Plan L
E552156
Plan L is a standardized Medicare Supplement (Medigap) insurance plan that offers partial coverage of certain out-of-pocket costs in exchange for lower premiums and an annual out-of-pocket limit.
Statements (44)
| Predicate | Object |
|---|---|
| instanceOf |
Medicare Supplement plan
ⓘ
health insurance product ⓘ standardized Medigap plan ⓘ |
| availableTo | people enrolled in Medicare Part A and Part B ⓘ |
| benefitsAre | defined by federal law for most states ⓘ |
| canBePurchasedDuring | Medigap Open Enrollment Period NERFINISHED ⓘ |
| covers | Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up ⓘ |
| coversPartOf | Medicare Part A coinsurance and hospital costs ⓘ |
| coversPercentageOf |
Medicare Part A deductible
ⓘ
Medicare Part B coinsurance or copayment ⓘ Part A hospice care coinsurance or copayment ⓘ first three pints of blood for a covered medical procedure ⓘ skilled nursing facility care coinsurance ⓘ |
| designedFor | beneficiaries who want lower premiums and are comfortable with some cost sharing ⓘ |
| doesNotCover |
Medicare Part B deductible
ⓘ
Medicare Part B excess charges NERFINISHED ⓘ foreign travel emergency care ⓘ |
| doesNotInclude | prescription drug coverage under Medicare Part D ⓘ |
| hasBenefitDesign | limits beneficiary’s annual out-of-pocket costs for covered services ⓘ |
| hasCostSharingStructure | partial coverage of certain Medicare cost-sharing amounts ⓘ |
| hasFeature | annual out-of-pocket limit ⓘ |
| isAlsoCalled |
Medicare Supplement Plan L
NERFINISHED
ⓘ
Medigap Plan L NERFINISHED ⓘ |
| isIntendedTo | help pay some out-of-pocket costs not covered by Original Medicare ⓘ |
| isMarketedAs | a lower-premium Medigap option with cost protection through an out-of-pocket limit ⓘ |
| isNotAvailableTo | people enrolled in Medicare Advantage plans ⓘ |
| isOfferedBy | private insurance companies approved to sell Medigap policies ⓘ |
| isPartOf | the set of standardized Medigap plans labeled A through N ⓘ |
| isRegulatedBy |
Centers for Medicare & Medicaid Services
NERFINISHED
ⓘ
state insurance departments ⓘ |
| isStandardizedBy | federal Medicare regulations ⓘ |
| isSubjectTo | guaranteed issue rights in certain situations ⓘ |
| isUnavailableTo | beneficiaries in some states where Medigap standardization rules differ ⓘ |
| mayRequire | medical underwriting outside protected enrollment periods ⓘ |
| offeredTo | Medicare beneficiaries ⓘ |
| premiumsMayVaryBy |
age rating method
ⓘ
eligibility for household or other discounts ⓘ geographic area ⓘ insurance company ⓘ tobacco use status ⓘ |
| requires | separate Part D plan for outpatient prescription drug coverage ⓘ |
| standardizedBenefitsAre | the same across all insurers offering Plan L in a given state ⓘ |
| tradesOff | lower premiums for higher cost sharing ⓘ |
| worksWith | Original Medicare NERFINISHED ⓘ |
Referenced by (1)
Full triples — surface form annotated when it differs from this entity's canonical label.