Part A Hospital Services F G N
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)
  • 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 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
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 N
Out of Pocket Limit NA NA NA
Hospice coverage
Foreign Travel Emergency
Monthly Rates & Brochures F G N
Anthem 423.18 311.76 328.84
Blue Shield eff 7/1/2024 485.00 417.00 337
Blue Shield to 6/30/2024 447.00 385.00 311
Continental (Aetna) 416.25 304.88 229.16
Health Net 350.00 321.00 278.00
United American eff 5/1/2024 352.00 295.00 247.00
UHC to 5/31/2024 380.00 296.87 251.56
UHC eff 6/1/2024 423.75 331.25 280.62
Prepared for
Zip code: 92056
Age: 82

UHC rates based on Part B effective 10 or more years
Contact us
(949) 583-7675
[email protected]
CA Ins Lic 0812627