In 2019 I wrote a blog post about the significant difference in cost for a hospital stay coverage for Original Medicare with an "N" Medicare Supplement insurance policy, and a Medicare Advantage (MA) plan with a $0 premium, but an out of pocket maximum cost (MOOP).
MA plans are significantly more expensive if you need a lengthy hospital stay. It also is expensive if you are unlucky and have several hospital stays 60 days apart. I updated the table comparison for 2021 since that MA MOOP number has significantly increased. The original post explains more about the table and was written September 21, 2019: http://ibmmedicare.blogspot.com/2019/
The table update for 2021. The average premium of an "N" plan is about the same in 2021. The highest premium for an N plan (which is NYC) is about $200/mo:
Phase |
Original
Medicare + Medigap
N at $150/mo |
Sample (actual) 2021 Medicare Advantage plan $0
premium |
Hospital Benefit Period (Every 60 days) |
$1452 deductible Paid by Medigap N plan |
No deductible |
Hospital Days copays Every Benefit Period |
$0 days 1-60 $363 days 61-90 $726 for 60 lifetime days All copays paid by Medigap N |
$400 days 1-5 $0 days 5-90 $? lifetime days (not described in planfinder) |
If exceed 150 days in hospital |
All Medigaps provide this extra benefit of 365 addition lifetime days with $0 copay |
No Medicare Advantage plans have this benefit Patient pays all hospital costs after 150 days |
Maximum hospital stay cost for 2021 |
$1800 for 2021 (Medigap premium $150 x 12) |
$7,550 for 2021 (if within 150 day limit) |
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