Understanding Medicare: The Difference Between Plan F and Part F

Many individuals find the terminology surrounding Medicare confusing, particularly when it comes to the differences between Medicare Plan F and Part F. To clarify this, it's important to understand the distinction between these terms and what options are truly available.

Medicare Supplement or Medigap Insurance Plans

Medicare Supplement (also known as Medigap) insurance plans are standardized across the nation, with a few exceptions in Massachusetts, Minnesota, and Wisconsin. Each plan is identified by a letter, A through N, and all Medigap plans must provide the same set of basic benefits. The currently available plans are A, B, C, D, F, G, K, L, M, and N.

Medicare Plan F

Medicare Plan F, often considered one of the most popular plans, offers extensive coverage for certain health care costs, including:

Medicare Part A coinsurance and hospice care coinsurance Medicare Part A deductible Medicare Part B coinsurance or copayment Medicare Part B deductible Part B excess charges First three pints of blood used in a procedure Skilled nursing facility (SNF) care coinsurance Coverage outside of the United States up to plan limits

What About Part F?

Some confusion arises because the term 'Part F' is not used in the Original Medicare program, which is the government program funded by the U.S. government. Instead, there are four primary parts to Medicare - Parts A, B, C, and D, each serving a specific purpose:

Part A covers inpatient hospital stays, some home health care, and limited time in a nursing home. Part B covers medical insurance, such as doctors' services, outpatient care, and some preventive services. Part C (Medicare Advantage) covers both Part A and Part B benefits and typically includes additional benefits. Part D covers prescription drug costs.

Medicare Advantage Plan F

A Medicare Advantage Plan F is a private plan that helps with Medicare Parts A and B and may offer additional benefits. It is sold through private insurance companies and every company provides the same benefits. However, it's crucial to note that Plan F is scheduled to be phased out for new enrollees starting in 2020.

Why the Confusion?

The confusion often stems from the terms used in Original Medicare versus those used by insurance companies when naming their Medicare Supplement Insurance (Medigap) plans. The differences in terminology can be overwhelming, but understanding the distinctions between government-issued and privately-sponsored plans can help simplify the process.

Conclusion

While there are no Medicare Plan F or Part F options, it's essential to choose the right Medicare plan to ensure comprehensive coverage for your healthcare needs. Consulting with a Medicare specialist can help you navigate the various options and make an informed decision.