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Medicare Plan M Thoroughly Explained

When it comes to our health, there’s nothing more important than ensuring we have the best possible coverage. When you start to think about your golden years, you may wonder…

September 23, 2022

Written by Gary Martin

When it comes to our health, there’s nothing more important than ensuring we have the best possible coverage. When you start to think about your golden years, you may wonder if you should stick to the most common medicare plans or opt for others that offer higher benefits.


If you’re in the latter category, you’ll find this blog greatly helpful. We’ll tell you about a great plan called Medicare Plan M, explain what it offers and who it’s best suited for. Keep reading and dispel some myths which might be stopping you from enrolling!

What Is Medicare?

Medicare is an insurance system divided into four main parts. It provides coverage for various medical services such as hospital and outpatient care, health insurance plans, and prescription drugs. In addition, you can purchase extra plans to get wider coverage. Each part has its own eligibility requirements, benefits, and costs.


The program helps to defray the high cost of medical care, making it possible for older people to get the care they need. This way, Medicare plays an essential role in ensuring the health and wellbeing of our nation’s senior citizens.

What Is Plan M?

If you’re enrolled or trying to sign up for Medicare, you may be looking for ways to control out-of-pocket costs. One option is to use a Medicare Supplement (Medigap) plan.


Medigap Plan M is one of the ten standardized plans available in most states. It’s sold by private health insurance companies as a supplement to Original Medicare (Medicare Part A and Part B) to help pay for some of the costs that Medicare doesn’t cover.

How Does Plan M Work?

While Medicare Part A and Part B cover a significant portion of medical expenses, there are still deductibles and copayments that can add up quickly. That’s where Plan M comes in.


This type of insurance policy is designed to work alongside Medicare, filling in some of the gaps in coverage and helping control healthcare costs. For those on a fixed income, this can be vital. With Medigap Plan M, you can have tranquility and be ahead of the unexpected.

The Benefits And Downsides of Getting Plan M


Medicare Supplement Plan M (Medigap Plan M) is a relatively recent Medigap option. This plan is intended for customers who wish to pay a lower monthly premium for covering half of their yearly Part A (hospital) deductible. The thinking behind this choice is that you may only need help with hospital expenses every few years, so it evens out over time.


If you have an extended hospital stay, it could mean paying several thousand dollars out-of-pocket. Also, if your healthcare provider usually charges extra fees, this plan is not for you.


It’s important to keep in mind that availability for this plan is limited as not all carriers offer it. This means that you may not be able to apply for the plan or find a competitive rate.


For some people, the security that comes with having full coverage may be worth the higher monthly premium. Others may feel comfortable taking on a little more risk in exchange for a lower monthly payment. Ultimately, the decision comes down to what makes the most financial sense for you and your family.

What Does Plan M Cover?

While each Medigap plan is different, Plan M from the Medicare supplement covers many standard costs that are not included in other parts of Medicare. With this plan, you will have:


  • Support for an extra year of Part A coinsurance and hospital costs
  • 100% coverage on hospice care or copayment
  • 50% coverage of Part A deductible
  • 100% of Part B coinsurance or copayments
  • The first three pints of blood needed for a transfusion
  • 80% coverage for foreign travel medical costs
  • Skilled nursing facility care coinsurance


If you’re considering enrolling in Medigap Plan M, it’s important to compare it with other plans to find the one that best meets your needs. Knowing what is covered under your Medicare supplement plan can help you make the best decisions for your health and budget.

What Does Plan M Not Cover?

Each plan is different from the other. So, when it comes to Plan M, the number of things that it doesn’t cover are:


  • Part B deductible
  • Part B excess doctor charges
  • Prescription drugs
  • Vision care
  • Dental care
  • Hearing care

How To Know If You’re Eligible For Plan M

When you become Medicare eligible, you must understand all the plans available. One option you may be eligible for is Medicare Supplement Plan M. To qualify for this plan, you must:


  • Be enrolled in both Medicare Part A and Part B
  • Reside in an area where an insurance company offers this particular plan


Why Is Plan M Important?

As people age, they often face increased medical costs. These costs can be difficult to manage, especially if you are on a fixed income, and lacking health insurance is a serious problem in the United States.


With Medigap Plan M, senior citizens have a way to protect themselves against the high cost of healthcare, easing the financial burden. Medigap Plan M is an essential piece of the puzzle for those who want to maintain their independence and quality of life.

How Do I Go About Enrolling In Medigap Plan M?

While the lower monthly premium may be appealing, it’s important to weigh all factors before deciding. If you think that Medicare Supplement Plan M could be the right fit for you, talk to your insurance company to see if you qualify and to get more information on rates.


  • You’ll need to contact a Medigap Plan M provider.
  • After you provide your personal information, the provider can give you a quote for coverage.
  • Once you’ve decided on a provider and coverage level, you’ll need to sign up for the plan. You can do this online or over the phone.
  • Once you’re enrolled, you’ll start paying premiums each month. In most cases, your premium will be deducted from your Social Security check.


Enrolling in Medigap Plan M can help relieve some of the financial burdens of Medicare costs. By shopping around and comparing quotes, you can find a plan that fits your budget and needs.

Get The Proper Coverage For Your New Life Phase

With Nesso Senior Benefits, you can get the most out of your Medicare plan. We’re a reliable way to get the coverage and health security you need.


At Nesso Group, we’re committed to providing our clients with the individualized attention they deserve. We understand that no two people are alike, so we’ll work with you to find the Medigap plan that best fits your unique situation. Contact Nesso Senior Benefits today to get your health and financial future secure.



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