There is a Medicare Supplement insurance plan that comes in a high-deductible option.  That is Plan F.  This Medigap Insurance Plan with the high deductible option does not begin to pay until the insured has personally paid $2,000 in 2011.  This deductible which can be raised each year.

The advantage of the high deductible policy is that the premiums are lower.  The disadvantage is that the policy does nothing until you have personally met the deductible.  This could make the out of pocket cost much higher than if you had a standard Plan F if you had a lot of medical expenses.  The foreign travel deductible of $250 for Plan F does not apply towards the high deductible amount.