Part A Hospital Services | F | G | G-ded |
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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 | F | G | G-ded |
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 |
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Additional Features | F | G | G-ded |
Out of Pocket Limit | 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 | F | G | G-ded |
Anthem | S: 397.32 I: Additional benefits included with Anthem Innovative plan rider
See page 21 or 22 in Anthem brochure for details |
285.18 | |
Blue Shield | 390.00 | S: 328.00 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: 343.00 |
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Cigna | 363.87 | 296.38 | |
Continental (Aetna) | 497.88 | 364.94 | |
Health Net | S: 320.00 Additional benefits included with Health Net Innovative plan rider
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S: 286.00 Additional benefits included with Health Net Innovative plan rider
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127.00 |
Humana Achieve | 317.74 | 279.98 | 89.89 |
National Health Ins | 370.14 | 315.63 | |
Physicians Mutual | 335.25 | 292.62 | |
UHC | 339.50 | 265.54 | |
Choosing a Medigap Policy | |||
Continental: Add $20 application fee. |
Prepared for CLIFFORD Zip code: 92653 Age: 76 |
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
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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Cigna Cigna
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Continental LifeContinental Life offers a 5% household premium discount
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Humana AchieveHumana Achieve offers a 12% household premium discount
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National Health Ins National Health Insurance
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Physicians Mutual 10% Physicians Mutual offers a 10% household premium discount
if you are marriied or reside with another person age 60 or over.household discount |
UHC/AARPYou can take 7% off your monthly premiums if
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Contact us |
(714) 960-0697 |
[email protected] |
CA Ins Lic 0d22890 |