Medigap Plan D is one of the 12 Medicare supplement plans and it helps to cover for holes that Original Medicare left behind. Beneficiaries often get confused and think that Medicare Part D and Plan D are the same things. So, it is essential to know that those 2 Medicare coverage options are not the same thing. Medicare Part D covers prescriptions for drugs and medications. Medigap Plan D is a part of a Medicare supplement plan and not one of those plans has drug coverage included.
What does plan D cover?
Medigap Plan D isn’t that comprehensive in comparison to the other Medigap plans on the market but it has several benefits which include:
Part A hospital coinsurance and hospital costs for an additional 365 days after Original Medicare benefits are used
Part A hospice care coinsurance payment and copayments
Part B copayment and coinsurance payment
First three pints of blood
Skilled nursing facility care coinsurance
Part A deductible
80% of a foreign travel emergency
What isn’t covered under Plan D?
Plan D doesn’t provide coverage for:
Part B deductible
Part B excess charges- but those charges are not that common and happen on very rare occasions
How much does it cost?
You’ll need to cover for Medicare Part B deductible which is 223$ in 2022. After your deductible is met, you are 100% covered for other costs. You will be also responsible for a monthly premium that may cost you between 120$ and 200$ each month.
When can I enroll?
Every individual who is eligible for Medicare can enroll in Medigap plans during the Medigap Open Enrollment period which begins the first day of a month when you are 65 and already enrolled in Medicare Part B. However, if you enroll later, not in the initial enrollment period, instead of during the annual enrollment period you may be responsible for a late enrollment penalty. This means that you would pay higher monthly premiums as long as you have that plan. So, it is recommended to enroll in all Medigap plans when you are first eligible for them.