| Part A Hospital Services | F | G |
|---|---|---|
| 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 | G |
| 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 | G |
| Out of Pocket Limit | NA | NA |
| Hospice coverage | |
|
| Foreign Travel Emergency | |
|
| Monthly Rates & Brochures | F | G |
| Anthem | S: 580.31 I: Additional benefits included with Anthem Innovative plan rider
See page 21 or 22 in Anthem brochure for details |
415.95 |
| Blue Shield | 563.00 | S: 463.00 Note: Silver Sneakers gym membership is included with all Blue Shield plans. Additonal benefits with Blue Shield Extra RiderForeign Travel - Not covered by Medicare
Physician Consultation by Phone or Video Through Teledoc
Over-the-Counter Items through CVS
Accupuncture and Chiropractic Services (provided by AHS provider network)
Vision Coverage (provided by Vision Service Plan)
Hearing Aid Services (provided by Epic Hearing Healthcare)
E: 495.00 |
| Cigna | 580.74 | 473.02 |
| Continental (Aetna) | 674.86 | 494.76 |
| Health Net | S: 514.00 Additional benefits included with Health Net Innovative plan rider
|
S: 458.00 Additional benefits included with Health Net Innovative plan rider
|
| Humana Achieve | 452.70 | 390.88 |
| National Health Ins | 593.31 | 505.98 |
| Physicians Mutual | 549.20 | 478.24 |
| United American | 728.00 | 600.00 |
| UHC | 551.00 | 430.53 |
| United World Life | 581.74 | 465.68 |
| Choosing a Medigap Policy | ||
| Continental: Add $20 application fee. | ||
|
Prepared for Joe Blow
Zip code: 92804 Age: 70 Spouse: 70 |
|
Anthem rates reflect 10%
Enrollees who reside with another Anthem Blue Cross Medicare Supplement member may qualify for a household discount for subscriber
Anthem spouse rates reflect 5%
Enrollees who reside with another Anthem Blue Cross Medicare Supplement member may qualify for a household discount for co-resident
Anthem rates reflect $2 automatic checking discount
Blue Shield rates reflect $3 automatic checking discount
Continental rates reflect 5% You are be eligible for a 5% discount if you reside with another
person covered by Continental Life who is either (a) your spouse; (b) someone with whom you are in a civil union partnership; (c) a permanent resident in your home.household discount Humana Achieve rates 12% household discount Humana Achieve rates reflect $2 automatic checking discount
Physicians Mutual rates reflect $5 automatic checking discount
UHC rates based on Part B effective less than 10 years UHC spousal rates based on Part B effective less than 10 years UHC rates reflect $2 automatic checking discount
|