I've got Medigap Plan C, and I'm curious if my recent bloodwork is included or if I need to budget for extra costs.

Question

Alondra Arce · Accepted Answer

If you’ve got Medigap Plan C, that’s actually one of the more solid plans. Since it works alongside Original Medicare, most of the time your bloodwork, if it’s medically necessary and ordered by your doctor should be covered by Medicare Part B, and then Plan C usually picks up the leftover costs like the deductible and coinsurance. So chances are, you’re not paying much, if anything. But it’s always good to double-check with your provider just in case something’s considered non-routine.

Answered by Alondra Arce on April 14, 2025

Agent Licensed in CA, AL, AR & 14 other states

Answered by Alondra Arce Medicare Insurance Agent

Clarence &quot;Mark&quot; Christiansen · Answer

This is no such thing as "Medigap Plan C". If you have a Medicare Part C Advantage plan, bloodwork / lab expenses will be plan dependent but many plans feature $ 0 copay (or low cost) for these services which can vary based on where the blood is drawn: doctor's office, clinic, hospital or other stand-alone facility.

Answered by Clarence "Mark" Christiansen on April 8, 2025

Agent Licensed in WI, AZ, CA & 16 other states

Answered by Clarence "Mark" Christiansen Medicare Insurance Agent

Kelsey Hentzen · Answer

Medigap Plan C covers bloodwork up to 3 pints. You should be able to call your carrier's customer service number on the back of the card and ensure you are covered. If you are on an advantage plan, some plans cover at $0 and some charge a co-pay depending on the carrier.

Answered by Kelsey Hentzen on April 7, 2025

Broker Licensed in KS & MO

Answered by Kelsey Hentzen Medicare Insurance Agent

Jay Larshus · Answer

Medicare Plan C plan benefits vary between plans and Companies. Some Plan C policies do cover blood work at 100% whether the lab work is part of preventive exam or not. All plans will cover the Bloodwork at 100% included in annual preventative exams.

Answered by Jay Larshus on April 8, 2025

Agent Licensed in TN & VA

Answered by Jay Larshus Medicare Insurance Agent

Walt Smith · Answer

Medicare place for blood work in fact you should not have to go through your supplement Plan C to get covered.

Comfort Olude · Answer

The bloodwork is included in your Medigap plan C under the Part B benefits. 
The plan C covers 100% of your Part B coinsurance or copayment.

Ellen Diehl · Answer

Well - you have an Advantage plan. Plan C is Advantage. Medigap plans would be a Supplement like Plan G = Good. Unfortunately with an Advantage plan you are stuck in that plan until next AEP this fall. You should ask the agent who put you in the Advantage plan - but if they are unresponsive to you - that tells you all you need to know. Please tell any of your friends to strongly consider Medicare Supplement Medigap Plan G = Good.

Answered by Ellen Diehl on April 8, 2025

Broker Licensed in GA

Answered by Ellen Diehl Medicare Insurance Agent

Diana Pedersen · Answer

Medicare Plan C is a Medicare Supplement or Medigap policy - This covers bloodwork
Medicare Part C is a Medicare Advantage plan - This plan typically has a Maximum Out of Pocket annually and it will depend on your plan what your copays will be or if the bloodwork test is covered based on what type of test they did.

Kimberly McPherson · Answer

With Medigap Plan C, you will not owe anything out of pocket for bloodwork as long as it is a Medicare covered service. Medicare Part B will cover 80% of the labs and your Plan C will pick up the remaining 20%.

Answered by Kimberly McPherson on April 15, 2025

Broker Licensed in AR, AL, AZ & 14 other states

Answered by Kimberly McPherson Medicare Insurance Agent

I've got Medigap Plan C, and I'm curious if my recent bloodwork is included or if I need to budget for extra costs.

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents Hub
A non-government resource website

I've got Medigap Plan C, and I'm curious if my recent bloodwork is included or if I need to budget for extra costs.

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website