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Medicare Plan M

Medicare Plan M is one of the two new plans introduced by the Center for Medicare and Medicaid Services Beginning June 1, 2010 under the Medicare Improvements for Patients and Providers Act (MIPPA). The other Plan introduced was Plan N.

This Plan M covers all the plan basic services found in Plan A. In addition to basic services the plan pays 50% of the Hospital deductible of Medicare Part A that equals $550.00 per benefit period. Plan M also picks up the Co-Insurance for Medicare Skilled Nursing as well as includes the Foreign Travel Emergency Benefit.

Plan limitations are:

  • No Part B Deductible Coverage; Part B Deductible is $155
  • No coverage for allowable Medicare Excess Charges – up to 15% over Medicare approved expenses

Plan M can be a good fit for those Medicare beneficiaries who want to minimize their costs in the event of a hospitalization and may feel their maybe a need for Skilled Nursing during any possible upcoming rehabilitation period. Emergency Foreign Travel is also covered which can be an overall plus to the general plan.

Premiums are usually 20-30% per month less for both of the new plans M and N. These plans have a higher cost sharing with focus on the benefit of lower premiums charged to beneficiaries.

 

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