ZapIndex

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)
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 CKHH	S: 362.95 I: Additional benefits included with Anthem Innovative plan rider Vision: Routine eye exam $25 copay, $100 frame allowance Hearing: Hearing exam every 12 months, $750 annual allowance for hearing aids Nurse help line: Speak with a Registered nurse about health related questions SilverSneakers gym membership 345.57	257.12
Continental (Aetna) HH	363.44	266.39
Health Net	S: 314.00 Additional benefits included with Health Net Innovative plan rider Routine Hearing Exam - One hearing exam every 12 months Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid Routine Eye Exam - One vision exam every 12 months Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months I: 319.00	S: 279.00 Additional benefits included with Health Net Innovative plan rider Routine Hearing Exam - One hearing exam every 12 months Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid Routine Eye Exam - One vision exam every 12 months Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months I: 273.00
Humana Achieve to 7/31/2024CKHH	248.34	218.88
Humana Achieve eff 8/1/2024CKHH	266.82	235.15
Physicians Mutual CKHH	273.01	238.42
UHC eff 6/1/2024 CKHH	368.60	288.33
Choosing a Medigap Policy
Continental: Add $20 application fee.

Part A Hospital Services

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

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

Out of Pocket Limit

Hospice coverage

Foreign Travel Emergency

Monthly Rates & Brochures

Anthem CKHH

S: 362.95
I: Additional benefits included with Anthem Innovative plan rider

Vision: Routine eye exam $25 copay, $100 frame allowance
Hearing: Hearing exam every 12 months, $750 annual allowance for hearing aids
Nurse help line: Speak with a Registered nurse about health related questions
SilverSneakers gym membership

345.57

257.12

Continental (Aetna) HH

363.44

266.39

Health Net

S: 314.00
Additional benefits included with Health Net Innovative plan rider

Routine Hearing Exam - One hearing exam every 12 months
Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid
Routine Eye Exam - One vision exam every 12 months
Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months

I: 319.00

S: 279.00
Additional benefits included with Health Net Innovative plan rider

Routine Hearing Exam - One hearing exam every 12 months
Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid
Routine Eye Exam - One vision exam every 12 months
Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months

I: 273.00

Humana Achieve to 7/31/2024CKHH

248.34

218.88

Humana Achieve eff 8/1/2024CKHH

266.82

235.15

Physicians Mutual CKHH

273.01

238.42

UHC eff 6/1/2024 CKHH

368.60

288.33

Choosing a Medigap Policy

Continental: Add $20 application fee.

Select all that apply

Anthem $2 per month
Humana Achieve $2 per month
Physicians Mutual $5 per month

Automatic Checking Withdrawal Discount

If you are new to Medicare the following monthly discounts
are available for your first year of coverage

Anthem Plan F: $20 Plans G: $25 per month
Health Net All Plans: $30 per month
United Healthcare Plan G: $25 per month

Welcome to Medicare discount 2 party

Anthem Plan F rates reflect $20 Welcome to Medicare discount.

Anthem Plan F rates reflect $40 2 party Welcome to Medicare discount.

Anthem Plan G rates reflect $25 Welcome to Medicare discount.

Anthem Plan G rates reflect $50 2 party Welcome to Medicare discount.

Enrollees who live with another Anthem Medicare Supplement
member may qualify for a household discount.

For members with an original Anthem Blue Cross
effective date after 2/28/2023 the discount is 10%
For those with original effective dates between
6/1/2010 and 2/28/2023 the discount is 5%
The household discount is not available to persons
enrolled before 6/1/2010

Anthem household discount

Anthem rates reflect $2 automatic checking discount.

Blue Shield rates reflect $3 automatic checking discount.

Continental Life 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.5% household discount

Health Net rates reflect $30 Welcome to Medicare discount.

Health Net rates reflect $60 2 party Welcome to Medicare discount.

Humana Achieve rates reflect $2 automatic checking discount.

Humana AchieveHumana Achieve offers a 12% household premium discount

if you reside with your spouse or domestic partner
or if you have resided with one to three adults for the past 12 months.

household discount (12%)

Physicians Mutual rates reflect $5 automatic checking discount.

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 Plan G rates reflect $25 Welcome to Medicare discount.

UHC Plan G rates reflect $50 2 party Welcome to Medicare discount.

United Healthcare rates reflect $2 automatic checking discount.

UHC/AARPYou can take 7% off your monthly premiums if

two or more members are enrolled under the same AARP membership number
and each is insured under an eligible AARP-branded supplemental insurance
policy insured by UnitedHealthcare Insurance Company.

household discount (7%)