Medicare Supplement Plan L (Medigap Plan L) in Nevada

Medicare Supplement Plan L is a cost-sharing Medigap plan that offers a middle ground between the lower coverage of Plan K and the comprehensive coverage of Plan G. Plan L covers 75% of most Medicare out-of-pocket costs — more than Plan K’s 50% — and includes an annual out-of-pocket maximum that caps your total spending for the year.

 

Nevada Medicare helps Nevada beneficiaries understand exactly how Plan L works and whether it’s the right fit compared to other available options.

 

What Does Medigap Plan L Cover in Nevada?

Like Plan K, Plan L uses a percentage-based coverage structure. Most items are covered at 75%, with two exceptions — Part A hospital coinsurance and preventive care coinsurance are covered in full.

 

Here’s the complete coverage breakdown:

 

✅ Medicare Part A coinsurance and hospital costs — covered in full (up to an additional 365 days after Medicare benefits are exhausted)

✅ Medicare Part B coinsurance or copayment — 75% covered

✅ Blood (first 3 pints) — 75% covered

✅ Part A hospice care coinsurance or copayment — 75% covered

✅ Skilled nursing facility coinsurance — 75% covered

✅ Medicare Part A deductible — 75% covered

✅ Preventive care coinsurance — covered in full

❌ Medicare Part B deductible — not covered

❌ Medicare Part B excess charges — not covered

❌ Foreign travel emergency — not covered

Medigap Plan L includes somewhat less coverage of Original Medicare costs than most supplement plans, but it does have a cap on your out-of-pocket spending, which most supplement policies don’t have.

Plan L’s Out-of-Pocket Maximum — Your Annual Safety Net

Plan L’s most important protective feature is its annual out-of-pocket maximum — a hard cap on how much you’ll spend in a given calendar year. Once you reach that limit, Plan L covers 100% of your Medicare-approved costs for the rest of the year.

 

The Plan L out-of-pocket maximum is $3,610 in 2026 (adjusted annually by CMS). Your insurance carrier tracks your spending throughout the year. When you hit the cap, your cost-sharing stops entirely for that calendar year — giving you a meaningful financial safety net even in a high-use year.

Who Is Medigap Plan L Best For?

Plan L works best for Medicare beneficiaries who:

 

  • Want more coverage than Plan K but at a lower premium than Plan G or Plan N
  • Are in relatively good health but want stronger protection than Plan K offers
  • Prefer the predictability of an out-of-pocket maximum
  • Are comfortable paying 25% of most Medicare-approved costs knowing there’s an annual cap

 

For beneficiaries who use healthcare frequently or have ongoing chronic conditions, a more comprehensive plan like Plan G or Plan N often delivers better overall value.

 

Nevada Medicare helps you run the full annual cost comparison so you can decide with confidence.

Plan L vs. Plan K — What's the Difference?

Plans K and L are the only two Medigap plans that use a percentage-based cost-sharing structure. Here’s how they compare:

 Plan KPlan L
Part B coinsurance50% covered75% covered
Part A deductible50% covered75% covered
Skilled nursing50% covered75% covered
Hospice coinsurance50% covered75% covered
Out-of-pocket maximum$7,220 (2026)$3,610 (2026)
Monthly premiumLowerHigher than K

Plan L covers more and provides a lower out-of-pocket cap — but comes with a higher premium than Plan K. Which is the better value depends on your health history and how often you typically use healthcare services.

Is Medigap Plan L Right for You?

Nevada Medicare compares Plan L against all available options — running the real annual cost numbers so you can make a confident, informed decision at no cost to you. Call Nevada Medicare at 702-840-1111 or visit us at 2412 Stewart Ave, Las Vegas, NV 89101.