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(417) 633-7200


Springfield, Missouri

Plan L

Medigap Plan F has been the most popular Medicare supplement in the recent past. It offers 100% of cost-charing when it comes to medical services. Plan F is a great option for Medicare beneficiaries who are searching for full coverage on all out-of-pocket costs, including the Part A and B deductible, copayments, and coinsurance. However, Plan F is no longer available to those who turn 65 after January 1, 2020.

Coverage Benefits

Medigap Plan L

Medigap Plan L covers some benefits in full and others at 70%. It covers the Part B coinsurance for preventive services, the foreign travel emergency coverage, and the Part A coinsurance at 100%

Plan L does not cover the Part B deductible or the Part B excess charges. However, Part B excess charges are not common and if you live in a state that does not allow them, this is not an issue.

Medigap Plan L covers:

Medigap Plan L Premiums

Individual premiums will vary based on which state the individual is seeking coverage in, which carrier they’re purchasing from, and also individual factors like gender, age, tobacco use, and a few other details. The average cost for Plan L ranges from $80-$180 each month. In general, Plan L premiums are higher in states who have a higher cost of living.

Plan L Out-of-Pocket Maximum

Plan K is one of two Medigap plans that offers a maximum out-of-pocket(MOOP) limit. In 2021, the limit was $3110, but this typically increases each year. After the maximum has been met, Plan K will pay for 100% of covered services for the remainder of the year.

How to Compare

Medigap Plan L Rates

There is a lot of information about each plan online, but to get an accurate quote, you’ll need to enlist the help of a licensed Medicare agent. Instead of calling each insurance carrier to get a quote, we can compare premiums across many different carriers, ensuring that you enroll with one that gives you the best rate.

We’ll need to collect some information from you in order to provide quotes since your premium is based on your information and health history, but our services come at no additional cost to you! If you choose to enroll in a Medigap plan through our agency, we also offer unlimited support. If you have problems with your coverage or have questions about how your plan works, we will be here to help.

Questions to be advised on:

The Missouri Medicare Advisor website character Theresa Plastridge discussing Questions to be advised on.
Individuals can enroll in Plan L as long as they have already enrolled in Original Medicare – Parts A and B. The best time to enroll is during your open enrollment period, which begins on your Part B effective date. Beneficiaries will have six months from that day to enroll in a plan with guaranteed issue rights. After that time frame, enrollment may be declined based on an individual’s health history.
Any coverage that is additional to Original Medicare is great to have. Plan L has a lower premium than some of the other Medicare supplements, so as long as individuals do not mind having to pay some cost-sharing expenses, Plan L is a good choice. This plan also has an annual out-of-pocket limit, which is helpful if you have high medical bills.
No Medigap plan includes prescription drug coverage outside of some that are administered in an inpatient hospital setting. Medicare beneficiaries who are enrolled in Plan L or any other Medicare supplement should also enroll in a Part D plan. Part D plans include prescription drug coverage.
Medigap plans only cover services that are also covered by Original Medicare – Parts A and B. Part B does offer benefits for mental health services, which includes care received from a psychiatrist. So yes, Plan L does offer mental health service coverage.
First, you’ll need to know if you are eligible for both. Medicare beneficiaries who turn 65 after January 1, 2020 will not be eligible for Plan F. Plan L is a good alternative that comes with lower premiums, but there is some cost-sharing required.
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