The benefits included in each plan are listed in the chart below. A check mark ? means the plan covers that particular benefit 100%.
- Plan F offers a high-deductible plan. This plan requires you to pay a $2,180 deductible before it covers anything.
- Plan K has an “Out-of-Pocket” yearly limit of $4,940 (in 2015). After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
- Plan L has an “Out-of-Pocket” yearly limit of $2,470 (in 2015). After you pay the out-of-pocket yearly limit and yearly Part B deductible, it pays 100% of covered services for the rest of the calendar year.
- Plan N pays 100% of the Part B co-insurance, except for a co-payment of up to $20 for some office visits and up to a $50 co-payment for emergency room visits that don’t result in an inpatient admission.
