Plan M

E549830

Plan M is a standardized Medicare Supplement (Medigap) insurance plan that offers moderate coverage of Original Medicare costs in exchange for lower monthly premiums, typically requiring beneficiaries to pay a portion of the Part A deductible.

All labels observed (1)

Label Occurrences
Plan M canonical 1

How this entity was disambiguated

Statements (48)

Predicate Object
instanceOf Medicare Supplement insurance plan ⓘ
standardized Medigap plan ⓘ
appliesTo individual Medicare beneficiaries, not groups ⓘ
availability varies by state and insurer ⓘ
benefitDesignGoal trade lower premiums for higher cost sharing on Part A deductible ⓘ
benefitStandardization benefits are identical across insurers offering Plan M ⓘ
benefitStructure defined by federal Medigap standardization rules ⓘ
cannotBeCombinedWith Medicare Advantage plans ⓘ
linked to: Medicare Part C
comparedWith Plan F ⓘ
Plan G ⓘ
Plan N ⓘ
costSharingLevel moderate ⓘ
country United States ⓘ
coverageType supplemental insurance to Original Medicare ⓘ
covers 50% of Medicare Part A deductible ⓘ
80% of approved foreign travel emergency costs up to plan limits ⓘ
Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up ⓘ
Medicare Part B coinsurance or copayment ⓘ
Part A hospice care coinsurance or copayment ⓘ
first three pints of blood per year ⓘ
portion of Medicare Part A deductible ⓘ
skilled nursing facility care coinsurance ⓘ
doesNotCover Medicare Part B deductible ⓘ
Medicare Part B excess charges ⓘ
foreign travel emergency care at 100% ⓘ
excludes long-term custodial care coverage ⓘ
prescription drug coverage ⓘ
guaranteedRenewable yes, if premiums are paid ⓘ
introducedBy Medicare Improvements for Patients and Providers Act of 2008 ⓘ
isPartOf Medigap plan system ⓘ
linked to: Medigap policies
marketingName Medigap Plan M ⓘ
linked to: Medigap policies
policyType individual health insurance policy ⓘ
premiumLevel moderate to lower relative to more comprehensive Medigap plans ⓘ
premiumPaymentFrequency usually monthly ⓘ
regulatesUnder Centers for Medicare & Medicaid Services ⓘ
federal Medicare regulations ⓘ
relationshipTo Original Medicare ⓘ
linked to: Medicare Part A
relativeCoverageLevel less comprehensive than Plan G and Plan F ⓘ
more comprehensive than some basic Medigap options that lack skilled nursing facility coinsurance coverage ⓘ
requiresBeneficiaryToPay portion of Medicare Part A deductible ⓘ
requiresEnrollment enrollment in Medicare Part A ⓘ
enrollment in Medicare Part B ⓘ
soldBy private insurance companies approved to offer Medigap policies ⓘ
standardizedBy National Association of Insurance Commissioners Medigap model ⓘ
standardizedSince June 1, 2010 ⓘ
supplements Medicare Part A ⓘ
Medicare Part B ⓘ
targetPopulation Medicare beneficiaries seeking lower premiums with some cost sharing ⓘ

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.