Medicare Supplement (Medigap) Plan L is another policy that involves cost-sharing. In exchange for slightly reduced premiums than what you may pay for a Plan F, if you sign up for a Plan L, the insurance company will pay 75% of your covered medical expenses - on most things - and you'll pay the other 25%.
In addition, you'll pay the Part B deductible and any Medicare excess charges.
Explore Medigap OptionsMedigap Plan L Benefits
Plan L is a solid cost-sharing option, offering these standard benefits:
- 75% Part A deductible
- 75% Part B coinsurance or copayment
- 75% of the first 3 pints of blood
- 75% Part A hospice care coinsurance or copayment
- 75% skilled nursing facility coinsurance
- Medicare Part A coinsurance and hospital costs (100% covered)
Plan L doesn't cover the Medicare Part B deductible, Part B excess charges, or Foreign travel emergency care.
Medigap Plan L Out-of-Pocket Maximum
Plan L also has a limit on the costs you're responsible for - called your cap protection or out-of-pocket maximum. Medicare sets this limit annually, and in 2026, Plan L's limit is $4,000. So if in a calendar year your spending hits $4,000 in covered expenses approved by Medicare, the Medigap carrier will pay the rest.
This limit makes it easier to share in 25% of the expenses on listed items. Even if you have a year of poor health, you can have peace of mind knowing that you won't have to pay more than the cap amount.
Medigap Plan L Carriers
In most areas, the insurance carrier decides which Medigap policies it will offer to buyers. It's relatively easy to find companies for a popular plan like F, but not so easy for Plan L. Not as many carriers offer it. This is a key reason to get help from a Medicare broker like us.
Exploring Medigap Plan L Options
We specialize in Medicare Supplement plans - working with the leading Medigap insurance carriers nationwide. But we work directly for you! At Simple Retirement Benefits, we research carriers and rates for you to save you time and preserve your budget. If you would like to review your options in detail, please reach out to us today.