Plan L

E552156

Plan L is a standardized Medicare Supplement (Medigap) insurance plan that offers partial coverage of certain out-of-pocket costs in exchange for lower premiums and an annual out-of-pocket limit.

All labels observed (1)

Label Occurrences
Plan L canonical 1

How this entity was disambiguated

Statements (44)

Predicate Object
instanceOf Medicare Supplement plan ⓘ
health insurance product ⓘ
standardized Medigap plan ⓘ
availableTo people enrolled in Medicare Part A and Part B ⓘ
benefitsAre defined by federal law for most states ⓘ
canBePurchasedDuring Medigap Open Enrollment Period ⓘ
covers Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up ⓘ
coversPartOf Medicare Part A coinsurance and hospital costs ⓘ
coversPercentageOf Medicare Part A deductible ⓘ
Medicare Part B coinsurance or copayment ⓘ
Part A hospice care coinsurance or copayment ⓘ
first three pints of blood for a covered medical procedure ⓘ
skilled nursing facility care coinsurance ⓘ
designedFor beneficiaries who want lower premiums and are comfortable with some cost sharing ⓘ
doesNotCover Medicare Part B deductible ⓘ
Medicare Part B excess charges ⓘ
linked to: Medicare Part B

foreign travel emergency care ⓘ
doesNotInclude prescription drug coverage under Medicare Part D ⓘ
hasBenefitDesign limits beneficiary’s annual out-of-pocket costs for covered services ⓘ
hasCostSharingStructure partial coverage of certain Medicare cost-sharing amounts ⓘ
hasFeature annual out-of-pocket limit ⓘ
isAlsoCalled Medicare Supplement Plan L ⓘ
linked to: Medigap policies

Medigap Plan L ⓘ
linked to: Medigap policies
isIntendedTo help pay some out-of-pocket costs not covered by Original Medicare ⓘ
isMarketedAs a lower-premium Medigap option with cost protection through an out-of-pocket limit ⓘ
isNotAvailableTo people enrolled in Medicare Advantage plans ⓘ
isOfferedBy private insurance companies approved to sell Medigap policies ⓘ
isPartOf the set of standardized Medigap plans labeled A through N ⓘ
isRegulatedBy Centers for Medicare & Medicaid Services ⓘ
state insurance departments ⓘ
isStandardizedBy federal Medicare regulations ⓘ
isSubjectTo guaranteed issue rights in certain situations ⓘ
isUnavailableTo beneficiaries in some states where Medigap standardization rules differ ⓘ
mayRequire medical underwriting outside protected enrollment periods ⓘ
offeredTo Medicare beneficiaries ⓘ
premiumsMayVaryBy age rating method ⓘ
eligibility for household or other discounts ⓘ
geographic area ⓘ
insurance company ⓘ
tobacco use status ⓘ
requires separate Part D plan for outpatient prescription drug coverage ⓘ
standardizedBenefitsAre the same across all insurers offering Plan L in a given state ⓘ
tradesOff lower premiums for higher cost sharing ⓘ
worksWith Original Medicare ⓘ
linked to: Medicare Part A

How these facts were elicited

Referenced by (1)

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