Part A Hospital Services 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 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 G N
Out of Pocket Limit NA NA
Hospice coverage
Foreign Travel Emergency
Monthly Rates & Brochures G N
Anthem 253.95 273.22
Blue Shield eff 7/1/2024 286.00 257
Continental (Aetna) 328.45 240.32
Health Net 245.00 210.00
United American eff 5/1/2024 250.00 207.00
UHC 240.90 203.94
Choosing a Medigap Policy
Continental: Add $20 application fee.
Prepared for
Zip code: 91016
Age: 73

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