Basic Benefits for Supplement Plan L

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 L pays $966
  • For hospital stay days 61 - 90, Plan L pays $335 per day
  • For hospital stay days 91 - 150, Plan L pays $670 per day
  • For an additional 365 days, Plan L pays 100% of approved expenses
  • After the additional 365 days, Plan L pays $0 per day

Medicare Part A Skilled Nursing Facility Coinsurance

  • For nursing facility stay days 1 - 20, Plan L pays $0 per day
  • For nursing facility stay days 21 - 100, Plan L pays up to $125.63 per day
  • After 100 days nursing facility stays, Plan L pays $0 per day

Medicare Part B Coinsurance or Copay

  • Plan L pays $0 until you meet your $185 Part B deductible
  • After Part B deductible is met, Plan L typically pays 15% of the coinsurance

Blood Coverage

  • For the first 3 pints of blood, Plan L pays 75% of the cost
  • After the first 3 pints of blood, Plan L pays $0 of the cost because Original Medicare covers 100%

Additional Benefits for Supplement Plan L

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

Alabama

Monthly Premium
$70-$477
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Alaska

Monthly Premium
$69-$295
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arizona

Monthly Premium
$69-$426
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Arkansas

Monthly Premium
$82-$233
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

California

Monthly Premium
$100-$447
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Colorado

Monthly Premium
$67-$658
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Connecticut

Monthly Premium
$115-$426
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Delaware

Monthly Premium
$76-$3,281
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

District of Columbia

Monthly Premium
$62-$526
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Florida

Monthly Premium
$124-$586
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Georgia

Monthly Premium
$76-$3,171
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Hawaii

Monthly Premium
$76-$481
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Idaho

Monthly Premium
$124-$315
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Illinois

Monthly Premium
$70-$622
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Indiana

Monthly Premium
$61-$696
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Iowa

Monthly Premium
$56-$627
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kansas

Monthly Premium
$70-$666
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Kentucky

Monthly Premium
$64-$711
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Louisiana

Monthly Premium
$76-$610
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maine

Monthly Premium
$133-$283
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Maryland

Monthly Premium
$81-$655
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Michigan

Monthly Premium
$77-$886
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Mississippi

Monthly Premium
$62-$357
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Missouri

Monthly Premium
$93-$455
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Montana

Monthly Premium
$70-$547
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nebraska

Monthly Premium
$63-$686
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Nevada

Monthly Premium
$85-$837
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Hampshire

Monthly Premium
$78-$476
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Jersey

Monthly Premium
$74-$508
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New Mexico

Monthly Premium
$58-$606
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

New York

Monthly Premium
$181-$322
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Carolina

Monthly Premium
$59-$642
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

North Dakota

Monthly Premium
$67-$443
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Ohio

Monthly Premium
$64-$762
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oklahoma

Monthly Premium
$63-$535
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Oregon

Monthly Premium
$84-$568
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Pennsylvania

Monthly Premium
$65-$714
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Rhode Island

Monthly Premium
$70-$554
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Carolina

Monthly Premium
$59-$630
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

South Dakota

Monthly Premium
$63-$492
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Tennessee

Monthly Premium
$62-$718
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Texas

Monthly Premium
$61-$633
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Utah

Monthly Premium
$62-$607
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Vermont

Monthly Premium
$130-$357
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Virginia

Monthly Premium
$59-$346
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Washington

Monthly Premium
$137-$147
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

West Virginia

Monthly Premium
$64-$620
Covered Benefits
  • Skilled nursing facility
  • Part A deductible
  • Part B deductible
  • Part B excess charges
  • Foreign travel emergency

Wyoming

Monthly Premium
$67-$595
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