Medium

If you would like assistance selecting the right Medicare supplement plan for you, please contact the North Dakota Insurance Department by email at insurance@nd.gov, or by phone at (701) 328-2440 or (800) 247-0560 as the information listed on our website has changed.

Medium
Benefits Plans Available to All Applicants
A B C D F* G* K L M N
Medicare Part A coinsurance and hospital coverage (up to an additional 365 days after Medicare benefits are used up) 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%
Medicare Part B coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100%

100%***

Blood (first three pints) 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Part A hospice care coinsurance or copayment 100% 100% 100% 100% 100% 100% 50% 75% 100% 100%
Skilled nursing facility coinsurance     100% 100% 100% 100% 50% 75% 100% 100%
Medicare Part A deductible   100% 100% 100% 100% 100% 50% 75% 50% 100%
Medicare Part B deductible     100%   100%          
Medicare Part B excess charges         100% 100%        
Foreign travel emergency (up to plan limits)     80% 80% 80% 80%     80% 80%
Out-of-pocket limit in 2022             $6,620 $3,310    
Notes
  • Plans C and F are no longer available to individuals who were new to Medicare on or after Jan 1, 2020.    However, Plan F along with Plan G both offer high deductible plans.  With these plans you must pay for Medicare-covered costs – Ded, coins and copayments up to a deductible amount of $2490 before the plan will pay anything. 
  • Plans K and L pay 100% of covered services for the rest of the calendar year once the yearly out-of-pocket limit is met
  • Plan N pays 100% of the Part B coinsurance except for a copay of up to $20 for office visits and a $50 copay for emergency room visits that don’t result in an inpatient admission.
  • All plans cover 100% of the Medicare Part A coinsurance and hospital costs up to an additional 365 days after Medicare benefits are used up.