Mutual of Omaha Medicare Supplement Plan F

Mutual of Omaha Medicare Supplement Plan F is designed for Medicare beneficiaries who want the highest level of cost protection and the greatest peace of mind. While Original Medicare (Parts A and B) provides solid foundational coverage — including hospital care, skilled nursing facility care, outpatient services, and doctor visits — it leaves beneficiaries responsible for significant out-of-pocket costs such as deductibles, copayments, and coinsurance.

Mutual of Omaha Medigap Plan F helps pay these remaining costs, effectively closing the gaps and providing a “first-dollar coverage” experience. This makes it especially popular among retirees who prefer predictable, no-surprise healthcare expenses.

What Does Mutual of Omaha Plan F Cover?

Mutual of Omaha’s Plan F offers the most comprehensive benefits of all standardized Medigap plans. It pays 100% of Medicare-approved out-of-pocket costs, meaning you rarely receive a bill for covered services. Specifically, it covers:

  • Medicare Part A coinsurance and hospital costs, including coverage for an additional 365 days after Medicare benefits are exhausted.
  • Medicare Part A deductible, which can be significant for each benefit period.
  • Skilled nursing facility coinsurance, helping with costs up to 100 days following a qualifying hospital stay.
  • Medicare Part A hospice care coinsurance or copayments, ensuring full hospice support.
  • Medicare Part B coinsurance and copayments cover your share for doctor visits, specialist visits, outpatient surgeries, and other medical services.
  • The Medicare Part B deductible is a unique feature of Plan F that sets it apart from other plans (currently $257 in 2025).
  • Medicare Part B excess charges are additional costs from providers who do not accept Medicare’s approved amount as full payment (up to 15% extra).
  • The first three pints of blood are essential in medical emergencies or surgeries.
  • 80% of emergency foreign travel medical costs, up to a lifetime maximum of $50,000 after a small deductible.

Prescription Drug Coverage

It’s important to note that, like all Medigap plans, Plan F does not include prescription drug coverage for medications you pick up at the pharmacy. Beneficiaries typically pair Plan F with a standalone Medicare Part D prescription drug plan to ensure complete protection.

No Network Restrictions

Unlike Medicare Advantage plans, which often use networks and may require referrals, Mutual of Omaha Plan F has no network restrictions. You can visit any doctor or specialist in the U.S. who accepts Medicare without worrying about out-of-network fees.

This flexibility is especially valuable for retirees who travel frequently or want to choose specialists anywhere in the country without extra barriers.

Mutual of Omaha Plan F Rates

The monthly premium for Plan F with Mutual of Omaha varies based on several personal and regional factors, including:

  • Age: Older beneficiaries generally pay more, especially if the policy is priced using attained-age ratings.
  • Gender: Women often pay lower premiums than men in many states.
  • Location: Premiums vary by ZIP code due to local healthcare costs and market conditions.
  • Tobacco use: Tobacco users almost always pay higher rates.
  • Health history: While health status does not affect premiums during your guaranteed issue period, it may be considered if applying outside that window.

On average, Mutual of Omaha Plan F premiums range from about $159 to $236 per month, though some areas may have higher or lower premiums.

Rating Methods

Mutual of Omaha, like other insurers, uses different pricing models depending on the state:

  • Attained-age rated: Premiums are based on your current age and will increase as you age.
  • Issue-age rated: Premiums are based on your age when you enroll and do not increase due to aging afterward (though inflation or other adjustments may still raise premiums).
  • Community-rated: Everyone in the area pays the same premium regardless of age.

Understanding how your policy is rated is essential to planning for future healthcare expenses. For example, a policy that starts with a lower premium but increases rapidly each year could cost more long-term than a slightly higher premium that remains stable.

Company Reputation and Strength

Mutual of Omaha has a long, trusted history in the insurance industry, dating back to 1909. Today, it is known as one of the most reputable and financially stable insurers offering Medigap plans.

Key strengths include:

  • Financial stability: High ratings from independent agencies like A.M. Best indicate a strong capacity to pay claims reliably.
  • Large beneficiary pool: A broad enrollment base helps spread risk, which can help keep premiums more stable over time.
  • Customer service excellence: Policyholders often cite responsive support, easy claims processing, and clear communication as standout features.
  • Discounts: Mutual of Omaha frequently offers household discounts (often around 7%) when two or more people in the same household enroll in a policy.

Comparing Medicare Supplement Plan F vs. Plan G

When considering Medicare Supplement insurance, Plan F and Plan G consistently rank as the two most popular choices among retirees who want strong, predictable coverage. While these plans are similar in many ways, their subtle differences can greatly impact your budget and overall healthcare strategy.

What Do Plan F and Plan G Have in Common?

Plan F and Plan G are designed to minimize out-of-pocket costs when you receive Medicare-approved services. Once you pay your monthly premium, you’ll have very few surprise expenses.

They both provide coverage for:

  • Medicare Part A coinsurance and hospital costs (including an extra 365 days after Medicare benefits are used).
  • The Medicare Part A deductible is significant and would otherwise be paid out-of-pocket.
  • Medicare Part A hospice care coinsurance or copayment.
  • Skilled nursing facility coinsurance covers extended care following a hospital stay.
  • Medicare Part B coinsurance and copayments, including doctor and specialist visits, outpatient services, and preventive care.
  • Medicare Part B excess charges can occur if a provider does not accept Medicare’s approved payment amount (up to 15% above Medicare’s rate).
  • The first three pints of blood are often needed during surgeries or hospitalizations.
  • Foreign travel emergency care covers 80% of emergency medical costs abroad and is up to plan limits.

Key Difference: Medicare Part B Deductible

The critical difference between Plan F and Plan G is the Medicare Part B deductible, which will be $257 in 2025.

  • Plan F pays this deductible for you.
  • Plan G requires you to pay this amount out of pocket each year before your Medigap coverage fully kicks in.

This seemingly small difference directly influences premiums and overall cost.

Premiums and Cost Considerations

Because Plan F covers the Part B deductible, it typically has higher monthly premiums than Plan G.

  • For example, if Plan F costs $250 per month, Plan G might cost $215 per month — a $35 difference, or $420 per year in savings on premiums alone.
  • When you subtract the $240 Part B deductible you pay with Plan G, you might still come out ahead compared to the higher premiums of Plan F.

Plan G has recently become the most popular choice among new Medicare beneficiaries.

Eligibility Considerations

Another major distinction relates to eligibility:

  • Plan F is only available to beneficiaries eligible for Medicare before January 1, 2020.
  • Plan G is available to all Medicare beneficiaries, regardless of when they became eligible.

This makes Plan G the most comprehensive Medigap option for new enrollees.

Predictability vs. Savings

  • Plan F offers absolute simplicity and maximum predictability. Once you pay your premium, there are virtually no additional out-of-pocket costs for covered services. This “first-dollar coverage” is highly valued by those who want zero hassle and no surprise bills.
  • Plan G provides slightly lower premiums in exchange for paying a small, known annual deductible ($257 in 2025). For many, this trade-off results in lower total annual costs.

Rate Stability and Long-Term Considerations

Plan G has historically shown a more stable rate increase than Plan F. There are a few reasons for this:

  • With Plan F covering every out-of-pocket cost, enrollees might use more services, driving higher claims costs, which can lead to steeper premium increases over time.
  • Plan G requires beneficiaries to pay the Part B deductible, resulting in a small level of cost-sharing that helps discourage overuse and manage claims expenses.

As a result, some retirees prefer Plan G to help avoid rapid premium growth as they age.

Practical Example

Let’s compare two retirees in Maryland:

Retiree 1 (Plan F):

  • Monthly premium: $250 ($3,000 annually).
  • Out-of-pocket for Part B deductible: $0.
  • Total annual healthcare cost (premium only): $3,000.

Retiree 2 (Plan G):

  • Monthly premium: $215 ($2,580 annually).
  • Out-of-pocket for Part B deductible: $257.
  • Total annual healthcare cost: $2,820.

In this scenario, Plan G would save Retiree 2 around $180 annually, even after accounting for the deductible. The savings can be higher if Plan G premiums are even more favorable in their area.

Access to Providers

Both Plan F and Plan G provide freedom to see any doctor or specialist nationwide who accepts Medicare, with no network restrictions. This flexibility is ideal for retirees who travel or prefer not to be limited to a specific provider network.

Summary: Which Plan is Right for You?

FeaturePlan FPlan G
Part B deductible coverageCoveredNot covered
Monthly premiumsHigherLower
Out-of-pocket costsVirtually none (after premium)Small annual deductible
EligibilityOnly for those eligible before 2020Available to all
Rate stabilityHistorically less stableGenerally more stable
PredictabilityMaximumHigh, but requires paying deductible first

Key Considerations Before Enrolling

While Plan F offers unmatched coverage, it’s only available to those eligible for Medicare before January 1, 2020. If you meet this requirement, it remains one of the most comprehensive options on the market.

When choosing a plan, consider:

  • How much you value predictable, fixed costs vs. potential savings with lower premiums and minimal out-of-pocket costs (such as with Plan G).
  • Your expected healthcare usage.
  • Your budget and ability to handle unexpected medical bills.
  • Rate stability and potential future premium increases.

It is also important to consider prescription drug coverage (Part D) and evaluate whether you may need supplemental dental, vision, or hearing coverage, which are not included in Medigap plans.

Final Thoughts

Mutual of Omaha Medicare Supplement Plan F remains the benchmark for comprehensive Medicare coverage. Its “first-dollar” design means beneficiaries enjoy unmatched simplicity and confidence knowing virtually all Medicare-approved costs are covered.

For those who prioritize full coverage, no surprises, and maximum provider flexibility, Mutual of Omaha Plan F is one of the strongest options available. It is backed by an insurer known for financial strength and exceptional service.

Before enrolling, always compare premium rates, understand how they’re calculated, and consider long-term affordability. Consulting with a knowledgeable Medicare specialist can help you select the plan that truly fits your needs and budget.