Basic Benefits for Supplement Plan D

Supplement plans are required to cover a set of standardized basic benefits set by the government. These Supplemental benefits provide additional coverage to what is covered by Original Medicare Part A (hospital insurance) and Part B (medical insurance and doctor visits).

Medicare Part A Hospital Coinsurance or Deductible

  • For hospital stay days 1 - 60, Plan d pays $1340, the Part A deductible amount
  • For hospital stay days 61 - 90, Plan d pays $335 per day
  • For hospital stay days 91 - 150, Plan d pays $670 per day
  • For an additional 365 days, Plan d pays 100% of approved expenses
  • After the additional 365 days, Plan d pays $0 per day

Medicare Part A Skilled Nursing Facility Coinsurance

  • For nursing facility stay days 1 - 20, Plan d pays $0 per day
  • For nursing facility stay days 21 - 100, Plan d pays up to $167.50 per day
  • After 100 days nursing facility stays, Plan d pays $0 per day

Medicare Part B Coinsurance or Copay

  • Plan d pays $0 until you meet your $185 Part B deductible
  • After Part B deductible is met, Plan d typically pays 20% of the coinsurance. Original Medicare Part B covers the other 80%

Blood Coverage

  • For the first 3 pints of blood, Plan d pays 100% of the cost
  • After the first 3 pints of blood, Plan d pays $0 of the cost because Original Medicare covers 100%

Additional Benefits for Supplement Plan D

Additional benefits may vary by State. Below are the additional benefits covered by Plan D for each State:

Alabama

Monthly Premium
$117-$651
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Alaska

Monthly Premium
$111-$410
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arizona

Monthly Premium
$135-$604
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arkansas

Monthly Premium
$140-$291
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

California

Monthly Premium
$128-$604
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Colorado

Monthly Premium
$111-$686
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Connecticut

Monthly Premium
$269-$388
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Delaware

Monthly Premium
$109-$3,235
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

District of Columbia

Monthly Premium
$113-$461
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Florida

Monthly Premium
$196-$1,037
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Georgia

Monthly Premium
$123-$3,391
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Hawaii

Monthly Premium
$113-$490
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Idaho

Monthly Premium
$162-$445
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Illinois

Monthly Premium
$115-$686
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Indiana

Monthly Premium
$101-$656
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Iowa

Monthly Premium
$92-$493
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kansas

Monthly Premium
$122-$638
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kentucky

Monthly Premium
$113-$711
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Louisiana

Monthly Premium
$127-$971
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maine

Monthly Premium
$215-$286
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maryland

Monthly Premium
$150-$676
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Michigan

Monthly Premium
$116-$1,621
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Mississippi

Monthly Premium
$103-$942
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Missouri

Monthly Premium
$164-$750
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Montana

Monthly Premium
$118-$775
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nebraska

Monthly Premium
$108-$747
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nevada

Monthly Premium
$125-$668
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Hampshire

Monthly Premium
$147-$702
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Jersey

Monthly Premium
$120-$683
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Mexico

Monthly Premium
$89-$478
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New York

Monthly Premium
$391-$502
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Carolina

Monthly Premium
$100-$1,108
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Dakota

Monthly Premium
$120-$613
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Ohio

Monthly Premium
$104-$632
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oklahoma

Monthly Premium
$104-$914
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oregon

Monthly Premium
$128-$616
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Pennsylvania

Monthly Premium
$120-$547
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Rhode Island

Monthly Premium
$128-$507
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Carolina

Monthly Premium
$97-$555
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Dakota

Monthly Premium
$109-$672
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Tennessee

Monthly Premium
$108-$1,437
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Texas

Monthly Premium
$108-$600
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Utah

Monthly Premium
$102-$519
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Vermont

Monthly Premium
$161-$499
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Virginia

Monthly Premium
$120-$466
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Washington

Monthly Premium
$206-$398
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

West Virginia

Monthly Premium
$108-$536
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Wyoming

Monthly Premium
$115-$558
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Learn More About Medicare Supplement Insurance

See our Medicare Supplement FAQ page to learn more about supplemental insurance coverage.

Some information shown on this page has been sourced from www.medicare.gov