relative to more comprehensive Medigap plans ⓘ
premiumPaymentFrequency	usually monthly ⓘ
regulatesUnder	Centers for Medicare & Medicaid Services NERFINISHED ⓘ federal Medicare regulations ⓘ
relationshipTo	Original Medicare NERFINISHED ⓘ
relativeCoverageLevel	less comprehensive than Plan G and Plan F ⓘ more comprehensive than some basic Medigap options that lack skilled nursing facility coinsurance coverage ⓘ
requiresBeneficiaryToPay	portion of Medicare Part A deductible ⓘ
requiresEnrollment	enrollment in Medicare Part A ⓘ enrollment in Medicare Part B ⓘ
soldBy	private insurance companies approved to offer Medigap policies ⓘ
standardizedBy	National Association of Insurance Commissioners Medigap model NERFINISHED ⓘ
standardizedSince	June 1, 2010 ⓘ
supplements	Medicare Part A NERFINISHED ⓘ Medicare Part B NERFINISHED ⓘ
targetPopulation	Medicare beneficiaries seeking lower premiums with some cost sharing ⓘ

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medigap policies → hasPlanType → Plan M ⓘ