Part A Hospital Services | G | G-ded | N |
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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) |
$2800 annual deductible applies You pay all Medicare deductibles, copays and coinsurance until you spend $2800 in a calendar year After that coverage is 100% after ded |
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$2800 annual deductible applies You pay all Medicare deductibles, copays and coinsurance until you spend $2800 in a calendar year After that coverage is 100% after ded |
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Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage | |||
Skilled nursing facility coinsurance | $2800 annual deductible applies You pay all Medicare deductibles, copays and coinsurance until you spend $2800 in a calendar year After that coverage is 100% after ded |
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3 Pints of (unreplaced) blood | $2800 annual deductible applies You pay all Medicare deductibles, copays and coinsurance until you spend $2800 in a calendar year After that coverage is 100% after ded |
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Part B Services | G | G-ded | N |
Part B Annual Deductible ($240) | |||
Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance | You pay $20 for Dr. office visits You pay $50 for emergency room visits$20/$50 |
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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 |
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Additional Features | G | G-ded | N |
Out of Pocket Limit | NA | NA | NA |
Hospice coverage | $2800 annual deductible applies You pay all Medicare deductibles, copays and coinsurance until you spend $2800 in a calendar year After that coverage is 100% after ded |
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Foreign Travel Emergency | |||
Monthly Rates & Brochures | G | G-ded | N |
Anthem | 307.98 | 331.37 | |
Blue Shield eff 7/1/2024 | S: 355.00 Extra Rider
E: 372.00 |
310 | |
Continental (Aetna) | 385.93 | 287.72 | |
Health Net | S: 303.00 Additional benefits included with Health Net Innovative plan rider
|
125.00 | 245.00 |
Humana Achieve eff 8/1/2024 | 300.22 | 95.06 | 229.35 |
ManhattanLife | 306.50 | 237.50 | |
National Health Ins | 337.11 | 266.15 | |
Physicians Mutual | 284.94 | 236.86 | |
United American | 374.00 | 90.00 | 311.00 |
UHC to 5/31/2024 | 245.25 | 207.75 | |
UHC eff 6/1/2024 | 273.75 | 231.75 | |
Choosing a Medigap Policy | |||
Continental: Add $20 application fee. | |||
ManhattanLife: Add $25 application fee. |
Prepared for Zip code: 90042 Age: 78 |
Select all that apply |
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If you are new to Medicare the following monthly discounts
are available for your first year of coverage
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Enrollees who live with another Anthem Medicare Supplement
member may qualify for a household discount.
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Blue ShieldYou are eligible for a 7% household premium discount
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ManhattanLifeManhattanLife offers a 7% household premium discount
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National Health Insurance National Health Insurance
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Physicians Mutual 10% Physicians Mutual offers a 10% household premium discount
if you are marriied or reside with another person age 60 or over.household discount |
UHC/AARPYou can take 7% off your monthly premiums if
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Contact us |
(818) 769-1640 |
[email protected] |
CA Ins Lic 398560 |