Plan L is a Medigap supplement plan. The out-of-pocket maximum for Plan L is $3,530 in 2024, and it doesn’t have a deductible. Your premiums will depend on where you live, the company you purchase it from, and your health.

Medicare supplement plans, also known as Medigap plans, help you cover some of the health insurance costs that would normally fall on you. These can include coinsurance, copayments, and deductibles.

Read on to learn more about Plan L, including costs and coverage.

Medicare Supplement Plan L helps you pay for some of the costs of using Medicare Part A and Part B. Together, parts A and B are known as original Medicare.

When you use Original Medicare, you’re responsible for costs like deductibles and coinsurance amounts.

Medicare supplement plans, like Plan L, can help reduce those costs. That means you’ll pay less out of pocket when you receive care.

Plan L offers coverage without a deductible. It covers 100% of the cost for some Medicare-approved services and 75% of the cost for others.

Premium

You will pay an additional premium for Plan L. The premium will depend on:

  • where you live
  • the company you purchase the plan from
  • other individual factors

You’ll need to pay that premium along with your premiums for original Medicare.

Most people don’t pay a premium for Part A, but there is a standard Part B premium that everyone will pay. You’ll also pay for any other plan premiums, such as a Part D prescription drug plan.

Deductibles

Medicare Supplement Plan L doesn’t have a deductible. However, you’re still responsible for some of your original Medicare deductible before this plan will pay.

You’ll need to cover the full Part B deductible and 25% of the Part A deductible.

Out-of-pocket maximum

Plan L does offer an out-of-pocket maximum.

An out-of-pocket maximum is the most you’ll pay for deductibles, coinsurance, copayments, and other costs before your plan starts covering 100% of them.

In 2024, the Plan L out-of-pocket maximum is $3,530. Premiums don’t count toward the maximum.

Plan L covers 100% of the cost of your Part A coinsurance and hospital costs for an additional 365 days over Medicare’s limit.

Plan L also covers 75% of the cost of:

  • Part A deductible: With Part A, there isn’t one set deductible for the calendar year. Instead, you pay the deductible for each benefit period. Benefit periods are based on inpatient admissions to a hospital. You can have multiple benefits periods in a single calendar year.
  • Part A copayments for hospice care: Medicare covers 100% of hospice care you receive in your home — with one exception. You’ll pay a copayment of no more than $5 for each medication you take. With Plan L, you’d pay no more than $1.25.
  • Part A coinsurance for skilled nursing facility (SNF) care: You’ll pay a daily coinsurance fee from days 21 through 100 of your SNF stay under Part A. On day 101, you’re responsible for 100% of the costs. Using Plan L, you’d pay much less for coinsurance on days 21 through 101 and 70% of the full cost each day after.
  • Part B coinsurance costs: The Part B coinsurance is typically 20% of the Medicare-approved cost of an item or service. With Plan L, you’d only pay 5%.
  • Your first three pints of blood for a covered medical procedure: You normally don’t pay for pints of blood since they’re often donated to hospitals and medical centers. However, when there is a cost, you’re normally responsible for the first three pints under Medicare Part A. You’d only be responsible for 75% of this cost with Plan L.

Plan L will pay 100% of the above costs if you hit the out-of-pocket maximum. However, there are a few costs that Plan L doesn’t cover, including:

  • Part B deductible: Only Plan C and Plan F cover this cost. These plans aren’t available if you become eligible for Medicare on or after January 1, 2020. If you were eligible before this time, you may still keep or buy these plans.
  • Part B excess charges: Excess charges are costs billed to you when a service costs more than Medicare will pay. For example, if a lab test costs $115 but the Medicare-approved amount is $100, you can sometimes be billed for the excess of $15. Plan L doesn’t cover this charge.
  • Foreign travel: Some Medigap plans do cover your care in foreign countries, but Plan L does not.

Plan L is one of 10 Medigap plans. Different plans have different coverage and costs. If Plan L doesn’t offer the coverage you’re looking for, another Medigap plan might better suit your needs.

If you’re eligible for Medicare, you can enroll in a Medicare supplement plan. However, there are a few things you should be aware of:

  • Medigap plans are different in Massachusetts, Minnesota, and Wisconsin: If you live in one of these three states, you’ll have different plan options. This means you can’t enroll in the standard Plan L.
  • You must be enrolled in both parts of Original Medicare: You need to be enrolled in Part A and Part B before enrolling in a Medigap plan.
  • You’re only guaranteed acceptance to a Medigap plan when you first enroll in Medicare: You can enroll during the 6-month Medigap Open Enrollment period starting the first month you’re enrolled in Medicare Part B, and you’re 65 or older. If you apply at a later time, you could be subject to a medical exam before a plan is approved. In some cases, your application could be denied or charged a much higher rate.
  • You can’t have a Medicare Advantage plan and a Medigap plan at the same time: If you have a Medicare Advantage plan and want to enroll in Medigap, you’ll need to drop your Advantage plan and return to Original Medicare first.

Where can you buy Medicare Supplement Plan L?

Medicare supplement plans are sold by private companies. Medigap plans are standardized, which means Plan L covers the same costs no matter what company you purchase it from. You can search for companies offering Plan L and other Medigap plans in your area using the Medicare website.

What does Medicare supplement plan L cost per month?

The cost of Medigap plans can vary greatly. Even the same plan in different areas can have different costs. The average cost of a Medigap plan is $150–$200 per month.

What is the difference between Plan K and Plan L?

Plan K only covers 50% of the costs of the same services for which plan L covers 75%. It also has a higher out-of-pocket limit of $7,060 in 2024.

Medicare Supplement Plan L can help cover the costs of using original Medicare. There’s no deduction for Plan L, though you will be responsible for the entire Part B and 25% of the Part A deductible.

Plan L has an out-of-pocket maximum. Once you reach the maximum, the plan will cover 100 percent of your coinsurance and copayment costs.