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Medicare – Plan L

Medicare Supplement Plan L policy also includes a cap on your expenses. This is referred to as your out-of-pocket limit or maximum. Medicare sets this limit annually, and in 2018, the limit for Plan L is $2,620. This means that if in any one calendar year your spending reaches $2,480 in Medicare-approved covered expenses, then the Medigap insurance carrier pays the rest. The cap makes it much easier to agree to share in 25% of the costs on the items listed because you know that even if a year of bad health occurs, you won’t have more exposure than the maximum cap figure.

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Medicare Supplement Plan L

Medicare Part A coinsurance and coverage for hospital benefits
Medicare Part B coinsurance or copayment 75%
Blood (first three pints) 75%
Hospice Care coinsurance or copayment 75%
Skilled Nursing Facility Care coinsurance 75%
Medicare Part A deductible 75%
Medicare Part B deductible
Medicare Part B excess charges
Foreign Travel Emergency (up to plan limits)
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