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 facility
Part A Deductible ($1632)
  • The inpatient deductible is $1632 for each benefit period
  • Days 1-60: Medicare covers 100%
  • Days 61-90: You are responsible for $408 per day
  • Days 91 until 60 day lifetime reserve is used up: Your responsibility is $826 per day
  • Beyond lifetime reserve: You are responsible for all costs incurred
Hospital Coinsurance
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 423.18 311.76
Blue Shield 447.00 385.00
Continental (Aetna) 416.25 304.88
Health Net 350.00 321.00
Humana Achieve 307.34 273.14
ManhattanLife 346.83 283.33
National Health Ins 372.08 316.96
Physicians Mutual 325.02 283.71
United American eff 5/1/2024 352.00 295.00
UHC eff 6/1/2024 423.75 331.25
Prepared for
Zip code: 92056
Age: 82


Contact us
(949) 583-7675
[email protected]
CA Ins Lic 0812627