| Part A Hospital Services | F |
|---|---|
| The Part A deductible is $1632 per benefit period A benefit period starts when you are admitted to a facility and ends 60 days after you last received inpatient care at any facilityPart A Deductible ($1632) |
 |
|
|
| Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage | |
| Skilled nursing facility coinsurance | |
| 3 Pints of (unreplaced) blood | |
| Part B Services | F |
| Part B Annual Deductible ($240) | |
| Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance | |
| Doctors who do not take Medicare Assignment can charge 15% above what medicare allows Some Medicare Supplement plans cover that extra 15%Part B Excess Charges |
|
| Additional Features | F |
| Out of Pocket Limit | NA |
| Hospice coverage | |
| Foreign Travel Emergency | |
| Monthly Rates & Brochures | F |
| Anthem | S: 288.87 I: Additional benefits included with Anthem Innovative plan rider
|
| Blue Shield to 6/30/2024 | 244.00 |
| Continental (Aetna) | 314.46 |
| Health Net | S: 227.00 Additional benefits included with Health Net Innovative plan rider
|
| Humana Achieve | 171.14 |
| ManhattanLife | 189.72 |
| National Health Ins | 228.61 |
| Physicians Mutual | 182.06 |
| United American eff 5/1/2024 | 292.00 |
| UHC to 5/31/2024 | 233.33 |
|
Prepared for Ed
Zip code: 95821 Age: 72 |
|
Humana Achieve rates 12% household discount Manhatten Life rates reflect 7% You are eligible for a 7% household premium discount if
(a) you are married and residing with your spouse or (b) for the past year you have resided with soneone who is at least 60 years old.household discount National Health rates rates reflect 7%
Physicians Mutual rates reflect 10% You are eligible for a 10% household premium discount
if you are marriied or reside with another person age 60 or over.household discount UHC rates based on Part B effective less than 10 years
|