| 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: 629.91 I: Additional benefits included with Anthem Innovative plan rider
|
452.17 |
| Blue Shield eff 7/1/2024 | 513.36 | S: 420.36 Extra Rider
E: 451.98 |
| Continental (Aetna) | 759.14 | 556.16 |
| Health Net | S: 535.00 Additional benefits included with Health Net Innovative plan rider
|
S: 427.00 Additional benefits included with Health Net Innovative plan rider
|
| Humana Achieve eff 8/1/2024 | 521.44 | 450.51 |
| ManhattanLife | 465.15 | 378.74 |
| Physicians Mutual | 458.20 | 399.68 |
| United American eff 5/1/2024 | 726.00 | 598.00 |
| UHC eff 6/1/2024 | 504.00 | 394.20 |
|
Prepared for
Zip code: 90808 Age: 71 Spouse: 69 |
|
Blue Shield rates reflect 7% You are eligible for a 7% household premium discount if you reside with another person
who is on the same Blue Shield Medicare Supplement plan, including same Dental plan. Only one policy will be issued, the second party will be covered as a dependent.household 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 Manhatten Life rates reflect 7% You are eligible for a 7% household premium discount if
(a) you are married and residing with your spouse or (b) for the past year you have resided with soneone who is at least 60 years old.household discount Physicians Mutual rates reflect 10% You are eligible for a 10% household premium discount
if you are marriied or reside with another person age 60 or over.household 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 7% You can take 7% off your monthly premiums if
|