CLICK ON ANY MEDICARE SUPPLEMENT PLAN TO SEE THE FULL OUTLINE OF COVERAGE…
…OR SEE BELOW FOR A COMPARISON OF ALL AVAILABLE MEDICARE SUPPLEMENT PLANS.
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Plan
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| Part A Coinsurance and Hospital Benefits |
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| Part A Deductible |
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50%
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75%
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50%
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| Part B Coinsurance or Co-pay |
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50%
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75%
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| Part B Deductible |
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| Part B Excess Charges |
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| Blood (First 3 Pints.) |
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50%
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75%
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| Foreign Travel Emergency*** |
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| Hospice Care Coinsurance or Co-pay |
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50%
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75%
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| Preventive Care Coinsurance |
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| Skilled Nursing Coinsurance |
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50%
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75%
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| Out-of-Pocket Limit |
$4,640****
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$2,320****
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| *Plan F also offers a high-deductible plan. This means you must pay for Medicare-covered costs up to the deductible amount $2,000 in 2012 before your Medigap plan pays anything.**Plan N pays Part B coinsurance or co-payment except for an insured copay of up to $20 for each doctor’s office visit and up to $50 for each emergency room visit ( emergency room copay waived if admitted as an inpatient). ***You must also pay a separate **** On plans K & L Only. After you meet |
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Basic Benefits
• Coinsurance for days 61-90 ($289 per day) and days 91-150 ($578 per day) in hospital
• Payment in full for 365 additional hospital days
• 20% coinsurance for physician and other Medicare Part B services
Medicare Part A Hospital Deductible
• The 2012 deductible is $1156
Skilled Nursing Facility (SNF) Coinsurance
• $144.50 a day for days 21-100 in a Skilled Nursing Facility in 2012
Medicare Part B Yearly Deductible
• The 2012 deductible is $140
Medicare Part B Excess Charges
• Difference between doctor’s charge and Medicare’s approved amount
• Up to 15% above the Medicare approved charge which is the doctor’s maximum charge
Foreign Travel Emergency
• Pays 80% of the cost of emergency care during the first two months of each trip after you pay a $250 deductible
• Lifetime maximum of $50,000