What Is Medigap Plan M?

Medigap Plan M is a type of Medicare Supplement Plan offering basic coverage to help cover the gap for costs not covered by Original Medicare Part A and Part B. It provides a low monthly premium, but you must pay for half of your hospital deductible and 100% of your yearly outpatient deductible. 

Health Plans of NC, Kelly Quinn
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Medigap Plan M is a type of Medicare Supplement Plan offering basic coverage to help cover the gap for costs not covered by Original Medicare Part A and Part B. It provides a low monthly premium, but you must pay for half of your hospital deductible and 100% of your yearly outpatient deductible. 

If you’re not expecting frequent hospital visits and can afford to share some of your health care costs, it can be an excellent plan. Our experienced health insurance agents in North Carolina specialize in helping NC residents find the best health insurance for their needs and budget. Get in touch with us today, and we can compare the premiums and coverage for different types of Medigap plans to find the right one for you. 

The benefits of Medigap Plan M

There are some standard primary benefits included, such as: 

  • Medicare Part A coinsurance 

  • Medicare Part A hospital costs (up to an extra 365 days after you use your Medicare benefits) 

  • Part A hospice care copayment

  • 50% of your Medicare Part A deductible 

  • Medicare Part B copayment

  • Your first three pints of blood 

  • Your Skilled nursing facility coinsurance 

  • Foreign Travel Emergency (up to individual plan limits)

What isn’t covered by Medigap Plan M

Medigap Plan M does not provide coverage for your Medicare Part B deductible or excess charges. Your excess charge relates to when a doctor charges a fee above the Medicare assigned rate. If this happens, you’re responsible for paying the extra costs. 

Medigap plans also don’t cover hearing, vision, or dental care. If you need this type of coverage, you may wish to consider purchasing a Medicare Advantage plan, which typically includes these types of benefits. One of our experienced Medicare agents can discuss your options to determine the best plan for you. 

Need help finding the right Medigap insurance?

At Health Plans of NC, our locally based Medigap agents can help you find the right insurance coverage for you. We’ll assess your health care requirements and budget and organize quotes for all types of plans, including Medigap Plan F and Medigap Plan G, which are some of the most popular plans. Then, depending on your individual needs, we’ll recommend the best Medigap plans for you to consider. Get in touch with us today to find out more or compare plans online. 

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