Medigap Plan F Breakdown: Coverage & 2026 Costs | SRIG
⬡ The Complex Made Simple Licensed in All 50 States · Call or Text 888-371-7744 · [email protected]
Home  »  Medicare Supplements  »  Plan F
◆ The Cadillac Plan

Plan F Breakdown

Plan F was the most complete Medicare Supplement ever built — it covered practically everything, leaving members with near-zero out-of-pocket. It's also closed to newcomers and quietly becoming a worse deal. Here's the full, honest picture.

For years, Plan F was the crown jewel of Medicare Supplements. It covers virtually every gap Original Medicare leaves — including both deductibles — so members rarely saw a bill for anything Medicare approved. That "first-dollar coverage" made it the most popular plan in the country. But two things changed the story: it closed to new enrollees, and the math stopped favoring it. Let's break down all of it.

What Plan F Covers

Plan F is the most complete Medigap plan on the shelf. When Medicare approves your care, Plan F picks up essentially everything Medicare doesn't:

  • Part A deductible ($1,736 in 2026)
  • Part B deductible ($283 in 2026)
  • Part A hospital coinsurance + 365 extra days
  • Part B coinsurance & copayments
  • Part B excess charges
  • Skilled nursing facility coinsurance
  • Hospice care coinsurance
  • First 3 pints of blood
  • Foreign travel emergency (80%, up to limits)
The appeal in one line: with Plan F, you paid your monthly premium and then, for Medicare-approved care, you generally paid nothing else. It's the only mainstream plan that covered the Part B deductible too.
!

The Big Catch: It's Closed to Newcomers

Here's the rule that surprises people: Plan F is no longer available to anyone who became eligible for Medicare on or after January 1, 2020. A law called MACRA closed both Plan F and Plan C to new enrollees to phase out plans that cover the Part B deductible.

  • Eligible before January 1, 2020? You can still buy Plan F (and keep it if you have it).
  • Became eligible in 2020 or later? Plan F isn't an option — Plan G is your closest match.
There's also a High-Deductible Plan F for those still eligible — you pay costs yourself up to $2,950 in 2026, then it behaves like full Plan F. Same closed-enrollment rule applies.
$

The Plan F vs. Plan G Math (Read This Twice)

This is the part that changes minds. Plan F and Plan G are identical in every way but one: Plan F covers the Part B deductible, and Plan G doesn't. That deductible is just $283 in 2026. So the only real question is: how much extra are you paying in premium for that one $283 benefit?

Let's run an illustrative example (your real quotes will vary):

Illustrative ExamplePlan FPlan G
Monthly premium$180$140
Annual premium$2,160$1,680
Part B deductible you pay yourself$0$283
Total yearly cost$2,160$1,963
See it? In this example Plan G costs $197 LESS per year — even after paying the $283 deductible out of pocket. You paid $480 more in premium to save $283. Whenever Plan F's premium is more than about $283/year higher than Plan G, Plan F is mathematically the worse deal. And in the real world, that gap is usually much wider than $283.

The Hidden Risk Nobody Explains: The Closed-Block Spiral

Here's the insight most articles skip — and it matters more than the deductible. Because Plan F is closed to new enrollees, no young, healthy 65-year-olds are entering the Plan F pool anymore. The only people left are aging together, and as a group they file more claims each year.

What that does to your premium: with no fresh, healthy members to balance the risk, closed Plan F blocks tend to see faster rate increases than open plans like G. Over time, a plan that felt like a bargain can quietly become one of the most expensive on the market. Insurance folks call it a rate "death spiral."
SRIG take: This is the real reason we take a hard look at Plan F for our clients. It's not that the coverage is bad — it's the best there is. It's that you're often paying more today and setting yourself up for steeper increases tomorrow, all to cover a $283 deductible. The math rarely wins.
?

Already Have Plan F? Here's How to Think About It

If you're happily on Plan F, don't panic — you don't have to do anything. But it's worth a look:

  • Compare your F premium to a G quote. If you're paying far more than the ~$283 deductible difference, switching could save you real money.
  • Switching means underwriting. Moving from F to G outside a guaranteed window usually requires passing a health review — so it only works if you're in good health. See Medigap enrollment windows.
  • Some states make it easy. A "birthday rule" or other state protection may let you switch without health questions. We'll check what applies where you live.
SRIG take: Never drop coverage until the new plan is approved and in force. The smart play is to let us shop a G quote first, confirm you'd qualify, and only then make the move. No gaps, no gambles.

On Plan F? Let's check if you're overpaying.

Book a free Blueprint call and we'll compare your Plan F to a Plan G quote — and only switch you if the math and your health both make sense.

Book Your Free Call →
?

Common Questions

Is Plan F still available in 2026?
Only to people who became eligible for Medicare before January 1, 2020. If that's you, you can still enroll in or keep Plan F. If you became eligible in 2020 or later, it's not available — Plan G is the closest equivalent.
What's the difference between Plan F and Plan G?
Just one thing: Plan F covers the annual Part B deductible ($283 in 2026) and Plan G doesn't. Every other benefit is identical. Because that's the only difference, Plan G is usually the better value once you compare premiums.
Why are my Plan F premiums going up so fast?
Because Plan F is closed to new enrollees, no younger, healthier members are joining the pool to balance it out. As the group ages and claims rise, premiums on closed plans tend to climb faster than on open plans like Plan G.
Should I switch from Plan F to Plan G?
Often it's worth checking. If your Plan F premium is much more than the ~$283 deductible difference, Plan G could save you money now and going forward. The catch is that switching usually requires passing medical underwriting, so it works best if you're in good health.
Does Plan F cover prescription drugs?
No. Like all Medigap plans, Plan F doesn't include prescription coverage — you'd pair it with a standalone Part D plan. It also doesn't cover routine dental, vision, or hearing, which you'd add with a separate DVH plan.

Your Next Step

Plan F is the most complete coverage ever offered — and for most people, also the one the math no longer supports. Whether you're eligible for it or already on it, here's how to make the smart call:

  • Watch the video above — we run the F-vs-G comparison in plain English.
  • Book a Blueprint consultation — we'll compare your options and only recommend a switch if it truly benefits you.

Your blueprint is waiting. Let's build it together.

Sterling River Insurance Group. Medicare, Retirement, Social Security, and Family Planning — the complex made simple. Created by our family, for yours.

"Your Blueprint for Medicare, Retirement & Family Planning"

Sterling River Insurance Group (SRIG). This website is not connected with or endorsed by the United States government or the federal Medicare program. The purpose of this site is the solicitation of insurance. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Premium figures shown are illustrative examples only, not quotes; actual rates vary by carrier, ZIP code, age, and other factors. 2026 Medicare figures are official CMS amounts and subject to change. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Assistance Program (SHIP) to get information on all of your options. Licensed in all 50 states. NPN 21032524. [Confirm your "we represent ___ organizations / ___ products" count with your upline before publishing.]