OSAGE NATION Medicare Supplement Plan F - Plan Code H36 - Coverage Outline 2023

Sep 15, 2026

OSAGE NATION Medicare Supplement Plan F provides a 2023 coverage outline for Medicare Part A hospital services and Part B medical services, including benefit-period and calendar-year deductibles and cost-sharing structure. The plan details what is paid and what the enrollee pays for hospitalization, skilled nursing facility care, blood, and hospice care, plus Medicare-exhaustion “core benefits” rules. It also outlines Part B services such as physician care, outpatient treatment, clinical laboratory services, and home health care, as well as foreign travel benefits not covered by Medicare.

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Medicare (Part A) - Hospital Services - Per Benefit Period - 2023

Hospitalization

Skilled Nursing Facility Care

Blood

Hospice Care

Medicare (Part B) - Medical Services - Per Calendar Year - 2023

Medical Expenses in or out of the Hospital and Outpatient Hospital Treatment

Blood

Clinical Laboratory Services

Home Health Care Medicare Approved Services

Other Benefits - Not Covered by Medicare

Foreign Travel - Not Covered by Medicare

OSAGE NATION MEDICARE SUPPLEMENT PLAN F OUTLINE OF COVERAGE MEDICARE (PART A)– HOSPITAL SERVICES – PER BENEFIT PERIOD – 2023 * A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. | SERVICES | MEDICARE PAYS | PLAN PAYS | YOU PAY | | --- | --- | --- | --- | | HOSPITALIZATION *
Semiprivate room and board, general nursing and miscellaneous services and supplies
First 60 days 61st thru 90th day 91st day and after:
– While using 60 lifetime reserve days Once lifetime reserve days are used:
– Additional 365 days
– Beyond the Additional 365 days | All but $1600
All but $400 a day
All but $800 a day $0
$0 | $1600 (Part A Deductible)$400 a day
$800 a day
100% of Medicare Eligible Expenses
$0 | $0
$0
$0
$0 **
All Costs | | SKILLED NURSING FACILITY CARE *
You must meet Medicare’s requirements, including having been in a hospital for at least 3 days and entered a Medicare approved facility within 30 days after leaving the hospital
First 20 days
21st thru 100th day
101st day and after | All approved amounts
All but $200.00 a day
$0 | $0
Up to $200.00 a day $0 | $0
$0
All Costs | | BLOOD
First 3 pints
Additional Amounts | $0
100% | 3 pints $0 | $0
$0 | | HOSPICE CARE
You must meet Medicare’s requirements, including a doctor’s certification of terminal illness | All but very limited copayment/ coinsurance for outpatient drugs and inpatient respite care | Medicare copayment/ coinsurance | $0 | ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you the balance based on any difference between its billed charges and the amount Medicare would have paid. Plan Code H36 OSAGE NATION MEDICARE SUPPLEMENT PLAN F OUTLINE OF COVERAGE MEDICARE (PART B)– MEDICAL SERVICES – PER CALENDAR YEAR – 2023 * Once you have been billed $226 of Medicare-Approved amounts for covered services (which are noted with an asterisk), Medicare Part B Deductible will have been met for the calendar year. | SERVICES | MEDICARE PAYS | PLAN PAYS | | YOU PAY | | --- | --- | --- | --- | --- | | MEDICAL EXPENSES – IN OR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as | | | | | | Physician’s services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment
First $226 of Medicare Approved Amounts* Remainder of Medicare Approved Amounts
Part B Excess Charges (Above Medicare Approved Amounts) | $0
Generally 80%$0 | | 100% of the amount not paid by Medicare | $0
$0
$0 | | BLOOD
First 3 pints
Next $226 of Medicare Approved Amounts*
Remainder of Medicare Approved Amounts | $0
$0
80% | | All Costs
100% of the amount not paid by Medicare | $0
$0
$0 | | CLINICAL LABORATORY SERVICES –
TESTS FOR DIAGNOSTIC SERVICES | 100% | | $0 | $0 | PARTS A & B | HOME HEALTH CARE MEDICARE APPROVED SERVICES
– Medically necessary skilled care services and medical supplies
– Durable medical equipment
First $226 of Medicare Approved Amounts*
Remainder of Medicare Approved Amounts | 100%
$0
80% | $0
100% of the amount not paid by Medicare | $0
$0
$0 | | --- | --- | --- | --- | OTHER BENEFITS – NOT COVERED BY MEDICARE | FOREIGN TRAVEL – NOT COVERED BY MEDICARE
Medically necessary emergency care services beginning during the first 60 days of each trip outside the USA
First $250
Remainder of Charges | $0
$0 | $0
80% to a lifetime maximum benefit of $50,000 | $250
20% and amounts over the $50,000 lifetime

FAQs

What defines a Medicare benefit period under this Plan F outline for 2023 Part A?

A benefit period begins when you receive inpatient hospital services and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.

How is the Medicare Part A coverage handled after Medicare benefits are exhausted?

When Part A hospital benefits are exhausted, the insurer steps in and pays what Medicare would have paid for up to an additional 365 days under the policy’s “Core Benefits,” and the hospital cannot bill you the balance based on differences between charges.

How does Plan F address Medicare Part B deductibles and excess charges for 2023?

Once you have been billed $226 for Medicare-Approved amounts, the Part B deductible is met for the calendar year. For Part B excess charges above Medicare-approved amounts, you pay $0 under this outline.

Sep 15, 2026

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