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    Estimated Monthly Premium: $ 00  
   

 

Services Medicare Pays Plan Pays You Pay
Part A deductible $0
First 60 days   All but $1408(Part A deductible)    
61st through 90th day    All but $352 a day    
91st day and after:  While using 60 lifetime reserve days   All but $704 a day    
Once lifetime reserve days are used: Additional 365 days   $0    
Beyond the additional 365 days   $0    
SKILLED NURSING FACILITY CARE
You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare approved facility within 30 days after leaving the hospital.		        
First 20 days   All approved amounts    
21st through 100th day All but $176.00 a day
101st day and after   $0    
BLOOD              
First 3 pints   $0     
Additional amounts   100%     
HOSPICE CARE   All but very limited coinsurance for outpatient drugs and inpatient respite care    
MEDICARE (PART B) Medical services per calendar year.          
MEDICAL EXPENSES In or out of the hospital, outpatient hospital treatment - such as physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment.          
Services Medicare Pays Plan Pays You Pay
Part B deductible   $0    
Remainder of Medicare approved amounts   80%    
Part B excess charges (above Medicare approved amounts)   $0    
BLOOD              
First 3 pints   $0    
Next $185 of Medicare approved amounts   $0    
Remainder of Medicare approved amounts   80%    
DURABLE MEDICAL EQUIPMENT          
First $185 of Medicare approved amounts   $0    
Remainder of Medicare approved amounts   80%    
Foreign Travel Emergency        
First $250 each calendar year   $0    
Remainder of Charges   $0    
At Home Recovery   All approved amounts    
Preventive Care   80%    
Preventive Care not covered by Medicare   $0    
Other              
Deductible    --------     --------   
Network    --------     --------   
Maximum Yearly Copayment    --------     --------   
             
Brochure/Physician Directory
Plan Specific Information
Informational Links Medicare Basics  Medicare Part A  Medicare Part B  Medicare And You 2018
*This information is for casual plan comparison only. Though we endeavor to be accurate, we cannot guarantee the above outline  to be a flawless representation of benefits.  Nor can we guarantee the accuracy of the premium amount shown.  Evidence of coverage and plan contracts should be consulted for a detailed description of benefits and limitations.  Company brochures are either available online, or mailed upon request.