Plan K pays 50% of most cost-sharing - but caps your annual out-of-pocket at around $7,060 (2024). After the cap, the plan pays 100%. Best for beneficiaries comfortable with more variability in monthly costs in exchange for lower premiums.
Best for
- Healthy beneficiaries who rarely use medical services
- Budget-focused shoppers comfortable with cost-sharing
Watch out for
Higher out-of-pocket exposure in heavy-use years.
What Plan K covers
- Part A coinsurance & 365 extra hospital daysCovered in full
- Part B coinsurance or copayment50% covered
- Blood (first 3 pints)50% covered
- Part A hospice coinsurance / copay50% covered
- Skilled nursing facility coinsurance50% covered
- Part A deductible50% covered
- Part B deductibleNot covered
- Part B excess chargesNot covered
- Foreign travel emergency (up to plan limits)Not covered
Compare to other Medigap plans
- Plan AThe minimum-coverage Medigap plan - basic benefits only.
- Plan BPlan A plus the Part A deductible.
- Plan CComprehensive coverage - closed to anyone newly eligible after Jan 1, 2020.
- Plan DPlan G minus Part B excess. Modest savings, modest reduction in benefit.
- Plan FThe 'everything' plan - closed to newly eligible after Jan 1, 2020.
- Plan GToday's most popular Medigap plan - comprehensive coverage minus only Part B deductible.
- Plan LLike Plan K but covers more - 75% of most cost-sharing.
- Plan MSplits the Part A deductible 50/50 between you and the plan.
- Plan NLower premium than Plan G in exchange for office and ER copays.