Medicare Supplement insurance is sold in 12 standard plans. As of January 1, 2006, Plans H, I, J are no longer sold with drug coverage.
View all plans and the benefits they include.
Every company must sell Plan A, which is the basic plan, or the "core benefit" plan. The standard plans are labeled A through L.
Remember, the plans are standardized. So, Plan F from one company will be the same as Plan F from another company.
Select the supplement policy which fits your needs, and then purchase that plan from the company which offers the lowest premiums and best customer service. Core Benefits:
Included in all plans.
Pays Part A Hospital copayment ($289 per day for 61-90 days and $578 per day for 91-150 days in 2012)
Pays for an additional 365 days of hospitalization after Medicare benefits end.
Pays Part B copayment (usually 20% of the Medicare approved amount)
Pays for the first three pints of blood per year.
You will have to pay part of the cost-sharing of some covered services until you meet the annual out-of-pocket limit. Plan K has a $4,660 out-of-pocket limit. Plan L has a $2,330 out-of-pocket limit. Once you meet the annual limit, the plan pays 100% of the Medicare copayments, coinsurance, and deductibles for the rest of the calendar year. These amounts can change each year.
Part A Deductible
The initial amount Medicare does not pay for an inpatient hospital stay per benefit period ($1,156 in 2012).
Skilled Nursing Copayment
The amount Medicare does not pay for days 21-100 in a skilled nursing facility ($144.50/day in 2012).
Part B Deductible
The initial amount Medicare will not pay for covered physical or other outpatient services each calendar year ($140 in 2012).
Foreign Travel Emergency
(Medicare does not pay for care received in a foreign country.) This benefit covers, after a $250 deductible per year, 80% of health expenses for emergency care received in the first 60 days of a trip to a foreign country, up to a lifetime maximum of $50,000.
At Home Recovery
(Medicare only pays for skilled nursing home health care.) This benefit covers home health visits for assistance with activities of daily living, when either Medicare home health coverage is currently being received or within eight weeks from the last Medicare home health visit, up to $1,600 per year.
Preventive Care
Part B also covers preventive services at $0 copay and $0 deductible. These include welcome to Medicare physical exam, abdominal aortic aneurysm screening, annual wellness exam, bone mass measurement, cardiovascular disease screening, colorectal cancer screening, diabetes screening, mammogram screening, pap test/pelvic exam/clinical breast exam, vaccines, flu H1N1 flu, hepatitis B, pneumonia. Copay and deductible apply to glaucoma tests, HIV screening, Medicare nutrition therapy services, prostate cancer screening, smoking cessation counseling.
Part B Excess
(Medicare does not pay excess charges above its approved amount.) This benefit covers the difference between the Medicare approved amount and the limiting charge (which is no more than 15% above the Medicare approved amount). This benefit pays either 80% or 100% of the Part B excess charges.
View all plans and the benefits they include.
Every company must sell Plan A, which is the basic plan, or the "core benefit" plan. The standard plans are labeled A through L.
Remember, the plans are standardized. So, Plan F from one company will be the same as Plan F from another company.
Select the supplement policy which fits your needs, and then purchase that plan from the company which offers the lowest premiums and best customer service. Core Benefits:
Included in all plans.
Pays Part A Hospital copayment ($289 per day for 61-90 days and $578 per day for 91-150 days in 2012)
Pays for an additional 365 days of hospitalization after Medicare benefits end.
Pays Part B copayment (usually 20% of the Medicare approved amount)
Pays for the first three pints of blood per year.
You will have to pay part of the cost-sharing of some covered services until you meet the annual out-of-pocket limit. Plan K has a $4,660 out-of-pocket limit. Plan L has a $2,330 out-of-pocket limit. Once you meet the annual limit, the plan pays 100% of the Medicare copayments, coinsurance, and deductibles for the rest of the calendar year. These amounts can change each year.
Part A Deductible
The initial amount Medicare does not pay for an inpatient hospital stay per benefit period ($1,156 in 2012).
Skilled Nursing Copayment
The amount Medicare does not pay for days 21-100 in a skilled nursing facility ($144.50/day in 2012).
Part B Deductible
The initial amount Medicare will not pay for covered physical or other outpatient services each calendar year ($140 in 2012).
Foreign Travel Emergency
(Medicare does not pay for care received in a foreign country.) This benefit covers, after a $250 deductible per year, 80% of health expenses for emergency care received in the first 60 days of a trip to a foreign country, up to a lifetime maximum of $50,000.
At Home Recovery
(Medicare only pays for skilled nursing home health care.) This benefit covers home health visits for assistance with activities of daily living, when either Medicare home health coverage is currently being received or within eight weeks from the last Medicare home health visit, up to $1,600 per year.
Preventive Care
Part B also covers preventive services at $0 copay and $0 deductible. These include welcome to Medicare physical exam, abdominal aortic aneurysm screening, annual wellness exam, bone mass measurement, cardiovascular disease screening, colorectal cancer screening, diabetes screening, mammogram screening, pap test/pelvic exam/clinical breast exam, vaccines, flu H1N1 flu, hepatitis B, pneumonia. Copay and deductible apply to glaucoma tests, HIV screening, Medicare nutrition therapy services, prostate cancer screening, smoking cessation counseling.
Part B Excess
(Medicare does not pay excess charges above its approved amount.) This benefit covers the difference between the Medicare approved amount and the limiting charge (which is no more than 15% above the Medicare approved amount). This benefit pays either 80% or 100% of the Part B excess charges.
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