Standardized Plan Description
12 Standard Medicare Supplement Benefit Plans
CORE BENEFITS
PLAN A
PLAN B
PLAN C
PLAN D
PLAN E
PLAN F
PLAN G
PLAN H
PLAN I
PLAN J
PLAN K
PLAN L
Part A Hospital
Days 61-90
X
X
X
X
X
X
X
X
X
X
X
X
Lifetime Reserve
Days 91-150
X
X
X
X
X
X
X
X
X
X
X
X
365 Life Hospital
Days 100%
X
X
X
X
X
X
X
X
X
X
X
X
Parts A and B
Blood
X
X
X
X
X
X
X
X
X
X
50%
75%
Part B Coinsurance
20%
X
X
X
X
X
X
X
X
X
X
50%
75%
ADDED BENEFITS
PLAN A
PLAN B
PLAN C
PLAN D
PLAN E
PLAN F
PLAN G
PLAN H
PLAN I
PLAN J
PLAN K
PLAN L
Skilled Nursing Facility Coinsurance
Days 21-100
X
X
X
X
X
X
X
X
50%
75%
Deductibles
Part A
X
X
X
X
X
X
X
X
X
50%
75%
Deductibles
Part B
X
X
X
Excess Charges
Part B
100%
80%
100%
100%
Foreign Travel
Emergency
X
X
X
X
X
X
X
X
Recovery
At Home
X
X
X
X
Preventative Medical
Care
X
X
X
X
Hospice Cost-sharing Part A
50%
75%
Out-of-pocket Annual Limit
$4000
$2000
**
Plans K and L provide for different cost-sharing for items and services than Plans A - J.
Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance, and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called "Excess Charges". You will be responsible for paying excess charges.
The out-of-pocket annual limit will increase each year for inflation.
September 08, 2008
Home
Previous Page
Contact Us
About ALDOI
FAQ
Renew Your License
Print Your License
Change of Name and Address Policy
Producer Exam Sites
Receivership Notices & Proof of Claim Forms
© 2004 Alabama Department of Insurance. |
Home
|
E-mail the Webmaster
|
Contact Us
|
About ALDOI
|
FAQ
|
Policies
|
Espanol
-
Translation Disclaimer
