Medicare Supplement Plan A (also known as Medigap Plan A) may be a good choice if you don’t think you will use a lot of healthcare services. You’ll still have to pay your Original Medicare (Part A and Part B) deductibles, but this Medicare Supplement plan helps pay additional out-of-pocket expense, including:

  • Copayments and coinsurance for hospitalization
  • 365 additional days of hospitalization after Original Medicare benefits end
  • Hospice care
  • The first three pints of blood you receive from a blood bank each year
  • Other medical expenses for Medicare-approved services/supplies

Hospitalization Coverage

Medicare Supplement Plan A covers semi-private room and board, general nursing and miscellaneous services and supplies. Here’s an example of how this plan works with Original Medicare to help pay for your hospitalization stay.

  • First 60 days of hospitalization – Original Medicare pays all of your costs except your $1,316 deductible
  • Days 61 to 90 – Plan A covers $329 a day.
  • Day 91 plus 60 lifetime reserve days* – Plan A covers the $644 a day.
  • Up to 365 additional days (after day 91 plus 60 lifetime reserve days) – Original Medicare does not pay any of your costs. Plan A covers 100 percent of your Medicare-eligible expenses.

*After 90 days of staying in a hospital, Original Medicare provides 60 lifetime reserve days. During these 60 days, Original Medicare pays all of your covered costs (except for your daily coinsurance). Lifetime reserve days can only be used once. When you run out of them, Original Medicare will not renew them.

Hospice Care Benefits

To qualify for hospice care coverage, you must meet Medicare’s requirements, including a doctor’s certification of terminal illness.

Original Medicare pays for most of your hospice care costs except for some copayments and/or coinsurance for outpatient drugs and inpatient respite care. Medicare Supplement Plan A covers these expenses.

Coverage for Medical Expenses

Medicare Supplement Plan A also helps you pay for some medical expenses. These costs include your Medicare Part B coinsurance (which is usually 20 percent of your overall Medicare-approved amount) and copayments for outpatient hospitals services. Covered medical expenses include:

  • Physician services
  • Inpatient medical/surgical services and supplies
  • Outpatient medical/surgical services and supplies
  • Physical therapy
  • Speech therapy
  • Diagnostic tests
  • Durable medical equipment

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Have a Question? We Can Help!

Speak with a Medical Mutual licensed insurance agent or call your insurance agent.

Call (866) 406-8777 (TTY 711 for hearing impaired)

Mon.-Fri. 8 a.m. to 8 p.m.

You can talk to a Medical Mutual licensed insurance agent who can answer your questions by calling (866) 406-8777 (hearing impaired TTY/TDD: 711) or call your insurance agent. You can also visit Medicare.gov for more information.

This site contains a summary of benefits only describing our policies’ most important features. It is not an insurance policy or contract.  The medical Mutual Medicare Supplement Insurance policy is the insurance contract. If there is any different between this site and the policy, the provisions of the policy will control.

Neither Medical Mutual nor any of its agents or Medicare Supplement insurance plans are connected with or endorsed by the U.S. or state government, Social Security or federal Medicare program. Individuals who call the phone number listed will speak with a licensed insurance agent.

The policy has exclusions, limitations, reduction of benefits and terms under which the policy may be continued in force or discontinued. For costs and complete details of the coverage, call or write your insurance agent or Medical Mutual.

Medicare Supplement products marketed by Medical Mutual may be underwritten by Medical Mutual of Ohio and/or one of its subsidiaries, Medical Health Insuring Corporation of Ohio collectively referred to as Medical Mutual. Contact will be made by a licensed insurance agent or insurer. The amount of benefits provided depends upon the plan selected and the premium will vary with the amount of the benefits selected. Medical Mutual is a registered trademark of Medical Mutual of Ohio.

SilverSneakers® is a registered trademark of Healthways, Inc.

Page last updated on 2/24/2017
C1757-MCS R1/16