Mutual of Omaha Medicare Supplement Plan F
- Our Mutual of Omaha Medicare Supplement Plan F review details Plan F costs and what it pays for, including Medicare copays and deductibles. Learn how Plan F compares to Plan G and other Medigap plans and find out how to enroll.
Medicare Supplement (also called Medigap) Plan F has long been the most popular Medigap plan for millions of Medicare beneficiaries looking for a way to supplement their coverage.1 Mutual of Omaha is one of the largest and most recognized providers of Medicare Supplement Insurance plans, including Plan F.
In our Mutual of Omaha Plan F review, we outline Plan F coverage, costs and more to help you decide if Plan F is the best Medicare Supplement plan for you.
It’s important to note that Plan F is only available to beneficiaries who were eligible for Medicare before 2020. If you first became eligible for Medicare after January 1, 2020, you won’t be able to sign up for Plan F from Mutual of Omaha or any other insurance company.
If you were eligible for Medicare before 2020, you may apply for or switch to Plan F if it’s available where you live.
What Does Mutual of Omaha Plan F Cover?
Mutual of Omaha Plan F provides coverage for all nine of the Original Medicare (Part A and Part B) costs that most Medigap plans can cover. This means it pays for more of your out-of-pocket Medicare costs than any other type of Medicare Supplement plan.
The Medicare costs that Medicare Supplement plans cover is standardized across every state and carrier. This means every Plan F covers the same Original Medicare costs, no matter where it is sold or the insurance company that provides it.
Below is a look at what’s covered by Plan F versus other Medicare Supplement plans like Plan G and Plan N.
|Medicare Supplement Benefits||A||B||C1||D||F1||G||K||L||M||N|
|Part A coinsurance and hospital costs||✓||✓||✓||✓||✓||✓||✓||✓||✓||✓|
|Part B coinsurance or copayment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|First 3 pints of blood||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Part A hospice care co-insurance or co-payment||✓||✓||✓||✓||✓||✓||50%||75%||✓||✓|
|Co-insurance for skilled nursing facility||✓||✓||✓||✓||50%||75%||✓||✓|
|Medicare Part A deductible||✓||✓||✓||✓||✓||50%||75%||50%||✓|
|Medicare Part B deductible||✓||✓|
|Medicare Part B excess charges||✓||✓|
|Foreign travel emergency||80%||80%||80%||80%||80%||80%|
|1. Plans C and F are not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.
2. Plans F and G also offer a high deductible plan which has an annual deductible of $2,490 in 2022. Once the annual deductible is met, the plan pays 100% of covered services for the rest of the year. The high deductible Plan F is not available to new beneficiaries who became eligible for Medicare on or after January 1, 2020.
3. Plan K has an out-of-pocket yearly limit of $6,620 in 2022. Plan L has an out-of-pocket yearly limit of $3,310 in 2022.
4. Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to $50 for emergency room visits that don’t result in an inpatient admission.
View an image version of this table.
Medicare Part A Deductible
Medicare Part A includes a deductible that you have to pay if you’re admitted as an inpatient for care at a hospital, skilled nursing facility, mental health facility or other licensed Medicare facility.
The Part A deductible operates on a benefit period basis, which means that even if you satisfy the Part A deductible in one benefit period, you may still have to pay it again if you experience another benefit period in the same year.
The Part A deductible is $1,556 in 2022. Medigap Plan F from Mutual of Omaha covers the full cost of this deductible, no matter how many benefit periods you experience in a single year. This can potentially save you a lot of money if you’re hospitalized even just once in a year, much less if you’re hospitalized several times.
Medicare Part A Coinsurance
Medicare Part A coinsurance for inpatient care can reach as high as $778 per day in 2022. Part A coinsurance is covered in full by Medicare Supplement Insurance Plan F.
Medicare Part B Deductible
Medicare Part B requires an annual deductible of $233 in 2022. Plan F and Plan C are the only two Medigap plans that cover the Part B deductible.
Plan F and Plan C are only available to beneficiaries who were first eligible for Medicare before 2020.
Medicare Part B Coinsurance or Copayments
Medicare Part B covers most of your other medical care, such as doctor’s appointments, physical therapy, specialist visits and more.
When you receive care covered by Part B, you must pay the Part B deductible of $233 for the year (in 2022) before your Part B benefits kick in. Once you reach your deductible, you typically must pay a coinsurance of 20% of the Medicare-approved amount for covered care.
Medigap Plan F fully covers your Part B coinsurance costs. This could potentially help you save a lot of money on most of your Medicare-covered care throughout the year, especially on more costly services such as certain diagnostic scans, test, cancer treatments and more.
First Three Pints of Blood
If you need a blood transfusion, Original Medicare doesn’t cover the first three pints of blood, and coverage only begins starting with the fourth pint.
Medicare Supplement Plan F from Mutual of Omaha or any other provider will pay for the cost of the first three pints of blood.
Medicare Part A Hospice Care Coinsurance or Copayments
Medicare hospice care coverage requires small copayments for prescription drugs and products used for symptom control and pain relief, and a 5% coinsurance charge for respite care. These copayments and coinsurance are both covered by Mutual of Omaha Medicare Supplement Plan F.
Skilled Nursing Facility Care Coinsurance
A Medicare-covered skilled nursing facility stay of more than 20 days in the same benefit period requires a daily copayment of $194.50 in 2022. Plan F covers the full cost of these daily copayments.
Medicare Part B Excess Charges
Certain Medicare providers are allowed to charge up to 15% more than the Medicare-approved amount for their services or items in what is known as an “excess charge.” Medicare Supplement Plan F covers any excess charges in full.
Foreign Travel Emergency Care
Plan F covers 80% of the cost of emergency care administered outside the U.S. That is the highest amount of coverage available for any Medicare Supplement Insurance plan.
Why Is Medicare Supplement Plan F Being Discontinued?
You may have heard that Plan F is being discontinued. It is, but only for incoming Medicare beneficiaries.
As detailed above, Medigap Supplement Plan F is no longer open to anyone who became eligible for Medicare on or after Jan. 1, 2020. But those who were eligible for Medicare before that date are still eligible to purchase Plan F.
A piece of 2015 legislation aimed at curbing medical overspending and overuse of the healthcare system eliminated “first dollar coverage” of Medicare Part B services and items, meaning plan members can no longer bypass Medicare Part B’s annual deductible.
Plan F and Plan C are the only Medigap plans that provide coverage of the Medicare Part B deductible, so these plans were phased out for incoming beneficiaries but grandfathered in for existing beneficiaries.
Who Is Eligible for Mutual of Omaha Plan F?
To sign up for a Medicare Supplement plan of any kind, you must be at least 65 years old (in most states) and enrolled in Medicare Part A and Part B.
To enroll in Plan F from any insurance company, including Mutual of Omaha, you must have been eligible for Medicare prior to Jan. 1, 2020 (even if you were not yet enrolled).
Finally, to purchase Plan F from Mutual of Omaha, you must reside in an area in which the company sells the plan. Plan availability, coverage and costs can vary from one location to the next, so it’s important to chat with a licensed insurance agent or compare coverage online for the plans offered where you live.
Does Mutual of Omaha Still Offer Plan F?
Mutual of Omaha continues to sell Plan F to Medicare beneficiaries who are eligible.
Where Does Mutual of Omaha Sell Medicare Supplement Insurance?
Mutual of Omaha sells Medicare Supplement Insurance plans in parts of every state and the District of Columbia, except for Massachusetts.
You can expect to find Mutual of Omaha Plan F in most, if not all, of these states.
How Much Does Mutual of Omaha Plan F Cost?
Medicare Supplement plan premiums can be affected by things like location, gender, age, pricing structure and even health status.
Benefits are of course another factor, and because Plan F offers more coverage than any other plan, it typically comes with the highest premium.
Below is a random sampling of price quotes for Mutual of Omaha Plan F using the company’s online quote tool.
|City||Plan F monthly premium|
67-year-old female in Raleigh, NC
68-year-old male in Los Angeles, CA
69-year-old female in Salt Lake City, UT
70-year-old male in Dayton, OH
71-year-old female in Portland, ME
Mutual of Omaha offers a 12% discount for those who reside with a spouse or civil union/domestic partner or another adult age 60 and over.
Does Mutual of Omaha Plan F Offer Any Extra Benefits?
Some Mutual of Omaha Plan F policies come with a membership to Mutually Well, which is the company’s senior health and wellness program similar to SilverSneakers and other such programs.
When Can I Enroll in Mutual of Omaha Plan F?
Those who are eligible to enroll in Plan F may appl for Mutual of Omaha Plan F at any time of the year. However, the best time to do so is during your Medigap Open Enrollment Period.
Your Medigap Open Enrollment Period (OEP) begins the day you are at least 65 years old and enrolled in Medicare Part A and Part B. Your Medigap OEP only lasts for six months. During this time, insurance companies like Mutual of Omaha are not allowed to perform any medical underwriting and charge you higher rates because of your health.
The protections from medical underwriting offered during this enrollment period are called “guaranteed issue rights.”
How Can I Enroll in Mutual of Omaha Plan F?
You can find, compare and – if you’re eligible – enroll in a Mutual of Omaha Medicare plan online and with the help of a licensed insurance agent. Call to speak with a licensed agent to learn more about Medicare Supplement plans from Mutual of Omaha where you live, what they cost, what they cover and more.
What If I’m Not Eligible to Enroll in Medigap Plan F?
If you are not eligible to enroll in Plan F, you may want to consider Plan G. Plan G offers similar coverage to Plan F, is also sold by Mutual of Omaha and does not come with the same eligibility restrictions as Plan F.
Connect with an agent to learn more about Plan G and the various other Mutual of Omaha Medicare Supplement plan options there may be in your area.