A Table of Standardized Medigap Plans
Part 3, Chapter 10: Medicare and Medicare Related Programs: Medigap and Secondary Health Insurance Policies Page 5
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Table 15: Standardized Medigap Plans
| Type of Plan | Coverage |
| Medigap Plan A | Coverage for co-insurance for hospitalization and doctors' bills |
| Medigap Plan B | Also provides coverage for hospital deductible |
| Medigap Plan C | Coverage for the co-insurance amount for treatment in a skilled nursing facility, for the Medicare: Part B deductible, and for some emergency care outside of the United States |
| Medigap Plan D | Coverage for some home health care |
| Medigap Plan E | Coverage for some preventive care |
| Medigap Plan F | Coverage for excess Medicare charges |
| Medigap Plan G | Coverage for excess Medicare charges and for some home health care |
| Medigap Plan H | Coverage for a percentage of prescription medications, up to $1,250 a year |
| Medigap Plan I | Coverage for a percentage of prescription medications, up to $1,250 a year |
| Medigap Plan J | Coverage for a percentage of prescription medications, up to $3,000 a year |
| Medicare Select | While not technically one of the ten standardized Medigap policies, Medicare Select provides coverage by means of a managed care approach |
| Qualified Medicare Beneficiary (QMB) program | While not technically a standardized Medigap policy, the QMB program provides coverage for Medicare deductibles, co-insurance amounts, and premiums for eligible individuals whose income is below the poverty line and whose assets are limited |
| Selected Low-Income Medicare Beneficiary (SLMB) program | While not technically a standardized Medigap policy, the SLMB program provides coverage for Part B premiums for eligible individuals whose income is just above the poverty line |
Note: All Medigap plans provide some coverage for the co insurance amount for hospitalization and doctors' bills under Medicare: Part A and Part B.
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