What is a cost-sharing Medigap policy?
There are two types of standardized Medigap policies that feature cost sharing. Plan K covers 50% of the cost of the basic Medigap benefits, including the coinsurance for Parts A and B, hospice, and skilled nursing facility stays, and the first three pints of blood. Plan L covers 75% of those costs. These plans also feature an out-of-pocket limit: Plan K—$7,720 and Plan L—$3,6,10. Once the beneficiary has met that limit and paid the Part B deductible ($257), the Medigap policy covers expenses for the rest of the year.
Cost-sharing Medigap policies are not available in all areas.
There are also high-deductible Plan G and Plan F Medigap policies. The 2025 deductible is $2,870.
Last updated: 12-09-2024