Medicare and Medigap Blog

Medicare Supplemental Plan M

Medicare Supplement Plan M (and several others) is now available for purchase as of Jan 1, 2013.  As one of several new plans, these new plans offer attractive coverage for those willing to exchange higher out of pocket expenses for lower monthly premiums.

Medicare Supplement Plan M is a cost sharing plan. What this means is that "the insured is responsible for any additional out of pocket expenses when compared to Plan CPlan DPlan F and Plan G."  Ultimately, they work similar to Medicare Advantage coverage, however, unlike Advantage plans, there will be no network restrictions for the insured.

The freedom from having to operate within a small network of health care providers will be a distinct advantage for Plans M; you are free to visit any doctor or hospital that accepts Medicare patients! 

Plan M Highlights:

  • All Medicare Basic Benefits Fully Covered

  • No Co-Payments for Emergency Room (ER) or Office Visits

  • Cover 50% of Part A Deductible

  • Does Not Cover Part B Deductible

  • Does Not Cover Part B Excess

Part B Excess Coverage

Many states (for example Ohio and Pennsylvania) do not allow doctors to charge for Part B excess.  If you live in one of these states and plan on maintaining a residence there, then you need not worry about this benefit.  If you live in a state that does allow for these charges, then be aware that you could have higher out of pocket expenses should you choose a supplement that does not cover Part B excess.

Plan M Insurance Providers

There are several supplemental providers offering either Plan M, N, or others through independent agents.  Depending on your state and zip code of residence there will be a handful of competitive providers, including Mutual of Omaha, Assured Life, Family Life, Gerber Life, Loyal American, Anthem, United Healthcare and a few others who offer affordable coverage in several states.


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