
Medicare Supplement Plan D is a popular choice for those looking to fill the gaps in their Medicare coverage. This plan helps cover 100% of the Part A deductible, as well as 100% of the Part B deductible.
Plan D also covers 100% of the skilled nursing facility coinsurance and 100% of the home health care costs. Additionally, it covers 80% of the foreign travel exchange, up to a lifetime limit of $50,000.
This plan is often chosen by those who want a comprehensive coverage without breaking the bank.
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What Medicare Supplement Plan D Covers
Medicare Supplement Plan D covers a range of essential services, including Part A coinsurance and hospital costs for up to an additional 365 days after Medicare benefits are used up.
You'll also be covered for Part A deductible, Part A hospice care coinsurance or copayment, and Part B coinsurance or copayment. This means you won't have to worry about paying out-of-pocket for these expenses.
Here are some specific benefits of Medigap Plan D:
- Part A coinsurance and up to an additional 365 days of hospital costs after Medicare benefits are exhausted
- Part B coinsurance/copayment
- Blood (3 pints)
- Part A hospice coinsurance/copayment
- Skilled nursing facility care coinsurance
- Part A deductible
- 80% of foreign travel exchange
- No out-of-pocket limit
Covers
Medicare Supplement Plan D covers a range of essential services. Here are some of the key benefits:
Medicare Part A coinsurance is covered for up to an additional 365 days after Medicare benefits are exhausted. This can provide significant peace of mind for those who need extended hospital care.
Part A deductible is also covered, which means you won't have to pay out-of-pocket for this expense.
Medicare Part B coinsurance or copayment is covered, helping to reduce your out-of-pocket costs for doctor visits and other services.
Skilled nursing facility care coinsurance is also covered, which can help you pay for the care you need to recover from a hospital stay.
Blood transfusions are covered for the first three pints, which can be a lifesaver in emergency situations.
You'll also receive coverage for Part A hospice care coinsurance or copayment, which can help you pay for end-of-life care.
Here's a summary of the key benefits:
- Medicare Part A coinsurance for up to 365 days
- Part A deductible
- Medicare Part B coinsurance or copayment
- Skilled nursing facility care coinsurance
- First 3 pints of blood
- Part A hospice care coinsurance or copayment
In addition to these benefits, Medicare Supplement Plan D also covers foreign travel emergency services, with 80% of foreign travel exchange covered. This can provide critical protection for those who travel abroad.
What Doesn't Cover
Medicare Supplement Plan D is a popular option for many seniors, but it's essential to understand what it doesn't cover.
Medicare Plan D doesn't cover Medicare Part B excess charges, which can happen when a provider charges more than Medicare's approved amount.
New Medicare members can't buy any plan that covers the Part B deductible, although existing members may own older plans that do.
Plan D also doesn't cover prescription drugs, which is actually covered by Medicare Part D.
Long-term care, dental care, vision care, and private-duty nursing are also not covered by Plan D.
Here are some specific examples of what Plan D doesn't cover:
- Part B deductible
- Prescription drugs
- Long-term care
- Dental care
- Vision care
- Private-duty nursing
Understanding Plan D
Plan D is a Medicare supplement insurance plan that covers 80% of Medicare-approved costs for hospital stays, doctor visits, and other medical expenses, leaving the remaining 20% to be paid by the policyholder.
This plan is ideal for those who want a lower premium and are willing to pay more out-of-pocket for medical expenses.
Plan D offers a lower premium compared to other Medicare supplement plans, making it a more affordable option for those on a fixed income or budget.
It's essential to note that Plan D has a higher deductible compared to other plans, which means you'll pay more before the insurance kicks in.
The high deductible can be a significant drawback for those who need medical care frequently or have ongoing health issues.
Plan D also has a coinsurance of 20% for hospital stays, which can add up quickly if you're in the hospital for an extended period.
However, Plan D is a great option for those who are generally healthy and only need occasional medical care.
It's always a good idea to consult with a licensed insurance agent or broker to determine which plan is best for your individual needs and circumstances.
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Shopping and Enrollment
You can buy Medicare Supplement Plan D during your six-month Medigap Open Enrollment Period, which starts when you're 65 years old and enrolled in Medicare Part B for the first time.
This period is crucial because you can't be rejected for coverage as long as you keep up your payments. You can't cancel your coverage either, as long as you make your payments on time.
The Open Enrollment Period lasts for six months, so be sure to take advantage of it. If you're still working after 65 and have creditable coverage, your period starts after you've ended active employment or no longer have that insurance.
Here's a quick rundown of the best time to enroll in Medicare Supplement Plan D:
Shopping for You
Shopping for Medigap plans can be a daunting task, but it's essential to get the right coverage for your needs. Medigap, or Medicare supplement, is private health insurance that covers "gaps" in traditional Medicare coverage.
You'll want to compare options to find the best fit for you. Fortunately, there are several Medigap plans to choose from, each with its own unique benefits and drawbacks.
For more insights, see: What Does Medigap Plan G Cover
The best overall Medigap plan is a great starting point, but you may also want to consider other factors like member satisfaction and premium discounts. Some plans offer extra benefits, such as dental or vision coverage, that may be important to you.
Here's a quick rundown of the top Medigap plans:
By considering these factors and doing your research, you can find the Medigap plan that best suits your needs and budget.
How You Enroll
You can enroll in Medicare Supplement Plan D during your six-month Medigap Open Enrollment Period, which starts when you're 65 years old and enrolled in Medicare Part B for the first time.
This period is a great time to buy Plan D without worrying about being rejected for coverage, as long as you keep up your payments.
Your coverage can't be canceled as long as you keep paying, which is a huge relief.
If you're still working after turning 65 and are covered by a group employer plan, that's considered creditable coverage, and your 6-month period starts after you've ended active employment or no longer have that insurance.
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In that case, you'll want to enroll in Plan D during the Open Enrollment Period that starts after you've ended active employment.
Some companies offer discounts for certain groups, such as women, non-smokers, or married couples, and others offer discounts for paying yearly, using electronic funds transfer, or buying multiple policies.
So, be sure to shop around and compare plans to find the one that fits your needs and budget.
Healthcare.com's platforms do not include all health insurance companies or all available insurance products, so be sure to explore other options as well.
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Visits
Visits are an essential part of healthcare, and with Medicare, you can expect to pay $0 for primary care visits, specialist visits, and urgent care.
You're free to see any doctor who accepts Medicare patients, so you don't have to worry about finding a specific specialist.
Preventive services, such as those covered by Medicare, are also free.
Here's a breakdown of the services and costs associated with visits:
Cost and Alternatives
Medicare Supplement Plan D is regulated by the government but sold by private health insurance companies, so prices vary according to factors including age, location, and tobacco use.
A 65-year-old female nonsmoker in Atlanta can expect to pay between $128 and $304 per month for a Medigap Plan D policy, with the same standardized Medicare coverage regardless of the price.
To get the best price for Medigap Plan D coverage, enroll during your Medigap open enrollment period, which starts once you're 65 and enrolled in Medicare Part B, and lasts for six months.
Medigap policies are cheapest and easiest to get during this open enrollment period because insurance companies aren't allowed to factor your health or medical history into your price.
Here are some alternative Medigap plans to consider:
What Osts Cost
You'll pay out of pocket for the Part B deductible and any excess charges if you buy a Plan D policy.
Medigap Plan D policies cover the same expenses, no matter which health insurance company you choose.

The costs can vary quite a bit, even for identical coverage, due to different companies setting different premiums and coverage being more expensive in some states than others.
In some states, like Massachusetts, Minnesota, and Wisconsin, Medigap coverage is organized differently, so you'll need to check those separately.
You'll need to pay out of pocket for excess charges, which are extra amounts you'll pay if a doctor charges more than the Medicare-allowed amount.
Monthly Plan D premiums for a 65-year-old female nonsmoker in Atlanta range from $128 to $304, depending on age, location, and tobacco use.
The core Medicare benefits are the same, regardless of the premium, so it's worth comparing prices to find the best deal.
You'll need to enroll during your Medigap open enrollment period to get the best price, which starts once you're 65 and enrolled in Medicare Part B and lasts for six months.
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Alternatives to Medicare
If you're not convinced that Medigap Plan D is the right choice for you, there are alternatives to consider. You can look into Medigap Plan B, which covers nearly as much as Plan D, but lacks skilled nursing facility coverage and foreign travel emergency medical care.
You can also explore Medicare Advantage plans, which are not considered Medigap policies. These plans are offered by private providers who contract with the government to cover Part A and Part B services, as well as additional services like prescription drugs and vision care.
Medicare Advantage plans can be very competitive in terms of price, but they often require you to receive care within a network of providers. Health maintenance organizations and preferred provider groups frequently offer these plans.
If you want to compare alternative plans, here are some options to consider:
Plan D Eligibility and Fit
Plan D may be a good fit for you if you're looking for a basic benefits plan. This plan covers the Part A deductible, which is $1,676 in 2025.
You'll have the flexibility to see any doctor and visit any hospital that accepts Medicare patients. This is a big advantage, especially if you have a preferred doctor or hospital.
Plan D comes with wellness extra services and discounts for dental, hearing, vision, and a gym membership. These extras can be a nice bonus.
You'll also have a foreign travel emergency benefit, which can give you peace of mind when traveling abroad.
It's worth comparing Plan D to other plans like Plans F and G to see which one is right for you. Consider your budget and what's most important to you: paying lower premiums or having certainty that all the gaps will be taken care of.
Plan D Details
Medicare Supplement Plan D covers most out-of-pocket expenses, but it doesn't cover the Part B deductible or excess charges.
The Part B deductible for 2022 is $233, which means you'll have to pay that amount out of pocket before Plan D kicks in.
Plan D covers the same expenses as other Medigap policies, no matter which insurance company you choose.
Here's a quick rundown of what Plan D doesn't cover: dental and vision care, hearing aids, and glasses.
Check this out: Medicare Part C vs Medigap
Plan D is a great option for those who want robust coverage, but it's worth noting that Plans C and F are no longer available for purchase by most people.
Medicare Supplement Plan D is a solid choice for those who want comprehensive coverage, and it's available for purchase by anyone who's eligible for Medicare.
Frequently Asked Questions
What is the difference between Medicare Supplement D and G?
The main difference between Medicare Supplement Plan D and Plan G is that Plan D covers the Part B deductible, which Plan G does not. Plan G, however, covers Part B excess charges, which Plan D does not.
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