Plan L 75 Percent Share
Plan L is Plan K with a bigger share: the plan pays 75% of covered costs and your annual exposure caps at $3,610 (2025) — halfway between K and full coverage on price.
| Feature | Plan L |
|---|---|
| Cost share (plan / you) | 75% / 25% |
| Annual out-of-pocket cap (2025) | $3,610 |
| Part A deductible | Fully covered (unlike K) |
| Skilled nursing coinsurance share | You pay 25% |
| Premium vs K | Typically 15–25% higher |
L vs K in one line
L covers the Part A deductible in full and halves your worst-case year ($3,610 vs $7,220) for a modest premium bump. For most cost-sharing shoppers L is the better value; K survives mainly where its rate is unusually cheap. The rate-history file shows how sharing-plan premiums drift over time.
The cap arithmetic over a decade
Ten healthy years under L bank premium savings versus G; one catastrophic year costs $3,610 more than G would. Shoppers with strong savings and good health run the HD-G comparison too — L often loses to HD-G at 65–68 and wins at 70+.
FAQ
Does Plan L cover foreign travel?
No — foreign travel emergency coverage appears only in C, D, F, G, M, and N.
Can I switch from L to G later?
Yes with underwriting (health questions) outside open enrollment.
Related reading: Plan K file · All plans · OEP file