Outline of Medicare Supplement Coverage
(Benefit Plans A-N)
This chart shows the benefits included in each plan. Every company must make available Plan “A”. Some plans may not be available in your state as indicated below.
|Medicare Part A Coinsurance hospital costs up to an additional 365 days after Medicare benefits are used up||•||•||•||•||•||•||•||•||•||•|
|Medicare Part B Coinsurance or Copayment||•||•||•||•||•||•||50%||75%||•||•***|
|Blood (First 3 pints)||•||•||•||•||•||•||50%||75%||•||•|
|Part A Hospice Care Coinsurance or Copayment||•||•||•||•||•||•||50%||75%||•||•|
|Skilled Nursing Facility Care Coinsurance||•||•||•||•||50%||75%||•||•|
|Medicare Part A Deductible||•||•||•||•||•||50%||75%||50%||•|
|Medicare Part B Deductible||•||•|
|Medicare Part B Excess Charges||•||•|
|Foreign Travel Emergency (Up to Plan Limits)||•||•||•||•||•||•|
*Plan F also offers a high-deductable plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductable amount of $2,110 in 2013 before your Medigap plan pays anything
**For Plans K and L, after you meet your out-of-pocket yearly limit and your yearly Part B deductable ($147 in 2013), the Medigap plan pays 100% of covered services for the rest of the calendar year.
***Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.
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