Medicare Supplement insurance policies (also called Medigap) give you choices in supplemental health coverage to fill gaps in services that original Medicare doesn't cover. You must be enrolled in Medicare to purchase a Medicare Supplement insurance policy.
Why could a Medicare Supplement insurance policy be important for you?
Medicare only pays about 80% of Part B (Doctor’s Office Visits) expenses. The other 20% or more is up to you.
All Medicare Supplement insurance policies are accepted at any doctor or hospital that accepts Medicare and are guaranteed renewable for life. This means the freedom to choose any doctor or hospital that accepts Medicare – no referrals required. Why choose a Medicare Supplement from Loyal American? Find out the answer.
How to read the chart:
If a check mark appears in a column of this chart, the Medigap policy covers 100% of the described benefit. If a row lists a percentage, the policy covers that percentage of the described benefit. If a row is blank, the policy doesn't cover that benefit.
Note:
The Medigap policy covers coinsurance only after you have paid the deductible (unless the Medigap policy also covers the deductible).
Medigap Plans
Medigap Benefits
A
B
C
D
F*
G
K
L
M
N
Medicare Part A Coinsurance and 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)
Part A Hospice Care Coinsurance or Copayment
Skilled Nursing Facility Care Coinsurance
Medicare Part A Deductible
Medicare Part B Deductible
Medicare Part B Excess Charges
Foreign Travel Emergency (Up to Plan Limits)
*Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare-covered costs up to the deductible amount of $2,000 in 2011 before your Medigap plan pays anything.
Out-of-Pocket Limit**
$4,640
$2,320
**After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($162 in 2011), 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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