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    Mutual of Omaha  
    Estimated Monthly Premium: $141 71  
   

 

Services Medicare Pays Plan Pays You Pay
Part A deductible $0 $0 $1484
First 60 days   All but $1408(Part A deductible)   $0   $1484 (Part A deductible)
61st through 90th day    All but $352 a day   $371 a day   $0
91st day and after:  While using 60 lifetime reserve days   All but $704 a day   $742 a day   $0
Once lifetime reserve days are used: Additional 365 days   $0   Balance of Medicare eligible expenses.   $0
Beyond the additional 365 days   $0   $0   All costs
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   All costs   $0
21st through 100th day All but $176.00 a day $0 Up to $176.00 a day
101st day and after   $0   $0   All costs
BLOOD              
First 3 pints   $0    All costs   $0
Additional amounts   100%    $0   $0
HOSPICE CARE   All but very limited coinsurance for outpatient drugs and inpatient respite care   $0   A coinsurance or copayment, up to $5 for inpatient drugs and 5% of the Medicare-approved amount for 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   $0   $203 (Part B deductible)
Remainder of Medicare approved amounts   80%   Coinsurance amount of Medicare eligible expenses.   $0
Part B excess charges (above Medicare approved amounts)   $0   $0   All costs
BLOOD              
First 3 pints   $0   All costs   $0
Next $185 of Medicare approved amounts   $0   $0   $203 (Part B deductible)
Remainder of Medicare approved amounts   80%   Coinsurance amount of Medicare eligible expenses.   $0
DURABLE MEDICAL EQUIPMENT          
First $185 of Medicare approved amounts   $0   $0   $203 (Part B deductible)
Remainder of Medicare approved amounts   80%   Coinsurance amount of Medicare eligible expenses.   $0
Foreign Travel Emergency        
First $250 each calendar year   $0   $0   All costs
Remainder of Charges   $0   $0   All costs
At Home Recovery   All approved amounts   $0   $0
Preventive Care   80%   Coinsurance amount of Medicare eligible expenses   $0
Preventive Care not covered by Medicare   $0   $0   All costs
Other              
Deductible    --------     --------    n/a
Network    --------     --------    No network limits
Maximum Yearly Copayment    --------     --------    n/a
             
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.