Original Medicare is a powerful tool for keeping older adults (and individuals with certain disabilities) like you healthy and financially secure. However, it does not cover all of the costs associated with your medical care. Like many Medicare beneficiaries, you might find that your out-of-pocket expenses, such as the 20% coinsurance for Medicare Part B among other things, are too high. If this is the case, you should seek out an Oklahoma Medicare Supplement Plan as a solution.
Private insurance companies offer these plans, but they need to comply with government regulations. In fact, the Centers for Medicare & Medicaid Services (CMS) stipulates that all Medicare Supplement Plans with the same letter name must provide the same benefits to enrollees.
Jump To:
Medicare Supplement Plan premiums, though, can vary greatly between insurers. So, it’s important to shop around before making a final decision. Our guide to Oklahoma Medicare Supplement Plans should make it simple for you to choose the right one. But don’t hesitate to contact an EZ agent for your individualized assistance and quotes.
Oklahoma Medicare Supplement Plans
If you need more coverage than what’s offered by Original Medicare, you need to get a Medicare Supplement Plan to fill the gaps.
There are ten unique Medicare Supplement Plans for people living in Oklahoma. Everyone in Oklahoma must have access to at least Plan A, regardless of what other plans insurance providers in Oklahoma offer. Plan C and Plan F enrollment is closed to new Medicare beneficiaries (anyone who became eligible after January 1, 2020).
To get you started, we’ve listed all ten plans below, along with information on what each one covers and how much you can expect to pay in monthly premiums if you live in Oklahoma.
Plan A
Every insurance provider offers Plan A, the most basic plan in terms of coverage. It’s basic, but it covers the 20% of Medicare Part B’s outpatient care expenses. Which is one major coverage gap that many Medicare beneficiaries struggle with, among other things as outlined below.
It’s important to note that, while insurance companies are required to offer Plan A to all beneficiaries over 65, in Oklahoma they are not obligated to cover Medicare beneficiaries under the age of 65.
In Oklahoma, Plan A ranges in price from $78 to $446.
Plan B
Medicare Supplement Plan B covers all the basics that Plan A does, including:
- Medicare Part A coinsurance and hospital costs – Medicare Part A only fully covers your first 60 days of inpatient hospital stays in a benefit period; after that, you are required to pay coinsurance for each day after your initial 60 days. Days 61-90 have a coinsurance of $400 a day, days 91-150 (after you use your Lifetime Reserve days) have a coinsurance of $800 a day. Plan B covers 100% of these costs.
- Medicare Part B coinsurance or copay – You’ll typically have to pay Medicare Part B coinsurance for doctor visits and other outpatient care. That means Medicare Part B pays 80% of the Medicare-approved amount for covered services, leaving you to pay the remaining 20%. Plan B covers 100% of this.
- First 3 pints of blood – Original Medicare only pays for the fourth and subsequent pints of blood if you need blood during treatment. Plan B will pay for the first three pints.
- Part A hospice care and coinsurance – Hospice care is for patients who are nearing the end of their lives. These services are covered by Medicare, but copayments are required. These copayments include $5 for each symptom and pain relief medication prescription, as well as 5% of the Medicare-approved amount for inpatient assisted living. Plan B covers all expenses related to hospice care.
Unlike Plan A, Plan B will cover the Medicare Part A deductible. Which makes it a bit more comprehensive than Plan A. The Medicare Part A deductible is $1,600 in 2023. However, because it is calculated on a 60-day basis rather than on a yearly basis, you may have to pay it more than once a year. For this reason, it could be very helpful to have coverage for this included in your plan.
Insurance premiums for Plan B in Oklahoma range from $118 to $395 per month.
Plan C
It is not available to all Medicare recipients, but Plan C is one of the most comprehensive Medicare Supplement Plans. All deductibles, copayments, and other expenses are paid for with this plan. Except those associated with Medicare Part B excess charges. This means that the 20% coinsurance for Part B and the deductibles for both Parts A and B will be paid for by Plan C.
Coverage includes the following:
- Part A hospital deductible and coinsurance
- Hospital costs up to an additional 365 days after Medicare benefits are exhausted
- Part A hospice care coinsurance or copayment
- Blood (the first 3 pints)
- Other Medicare-approved expenses associated with Part A hospitalization
- Medicare Part B coinsurance and copayments
- Part B deductible
- Other Medicare-approved expenses associated with Part B coverage
Plan C is no longer available to Medicare beneficiaries who became eligible after January 1, 2020. You can keep Plan C if you had it prior to that date, and if you were eligible for Medicare but didn’t enroll then, you may still be able to buy it.
Medicare Supplement Plan C premiums in Oklahoma range from $134 to $422 per month.
Plan D
Plan D covers the majority of out-of-pocket expenses associated with Original Medicare including:
- Part A hospital coinsurance and hospital costs up to an extra 365 days after Original Medicare benefits are exhausted
- Part A hospice care coinsurance or copayment
- Part B coinsurance
- First 3 pints of blood
- Skilled nursing facility (SNF) care coinsurance – After the 20th day of your stay as an inpatient in a skilled nursing facility, Medicare Part A requires you to pay coinsurance. Part A coinsurance for skilled nursing facility care is $200 per day in 2023. Plan D covers this coinsurance.
- Part A deductible
- 80% of foreign travel emergency costs (up to plan limits)
Medicare Supplement Plan D excludes coverage for the Medicare Part B deductible, and for Part B excess charges. If your doctor refuses to accept Medicare assignment and bills you for more than Medicare will cover, you will be responsible for the difference. Excess charges are not covered by Plan D. So if you need coverage for doctors who do not accept Medicare assignment, you should look into other plans.
Oklahoma’s Plan D prices range from $114 to $326 per month.
Plan F
Because of its extremely comprehensive coverage, Medicare Supplement Plan F has been the market leader for a long time. But it is not available to all Medicare recipients. The only out-of-pocket cost you’ll have to worry about with this plan is the monthly Plan F premium. That means Plan F coverage includes all of the following:
- Part A hospital deductible and coinsurance
- Hospital costs up to an additional 365 days after Medicare benefits are exhausted
- Part A hospice care coinsurance or copayment
- Blood (the first 3 pints)
- Other Medicare-approved expenses associated with Part A hospitalization
- Medicare Part B 20% coinsurance and copayments
- Medicare-approved doctor’s office fees
- Part B deductible
- Medicare Part B excess charges
- Other Medicare-approved expenses associated with Part B coverage
New Medicare beneficiaries (those who became eligible after January 1, 2020) cannot purchase Plan F. You can purchase one of these plans if you became Medicare-eligible before 2020, and if you currently have Plan F, you can keep it indefinitely.
Plan F premiums in Oklahoma range from $123 to $440 per month.
Plan G
If you like the sound of Plan F, but are not eligible to purchase one of these plans, look into Plan G. This plan covers almost everything that Plan F does, including:
- Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up
- Part A deductible
- Part A hospice care coinsurance or copayment
- Part B coinsurance or copayment
- Part B excess charges (if a provider is permitted to charge more than Medicare’s approved amount and does so)
- Blood transfusion (first 3 pints)
Medicare Supplement Plan G only excludes the Medicare Part B deductible. Making it a very comprehensive plan that can be a better deal than some other plans.
Plan G premiums are typically between $105 and $416 per month, making it less expensive than Plan F.
Plan K
Medicare Supplement Plan K reduces your out-of-pocket expenses, but it does not completely fill the gaps in Original Medicare. Plan K only covers half of the following costs:
- Medicare Part B coinsurance – Plan K covers half of these costs, so you will be responsible for 50% of your 20% coinsurance. For example, if your doctor charges $100 for a service, Medicare Part B will cover $80, Plan K will cover $10, and you will pay the remaining $10.
- First 3 pints of blood
- Part A hospice care coinsurance or copayment – Plan K will pay for half of these costs.
- Skilled nursing facility care coinsurance – Plan K pays half of the coinsurance for medical care in skilled nursing care facilities.
- Medicare Part A deductible – Medicare Supplement Plan K will pay half of these deductibles, or $800. Plan K requires you to pay the Medicare Part B deductible, which is $226 in 2023.
Plan K has higher out-of-pocket expenses than many other plans do. But it does have an out-of-pocket maximum, which most other plans do not have. This out-of-pocket maximum is $6,620 per year (as of 2023). Once you’ve spent this amount in medical expenses, your Medicare Supplement Plan K will begin to cover all of your costs. Your annual limit will be reset at the beginning of each calendar year.
Although Plan K only pays for half of your out-of-pocket costs, it does cover Medicare Part A coinsurance in full, which will be very helpful to those who need to have longer hospital stays.
Plan K premiums in Oklahoma are lower than those of many other plans, costing between $44 and $149 a month.
Plan L
Medicare Supplement Plan L helps cover some but not all of your out-of-pocket expenses not covered by Original Medicare. It covers them at a higher percentage than Plan K does, though, and its out-of-pocket maximum is lower than Plan K’s ($3,310 in 2023). So, you’ll have less to pay before your plan kicks in and covers your claims in full.
Plan L covers Part A deductibles and copayments in full. It also covers a percentage of the following:
- Medicare Part B coinsurance – Plan L covers 75% of your Part B coinsurance.
- Blood – If you require blood while in the hospital, Plan L will cover 75% of the cost of the first three pints.
- Part A hospice care copayments – Plan L pays 75% of your Part A copays for hospice care.
- Skilled nursing facility care coinsurance – Plan L pays 75% of the $200 per day (after the 20th day of your stay) coinsurance for medical care in skilled nursing care facilities.
- Part A deductible – Medicare Supplement Plan L will cover 75% of your Part A deductibles for each 60-day benefit period. You must still meet your Medicare Part B deductible, which is $226 per year in 2023, if you choose Plan L.
Medicare Supplement Plan L premiums cost between $71 and $324 a month in Oklahoma.
Plan M
Plan M covers the majority of your Original Medicare out-of-pocket expenses, but not all. It does fully cover more of them, though, than do either Plan K or Plan L. Plan M covers:
- Medicare Part B coinsurance – Plan M pays your Part B coinsurance and/or copayments in full.
- Blood – If you require blood while in the hospital, Medicare Supplement Plan M will cover the first three pints of blood in full.
- Part A hospice care coinsurance or copayment – Plan M will cover all of your hospice care coinsurance and copays in full.
- Skilled nursing facility care coinsurance – Plan M covers the entire cost of Part A skilled nursing facility coinsurance.
- Part A hospital expenses and coinsurance
- Part A deductible – While Medicare Supplement Plan M covers most Part A costs, it will only cover half of your Medicare Part A deductible. If you have Plan M, you will have to pay half of the $1,600 (or $800) deductible rather than the full $1,600.
The cost of Plan M premiums in Oklahoma is generally between $85 and $367 per month.
Plan N
Plan N is another Medicare Supplement Plan that offers very comprehensive coverage. Your Medicare Part B deductible ($226 in 2023) and Medicare Part B excess charges (portions of medical bills that exceed the Medicare-approved amount) are the only things that will not be covered by Plan N. It’s important to note that, while Plan N covers almost everything, it has copayments for some Part B services. Which most other plans do not.
Most of the costs associated with the following are paid for by Medicare Supplement Plan N:
- Medicare Part B coinsurance – Plan N will cover your Part B coinsurance costs in full, with the exception of a copayment of up to $20 for some office visits. For emergency room visits that do not result in an inpatient admission, a second copayment of up to $50 may be required.
- Blood – If you require blood while in the hospital, Medicare Supplement Plan N will cover the first three pints.
- Part A hospice care coinsurance or copayment – Plan N pays your hospice care coinsurance and copayments in full.
- Skilled nursing facility care coinsurance – Your skilled nursing facility coinsurance will be fully covered by Medicare Supplement Plan N.
- Part A deductible – Medicare Supplement Plan N pays your $1,600 deductible in full for each 60-day benefit period.
- Foreign travel emergency care – Original Medicare typically does not cover medical care received outside of the United States. If you need emergency care while traveling outside of the United States, Medicare Supplement Plan N will cover 80% of the costs of qualified emergency medical care.
The price for Plan N ranges from $84 to $393 a month in Oklahoma.
When to Enroll
Medicare Supplement Plans do not have an annual Open Enrollment Period. Instead, under federal regulations, you are eligible for guaranteed-issue rights for a period of six months after you turn 65 and enroll in Medicare Part B. It’s important to take advantage of this time. Since having guaranteed-issue rights means that insurance companies will not be able to deny you or charge you more for coverage based on your health.
But what about if you are a Medicare beneficiary who is under 65? In Oklahoma, you will still be able to purchase a plan. Oklahoma is one of the majority of states that have implemented rules to ensure that disabled Medicare beneficiaries have at least some access to Medicare Supplement Plans. Despite the fact that federal rules do not guarantee access to Medicare Supplement Plans for people under 65.
One of the first states to address this problem, Oklahoma now ensures that all residents, regardless of age, have access to Medicare Supplement Plans.
How To Choose
When it comes to Medicare coverage, don’t be afraid to ask questions. Speak to an EZ agent who can explain everything to you and give you all the guidance you need. EZ can assist you in enrolling in Medicare, looking for a Medicare Supplement Plan, or simply weighing your options. Our agents work with the best insurance companies in the country. They can provide you with a free comparison of all available plans in your area. We will go over your medical and financial needs with you and help you find a plan that works for you. To get started, simply enter your zip code in the bar below or give one of our licensed agents a call at 877-670-3602.
