| 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) |
 |
|
|
|
|
| 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 | S: 297.02 I: Additional benefits included with Anthem Innovative plan rider
|
212.62 |
| Blue Shield eff 7/1/2024 | 280.00 | S: 230.00 Extra Rider
E: 246.00 |
| Blue Shield to 6/30/2024 | 262.00 | S: 215.00 Extra Rider
E: 230.00 |
| Continental (Aetna) | 355.19 | 260.40 |
| Health Net | S: 257.00 Additional benefits included with Health Net Innovative plan rider
|
S: 229.00 Additional benefits included with Health Net Innovative plan rider
|
| Humana Achieve to 7/31/2024 | 209.60 | 180.86 |
| Humana Achieve eff 8/1/2024 | 225.35 | 194.44 |
| ManhattanLife | 273.92 | 223.17 |
| National Health Ins | 296.66 | 252.99 |
| Physicians Mutual | 226.74 | 197.43 |
| United American | 364.00 | 300.00 |
| UHC to 5/31/2024 | 245.86 | 191.75 |
| UHC eff 6/1/2024 | 274.50 | 214.26 |
| Choosing a Medigap Policy | ||
| Continental: Add $20 application fee. | ||
| ManhattanLife: Add $25 application fee. | ||
|
Prepared for
Zip code: 92804 Age: 70 |
|
Anthem rates reflect 5%
Enrollees who reside with another Anthem Blue Cross Medicare Supplement for subscribermember may qualify for a household discount
Anthem rates reflect $2 automatic checking discount
Blue Shield rates reflect $3 automatic checking discount
Humana Achieve rates 12% household discount Humana Achieve rates reflect $2 automatic checking discount
Physicians Mutual rates reflect $5 automatic checking discount
Physicians Mutual rates reflect 10% You are eligible for a 10% household premium discount
if you are marriied or reside with another person age 60 or over.household discount UHC rates based on Part B effective less than 10 years UHC rates reflect $2 automatic checking discount
|