Supplement 1A Plan in Massachusetts
2024 Medicare Supplement Insurance Plan (Medigap)
Monthly Premium
$166-$216
Covered Benefits
- Skilled nursing facility
- Part A deductible
- Part B deductible
- Part B excess charges
- Foreign travel emergency
*Monthly costs shown do not include the standard Part B premium. 2024 Medicare Part B premium is $174.70 per month.
Coverage Overview
Part A - Hospital - Deductible
$0
(what you pay)Part B - Medical - Deductible
$240
(what you pay)Part B - Medical - Coinsurance
$0
(what you pay)Coverage Details
Part A Coinsurance
(what you pay)
Hospital stays
Days 1-60: $0
Days 61-90: $0
Days 91-150: $0 while using your 60 lifetime reserve days
Additional 365 days: $0 for Medicare-eligible services
After the additional 365 days: All costs
Skilled nursing facility (for Medicare-covered stays)
Day 1-20: $0
Days 21-100: $0
Days 101-365: Balance, after Medigap policy pays its share
After 365 days: All costs
Skilled nursing facility (when not covered by Medicare)
Days 1-365: Balance, after Medigap policy pays its share
After 365 days: All costs
Blood (during a hospital stay)
First 3 pints: $0
After 3 pints: $0
Hospice care
$0
Mental health hospital stays for biologically-based mental disorders (not covered by Medicare)
Days 1-60: $0
Days 61-90: $0
Days 91-150: $0 while using your 60 lifetime reserve days
Additional 365 days: $0
After the additional 365 days: All costs
Mental health hospital stays for other mental disorders (not covered by Medicare)
Days 1-60: $0
Days 61-120: $0
After 120 days: All costs
Part B Coinsurance
(what you pay)
Covered Part B services
First: $240 (Part B deductible)
Then: $0
Preventive services
$0 Generally for most preventative services Medicare covers
Part B excess charges
All costs
Blood (outside a hospital stay)
First 3 pints: $0
After 3 pints: $240 (Part B deductible), then $0
Tests for diagnostic services
$0
Outpatient treatment for biologically-based mental disorders (covered by Medicare)
First: $240 (Part B deductible)
Then: $0
Outpatient treatment for biologically-based mental disorders (not covered by Medicare)
$0
Outpatient treatment for other mental disorders (covered by Medicare)
First: $240 (Part B deductible)
Then: $0
Outpatient treatment for other mental disorders (not covered by Medicare)
Visits 1-24: $0
After 24 visits: All costs
State-mandated benefits (covered by Medicare)
First: $240 (Part B deductible)
Then: $0
State-mandated benefits (not covered by Medicare)
Balance, after Medigap policy pays all allowed charges
Home Healthcare - Part A & B Services
(what you pay)
Home health care (for Medicare-approved services)
$0
Durable medical equipment (covered by Medicare)
First: $240 (Part B deductible)
Then: $0
Extra Benefits
(what you pay)
Foreign travel emergency
$0
Insurance Companies Offering This Plan
-
Blue Cross and Blue Shield of Massachusetts
-
Fallon Health and Life Assurance Company Inc.
-
Tufts Insurance Company
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