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Medicare
Supplement Policies:
Listing by Plans
There
are 12 standard policies that help pay the majority of the out of pocket costs that the
original Medicare plan does not cover. (If
you are in Medicare Advantage plan, such as a Private Fee For Service plan, you do not need a Medicare
supplement policy.)
Each
standard supplemental plan, labeled A through L, offers a
different set of benefits, fills different "gaps" in
coverage, and varies in price. There are insurers that offer the
"high deductible option" on Medicare supplement plans F
and J.
Every supplemental policy are obligated to cover certain basic
benefits. These benefits are as follows:
Medicare
Part A coverage:
-
Coinsurance
for hospital days 61-90 ($256 in 2008) and 91-150 ($512 in 2008)
-
Cost
of 365 more hospital day in your lifetime, once you have used
the entirety of hospital policy benefits
Medicare
Part B coverage:
-
Generally,
20% of doctor bills and fifty percent of mental health medical services
-
The
first three pints of blood
Medicare
Supplement Plan A
-
-
Medicare
Part A Hospital Deductible: $1,024 in 2008 for each benefit period
for in-patient hospital policy services
Medicare
Supplement Plan C
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs: Your cost ($128 in 2008) for days 21-100
in a skilled nursing home.
-
Medicare
Part B Deductible: Yearly deductible for doctor services ($135
in 2008).
-
Foreign
Travel Emergency:
-
80%
of cost of emergency care outside U.S.A borders
-
Up
to $50,000 during your lifetime
-
There is a yearly deductible of $250
Medicare
Supplement Plan D
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs
-
-
-
Help
for activities of daily living, such as bathing and dressing,
for those receiving skilled home care that is Medicare approved.
-
There is an extention of eight weeks after patient no longer recieving skilled care.
- Benefit of up to $40 per visit, seven visits per week. Maximum benefit is $1,900 per year.
Medicare
Supplement Plan E
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs
-
-
Preventive
Care: Up to $120 per year for preventive medical services approved by
your doctor.
Medicare
Supplemental Plan F*
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs
-
Medicare
Part B Deductible
-
Medicare
Part B Excess Charges: Pays 100% of the difference between your
doctor's charge and the Medicare approved amount to a non-Medicare assignment doctor.
-
Foreign
Travel Emergency
High Deductible Plan "F":
Plan "F" has an option called High Deductible
Plan "F". This high deductible plan offers the same
benefits as the regular Plan "F" but the benefits
do not start until after you pay a calendar year deductible
of $1,900 in 2008 (this deductible goes up with inflation).
Some
of the expenses you will have to pay to satisfy the deductible
include the Medicare deductibles for Parts A and B, but does
not include the Foreign Travel Emergency
deductible. The Foreign Travel Emergency deductible must be
paid regardless of whether you have met the $1,900 deductible.
Also, you cannot count the Foreign Travel Emergency deductible
toward the $1,900 deductible.
Medicare
Supplement Plan G
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs
-
Medicare
Part B Excess Charges: Pays 80% of the difference between your
doctor's charge and the Medicare approved amount, if your doctor
does not accept assignment.
-
-
Medicare
Supplement Plan H
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs
-
-
Prescription
Drugs: fifty percent of prescription drug costs up to $1,250
each year after a yearly deductible of $250. (If purchased before 2005)
Medicare
Supplement Plan I
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Costs
-
Medicare
Part B Excess Charges: Pays 100% of the difference between your
doctor's charge and the Medicare approved amount, if your doctor
does not accept policy assignment.
-
-
-
Prescription
Drugs: fifty percent of prescription drug costs up to $1,250
each year after a yearly deductible of $250. (If purchased before 2005)
Medicare
Supplement Plan J*
-
-
Medicare
Part A Hospital Deductible
-
Skilled
Nursing Home Cost
-
Medicare
Part B Deductible
-
Medicare
Part B Excess Charges: Pays 100% of the difference between
your doctor's charge and the Medicare approved amount, if
your doctor does not accept assignment.
-
-
-
-
Prescription
Drugs: fifty percent of prescription drug go for up to $3,000
each year after a yearly deductible of $250. (If purchased before 2005)
* If
you choose the "high deductible option" on supplemental Medicare Plan F and J, you will first have to
pay a $1,900 deductible in 2008 before the plan pays anything. This
amount goes up every year with inflation. This high deductible option is
less expensive, but getting medical attention will cost you more money.
In
addition to the A-L standard supplemental Medicare (Medigap) plan, Medicare
SELECT is a type of supplement policy that is more affordable
than a traditional Medicare supplement policy.
However, you can only
go to certain doctors and hospitals to receive medical care. Please contact today to find the suitable Medicare Select or supplement policy that
is available in your area
*Plans K and L involves
cost-sharing for medical expenses and services. In these plansm, once
you reach the annual expense limit ($4,440 for Plan K and $2,220 for Plan
L), the plans pays 100% of the Medicare co-payments, coinsurance,
and deductibles for the rest of the calendar year.
The out-of-pocket
annual limit does NOT include charges from your provider that exceed
Medicare-approved amounts, called "Excess Charges." The client
will be responsible for paying excess charges. The out-of-pocket
annual limit will increase each year with inflation.
Medicare
Supplement Policies: The Chart
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