Part A Hospital Services | A | F | 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 | A | F | 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 | A | F | G | G-ded | N |
Out of Pocket Limit | NA | NA | 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 | A | F | G | G-ded | N |
Anthem | 344.22 | S: 595.80 I: Additional benefits included with Anthem Innovative plan rider
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427.65 | 460.11 | |
Blue Shield eff 7/1/2024 | 318.99 | 554.28 | S: 451.05 Extra Rider
E: 480.81 |
424.08 | |
Blue Shield to 6/30/2024 | 318.99 | 518.01 | S: 421.29 Extra Rider
E: 449.19 |
396.18 | |
Humana Achieve to 7/31/2024 | 419.66 | 514.80 | 449.43 | 155.23 | 357.92 |
Humana Achieve eff 8/1/2024 | 450.85 | 553.12 | 482.84 | 155.23 | 357.92 |
UHC to 5/31/2024 | 361.72 | 611.81 | 478.24 | 405.11 | |
UHC eff 6/1/2024 | 403.65 | 682.50 | 533.81 | 451.91 | |
Choosing a Medigap Policy |
Prepared for Zip code: 90025 Age: 75 Spouse: 67 |
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
Sp.
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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Humana AchieveHumana Achieve offers a 12% household premium discount
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UHC/AARPYou can take 7% off your monthly premiums if
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Contact us |
(714) 921-9214 |
[email protected] |
CA Ins Lic 0D57926 |