Medigap Plan L
Understand 75% cost-sharing benefits and the annual out-of-pocket limit.
Plan L benefit schedule
Plan L includes the full Part A hospital coinsurance and 365 added days; 75% of the listed Part B coinsurance, blood, hospice, skilled nursing coinsurance and Part A deductible. The same standardized letter has the same basic benefits among companies in most states. Massachusetts, Minnesota and Wisconsin standardize differently; confirm the policy offered in your state.
Official source: Medicare: Medigap plan benefits ↗ · Medicare & You 2027, Medigap section (2026 chart) ↗
Costs this letter leaves open
Plan L does not include the Part B deductible, Part B excess charges, and foreign-travel emergencies. A Medigap policy pays only for its listed share of Medicare-covered services; the presence of a policy does not make an otherwise excluded service eligible. Review the chart row by row before quoting a monthly premium.
Official source: Medicare: Medigap plan benefits ↗ · Medicare: Medigap coverage ↗
The decision point for Plan L
Plan L’s 2026 out-of-pocket limit is $4,000, compared with Plan K’s $8,000. The plan pays 100% of covered services for the rest of the calendar year once that limit and the Part B deductible ($283 in 2026) have been met. Compare the premium alongside these percentages.
Official source: Medicare: Medigap plan benefits ↗ · Medicare: 2026 costs ↗
Timing and eligibility
If Plan L suits your annual-risk budget, confirm your ability to buy it before cancelling current insurance. The usual federal six-month protected buying period starts when you first have Part B at age 65 or later. Other guaranteed-issue rights depend on particular events and state law.
Official source: Medicare: Buying Medigap ↗
Quote and enrollment checks
Request the premium for Plan L in your ZIP code from each available insurer, with its rating method, household discounts, projected age increases and effective date. Part B premium remains payable; newly sold Medigap coverage does not supply Part D drugs, so price a separate drug plan when needed. Verify providers accept Medicare rather than treating a Medigap company as an Advantage network.
Official source: Medicare: Medigap costs ↗ · Medicare: How Medigap works ↗ · Medicare: Compare plans ↗