| 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) |
|
| 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 |
| Blue Shield eff 7/1/2024 |
| Health Net |
| Humana Achieve eff 8/1/2024 |
| UHC eff 6/1/2024 |
| Choosing a Medigap Policy |
|
Prepared for CHRISTIAN MILLER
Zip code: 92626 Age: 66 |
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UHC rates based on Part B effective less than 10 years
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