Goodsurance
On this page· 6 sections
  1. What Plan F covered, and why people loved it
  2. Why it closed
  3. If you already have Plan F
  4. If you are newly eligible and were hoping for Plan F
  5. Common questions
  6. References

Medicare · Cornerstone

Medigap Plan F, why it closed

Last reviewed June 11, 20263 min readBy the Goodsurance editorial team Reviewed by the Goodsurance editorial team

Plan F has a strange status in Medicare. For years it was the most popular supplement in the country, the plan that covered essentially everything. Then it was closed to new enrollees. So today it sits in two worlds at once: a plan that millions still have and value, and a plan that most people shopping now cannot actually buy. The right information is different for each, so this page is written for both.

1What Plan F covered, and why people loved it

Plan F was the most comprehensive standardized Medigap plan. It filled in every gap Original Medicare left, including the one thing Plan G does not cover: the annual Part B deductible. With Plan F, a person on Original Medicare could go through a year of care and pay almost nothing beyond their premiums, no deductible to track, no coinsurance, no excess charges. That zero-friction simplicity is why it became the default for a generation of enrollees.

There was also a High-Deductible Plan F, the same comprehensive coverage with a large yearly deductible and a much lower premium, which closed to new enrollees on the same date as standard Plan F.

2Why it closed

A federal law passed in 2015, MACRA, ended the era of Medigap plans covering the Part B deductible for new enrollees. The reasoning, broadly, was that a plan covering every last dollar can make cost a non-factor at the point of care; the law moved newer enrollees toward plans where the deductible stays visible. Whether that reasoning is persuasive is a policy debate this page does not take sides on.

The mechanics are specific: Plan F is closed to anyone who became eligible for Medicare on or after January 1, 2020. The date is about when you became Medicare-eligible, not when you want to buy, so someone who turned 65 in 2019 but is only now shopping can still buy Plan F, while someone who became eligible in 2021 cannot, no matter when they shop. This was not a plan discontinued for everyone; it was closed to new entry, and existing policies continue.

Why Plan F closed

MACRA passed (2015)
Closed to new eligibles · Jan 1, 2020
201520172019202020222024
Eligible in 2019
  • Can still buy Plan F today
  • Keys on your eligibility date, not purchase date
Eligible in 2021
  • Can never buy Plan F
  • Plan G is the near-identical substitute

3If you already have Plan F

You can keep it. Nothing forces you off it, and your coverage continues as it always has. But there is one thing worth watching. Because the plan is closed, no new, younger people are entering the Plan F risk pool. Over time a closed pool tends to skew older and sicker, which can put upward pressure on premiums in a way open plans like G do not face to the same degree. This is a tendency, not a certainty, and it varies by carrier and state.

Here is the catch that makes "just switch to save money" harder than it sounds: leaving Plan F for a cheaper Plan G generally means going through medical underwriting, because you would be buying a new policy outside your original open-enrollment window. In most states a carrier can review your health and decline you or charge more, which means the people most motivated to switch can be the ones least able to. A few states have rules that make switching easier, such as annual or "birthday rule" windows. So the honest guidance for a current holder whose premium is climbing: have someone run the comparison against a Plan G while you are healthy enough to have the option.

4If you are newly eligible and were hoping for Plan F

You cannot buy Plan F, so the question becomes what comes closest, and the answer is Plan G. The two are nearly identical; the only difference is that Plan G leaves you to pay the Part B deductible yourself, which is $283 in 2026.

That works out to a small, fixed amount once a year, and after you have paid it, Plan G behaves just like Plan F did. Because Plan G no longer has to price in covering that deductible, its premium is typically lower than Plan F's was, and as the closed-pool dynamic plays out, Plan G may well age better on price too. Newly-eligible comprehensive shoppers should simply start with Plan G.

$283the entire Plan F vs. Plan G difference: the annual Part B deductible, once a year

Common questions about Medicare

Quick answers to common questions

Tap any question to expand. Each question links to a fuller standalone answer.

Does Medicare cover durable medical equipment?

Yes.

Medicare Part B covers durable medical equipment (DME): reusable medical gear your doctor prescribes for use at home, such as wheelchairs, walkers, hospital beds, oxygen equipment, CPAP machines, and blood sugar monitors. You pay 20% of the Medicare-approved amount after the $283 Part B deductible in 2026, and Medicare pays the other 80%. To be covered, the item must be ordered by a Medicare-enrolled doctor and supplied by a Medicare-enrolled supplier, and some items are rented rather than bought. Equipment meant mainly for use outside the home, or only for comfort or convenience, is not covered.

Full answer →
Does Medicare cover mental health services?

Yes.

Medicare covers mental health care across its parts in 2026. Part B covers outpatient services like therapy, counseling, and visits with psychiatrists, psychologists, and clinical social workers, and since 2024 it also covers marriage and family therapists and mental health counselors. You pay 20% of the Medicare-approved amount after the $283 deductible, and one depression screening each year is free. Part A covers inpatient mental health care, with a lifetime limit of 190 days in a freestanding psychiatric hospital. Part D covers most mental health medications. Many of these services are also available by telehealth, and Medicare Advantage plans cover at least the same benefits.

Full answer →
Does Medicare cover vision care?

Mostly no for routine care.

In 2026, Original Medicare does not cover routine eye exams for glasses or contact lenses, and it does not pay for the glasses or contacts themselves. It does cover some medical eye care: yearly glaucoma screenings for people at high risk, diabetic retinopathy exams, treatment for eye diseases, and cataract surgery (including one pair of standard glasses or contacts afterward). For those covered services you pay 20% after the $283 Part B deductible. Many Medicare Advantage plans add a routine vision benefit covering eye exams and an allowance for glasses.

Full answer →
Does Medicare cover physical therapy?

Yes.

Medicare Part B covers outpatient physical therapy that is medically necessary to treat your condition. You pay 20% of the Medicare-approved amount after the yearly Part B deductible ($283 in 2026). There is no longer a hard dollar cap on therapy, but once your physical and speech therapy together pass $2,480 in 2026, your therapist must add a note (called a KX modifier) confirming you still need care. Claims above $3,000 may be reviewed for medical necessity. Part A covers physical therapy you receive as a hospital inpatient or in a skilled nursing facility. A doctor or therapist must set up and regularly review your plan of care.

Full answer →
Does Medicare cover chiropractic care?

Partly.

Medicare Part B covers one specific chiropractic service: manual manipulation of the spine to correct a subluxation (when one or more bones of the spine are out of position) that a doctor confirms is medically necessary. You pay 20% of the Medicare-approved amount after the $283 Part B deductible in 2026. Medicare does not cover other services a chiropractor might offer, such as X-rays, massage therapy, acupuncture, or routine wellness visits, so you would pay the full cost for those. Some Medicare Advantage plans include extra chiropractic or wellness benefits beyond this.

Full answer →
Does Medicare cover ambulance services?

Yes, in limited situations.

Medicare Part B covers emergency ambulance transportation when traveling any other way could endanger your health, taking you to the nearest appropriate hospital or facility. You pay 20% of the Medicare-approved amount after the $283 Part B deductible in 2026. Air ambulance is covered only when ground transport cannot reach you or would take too long. Non-emergency ambulance trips, for example to dialysis, are covered only when a doctor provides a written order stating they are medically necessary. Medicare does not cover ambulance rides taken purely for convenience.

Full answer →
Does Medicare cover skilled nursing facility care?

Yes, on a short-term basis.

Medicare Part A covers skilled nursing facility (SNF) care after a qualifying inpatient hospital stay of at least 3 days, when you need daily skilled care like nursing or therapy. In 2026 you pay $0 for days 1 through 20 of each benefit period, $217 per day for days 21 through 100, and all costs after day 100. Coverage is for skilled care while you recover, not for long-term or custodial care (help with daily activities like bathing or dressing), which Medicare does not cover. Long-term nursing home care is generally paid through Medicaid or private funds.

Full answer →
Does Medicare cover hearing aids?

No, not under Original Medicare.

In 2026, Original Medicare (Parts A and B) does not pay for hearing aids or the exams to fit them. Part B does cover diagnostic hearing and balance exams when your doctor orders them to help diagnose or treat a medical condition, and for those you pay 20% after the $283 deductible. Many Medicare Advantage plans, however, include a hearing benefit that helps pay for routine hearing exams and hearing aids, often through a specific network or allowance. If hearing coverage matters to you, it is worth comparing Advantage plans or a standalone hearing plan.

Full answer →
Does Medicare cover home health care?

Yes, when you qualify.

Medicare Parts A and B cover home health care if a doctor certifies that you are homebound (leaving home takes a major effort) and need part-time skilled care, such as skilled nursing, physical therapy, occupational therapy, or speech therapy. A Medicare-certified home health agency must provide the care under a plan your doctor reviews. You pay $0 for covered home health visits in 2026, and 20% for any durable medical equipment. Medicare does not cover 24-hour home care, meal delivery, or homemaker services like cleaning when that is the only care you need.

Full answer →
Does Medicare cover diabetes supplies and testing?

Yes.

In 2026 Medicare covers most diabetes care across two parts. Part B (outpatient care and equipment) covers blood sugar monitors, test strips, lancets, and continuous glucose monitors (CGMs) as durable medical equipment, plus diabetes screenings and a self-management training program. You pay 20% of the Medicare-approved amount after the $283 Part B deductible. Part D (drug coverage) covers insulin and related supplies like syringes, and in 2026 your insulin is capped at $35 for a month's supply. If you have a Medicare Advantage plan, it covers at least the same diabetes benefits, sometimes with added extras.

Full answer →
Which is better, Medigap or Medicare Advantage?

Neither is better for everyone; they suit different needs.

Medigap (also called Medicare Supplement, a private policy that pairs with Original Medicare) lets you see any doctor nationwide who accepts Medicare with no network and very predictable out-of-pocket costs, but you pay a monthly Medigap premium and add a separate Part D drug plan. Medicare Advantage (Part C, your Medicare benefits through a private plan) often has a lower or $0 plan premium, bundles drug coverage and extras like dental and vision, and caps your yearly out-of-pocket costs, but uses provider networks and may require prior approval. People who travel, want maximum doctor freedom, and prefer steady costs often lean Medigap; people who want low premiums, extras, and a network they are comfortable with often lean Medicare Advantage. With both, you still pay the Part B premium ($202.90 per month in 2026). To find out which fits your situation, reach out to a licensed Goodsurance advisor at 1-888-301-8091 (TTY 711), Mon to Fri 8 am to 5 pm PT.

Full answer →
Can I see out-of-network doctors on a Medicare Advantage PPO?

Yes.

A Medicare Advantage PPO (Preferred Provider Organization plan, where your Medicare benefits come through a private plan) lets you see doctors and hospitals outside the plan's network, but you usually pay more for out-of-network care than for in-network care. Staying in network keeps your costs lower, while going out of network is allowed and can be worth it if you want a specific provider. This flexibility is a key difference from a Medicare Advantage HMO (Health Maintenance Organization plan), which generally only covers in-network care except in emergencies. With a PPO, you also typically do not need a referral to see a specialist. Keep in mind the provider must accept the plan and Medicare. Emergency and urgent care are covered regardless of network on both plan types. The trade-off with a PPO is more freedom in exchange for generally higher costs than an HMO.

Full answer →

References

  1. Medicare.govThe standardized Medigap chart and Plan F enrollment status.
  2. CMS, Centers for Medicare & Medicaid ServicesMACRA and the closure of Part B deductible coverage for new enrollees. cms.gov
  3. Medicare Rights CenterGuidance for current Plan F holders and switching rules. medicarerights.org