Medicare Supplement (Medigap) Plan K is a little different than the other supplemental insurance plans. It covers the Part A hospital deductible AND about half of the other gaps in Original Medicare.
Explore Medigap OptionsMedigap Plan K Benefits
Plan K is a unique cost-sharing option that provides these benefits:
- 50% Part A deductible
- 50% Part B coinsurance or copayment
- 50% of the first 3 pints of blood
- 50% skilled nursing facility coinsurance
- 50% Part A hospice care coinsurance or copayment
- Medicare Part A coinsurance and hospital costs (100% covered)
To clarify, Plan K covers 100% of your Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are exhausted).
It does NOT cover the Part B deductible, Part B excess charges, or foreign travel emergency care.
Why Plan K?
Plan K may suit your needs - if you don't mind fewer benefits. You and the insurance company split the cost-sharing on select items, such as the Part A deductible.
Plan K still covers preventative care services and gives you an additional year in the hospital.
Medigap Plan K Out-of-Pocket Maximum
Plan K also has a limit on your spending, known as an out-of-pocket maximum. For example, if you have a calendar year with several medical treatments, your own spending may hit the maximum amount - which is $8,000 in 2026. If it does, your Medigap Plan K policy will pay all the remainder for that year. Plan K policyholders won't pay more than $8,000 out-of-pocket in the year 2026.
Your insurance company will monitor exactly how much spending you've done for the year.
Exploring Medigap Plan K Options
Fewer insurance carriers offer Medigap Plan K, which can make comparing rates on your own more difficult. Simple Retirement Benefits has direct access to the leading carriers offering Plan K policies in your state. We can prepare a comprehensive plan comparison for you, saving you hours of research. If you would like to review your options in detail, please reach out to us today.