Part A Hospital Services A B C F G K L M N
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 facility
Part A Deductible ($1632)

  • The inpatient deductible is $1632 for each benefit period
  • Days 1-60: Medicare covers 100%
  • Days 61-90: You are responsible for $408 per day
  • Days 91 until 60 day lifetime reserve is used up: Your responsibility is $826 per day
  • Beyond lifetime reserve: You are responsible for all costs incurred
Hospital Coinsurance
Plan covers 50% of your out of pocket expenses
Your share is capped at $5120 per year
50%
Plan covers 75% of your out of pocket expenses
Your share is capped at $2560 per year
75%
Plan covers 50% Part A deductible50%
Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage
Skilled nursing facility coinsurance

Plan covers 50% of your out of pocket expenses
Your share is capped at $5120 per year
50%
Plan covers 75% of your out of pocket expenses
Your share is capped at $2560 per year
75%

3 Pints of (unreplaced) blood Plan covers 50% of your out of pocket expenses
Your share is capped at $5120 per year
50%
Plan covers 75% of your out of pocket expenses
Your share is capped at $2560 per year
75%
Part B Services A B C F G K L M N
Part B Annual Deductible ($240)






Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance Plan covers 50% of your out of pocket expenses
Your share is capped at $5120 per year
50%
Plan covers 75% of your out of pocket expenses
Your share is capped at $2560 per year
75%
You pay $20 for Dr. office visits
You pay $50 for emergency room visits
$20/$50
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 A B C F G K L M N
Out of Pocket Limit NA NA NA NA NA $5120 $2560 NA NA
Hospice coverage Plan covers 50% of your out of pocket expenses
Your share is capped at $5120 per year
50%
Plan covers 75% of your out of pocket expenses
Your share is capped at $2560 per year
75%
Foreign Travel Emergency


Monthly Rates & Brochures A B C F G K L M N
Anthem 118.04

S: 199.32
I: Additional benefits included with Anthem Innovative plan rider
  • Vision: Routine eye exam $25 copay, $100 frame allowance
  • Hearing: Hearing exam every 12 months, $750 annual allowance for hearing aids
  • Nurse help line: Speak with a Registered nurse about health related questions
  • SilverSneakers gym membership
181.02
134.63


165.15
Blue Shield eff 7/1/2024 85.00

172.00
S: 122.00
Extra Rider
  • Basic gym access through sliver sneakers fitness program (silversneakers.com)
  • Personal emergency response system
  • Physician consultation by phone or video through Teladoc
  • Over the counter items through CVS (Up to $100 one time use per quarter allowance)
  • The vision benefit includes coverage for exams, frames and lenses ($100 frame allowance)
  • Hearing aid benefit includes an annual hearing aid test and coverage for Vista brand mid-level and premium-level hearing aids for a low copay
  • Acupuncture and chiropractic, up to 20 combined visits per calendar year
  • Identity theft protection
E: 138.00



144
Continental (Aetna) 128.95 163.10
228.66 167.52


120.20
Health Net 103.00

S: 160.00
Additional benefits included with Health Net Innovative plan rider
  • Routine Hearing Exam - One hearing exam every 12 months
  • Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid
  • Routine Eye Exam - One vision exam every 12 months
  • Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months
I: 166.00
S: 140.00
Additional benefits included with Health Net Innovative plan rider
  • Routine Hearing Exam - One hearing exam every 12 months
  • Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid
  • Routine Eye Exam - One vision exam every 12 months
  • Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months
I: 131.00



105.00
United American to 4/30/2024 128.00 173.00 228.00 233.00 187.00 108.00 153.00
150.00
United American eff 5/1/2024 131.00 177.00 239.00 248.00 201.00 108.00 153.00
165.00
UHC eff 6/1/2024 116.00 161.76 195.20 196.16 128.44
107.68
129.92
Prepared for Kelli Lotti
Zip code: 95927
Age: 65

Anthem Plan F rates reflect $20.00 Welcome to Medicare discount
Anthem Plan G rates reflect $25.00 Welcome to Medicare discount

Blue Shield Plan F rates reflect $25 Welcome to Medicare discount
Blue Shield Plan G rates reflect $25 Welcome to Medicare discount

Health Net rates reflect $30 Welcome to Medicare discount

Contact us
(530) 345-1162
[email protected]
CA Ins Lic 0687178