Part A Hospital Services | G |
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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) |
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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 |
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 | G |
Out of Pocket Limit | NA |
Hospice coverage | |
Foreign Travel Emergency | |
Monthly Rates & Brochures | G |
Blue Shield eff 7/1/2024 | S: 227.00 Extra Rider
E: 242.00 |
Blue Shield to 6/30/2024 | S: 212.00 Extra Rider
E: 226.00 |
Prepared for
Zip code: 90024 Age: 70 |
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