Part A Hospital Services | F | F-ded | 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 |
$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 |
$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 |
$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 |
$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 | F | F-ded | 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 | F | F-ded | 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 |
$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 | F | F-ded | G | G-ded | N |
Anthem | S: 312.20 I: Additional benefits included with Anthem Innovative plan rider
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227.22 | 235.06 | ||
Blue Shield eff 7/1/2024 | 288.00 | S: 242.00 Extra Rider
E: 258.00 |
233 | ||
Blue Shield to 6/30/2024 | 261.00 | S: 219.00 Extra Rider
E: 234.00 |
211 | ||
Health Net | S: 267.00 Additional benefits included with Health Net Innovative plan rider
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115.00 | S: 237.00 Additional benefits included with Health Net Innovative plan rider
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101.00 | 198.00 |
Humana Achieve to 7/31/2024 | 206.20 | 180.50 | 63.97 | 145.19 | |
Humana Achieve eff 8/1/2024 | 221.51 | 193.89 | 63.97 | 145.19 | |
Physicians Mutual | 235.66 | 205.90 | 171.38 | ||
United American | 309.00 | 61.00 | 257.00 | 61.00 | 213.00 |
UHC to 5/31/2024 | 276.64 | 216.13 | 183.14 | ||
UHC eff 6/1/2024 | 308.49 | 241.15 | 204.30 | ||
Choosing a Medigap Policy |
Prepared for ROBERT SMAGULA
Zip code: 93109 Age: 74 |
UHC rates based on Part B effective less than 10 years
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