| Part A Hospital Services | F | G | 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) |
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| Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage | |
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| Skilled nursing facility coinsurance | |
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| 3 Pints of (unreplaced) blood | |
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| Part B Services | F | G | N |
| Part B Annual Deductible ($240) | |
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| Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance | |
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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 |
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| Additional Features | F | G | N |
| Out of Pocket Limit | NA | NA | NA |
| Hospice coverage | |
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| Foreign Travel Emergency | |
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| Monthly Rates & Brochures | F | G | N |
| Anthem | 481.73 | 345.78 | 372.03 |
| Blue Shield | 577.00 | 485.00 | 385 |
| Cigna | 540.14 | 439.96 | 330.27 |
| Continental (Aetna) | 665.82 | 487.72 | 370.44 |
| Health Net | 434.00 | 387.00 | 364.00 |
| Humana Achieve | 581.22 | 521.18 | 417.35 |
| UHC | 350.00 | 273.75 | 231.75 |
| Blue Shield Frozen Plan F $590 | |||
| Choosing a Medigap Policy | |||
| Continental: Add $20 application fee. | |||
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Prepared for Peter Troman
Zip code: 91024 Age: 95 |
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UHC rates based on Part B effective less than 10 years
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