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Last Updated:
6/30/2010
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Medigap
Plan A Basic Benefits
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Coverage
for the Part A co-insurance amount ($228 per day in 2005) for days 61
through 90 of a hospital stay in each Medicare benefit period |
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Coverage
for the Part A co-insurance amount for days 91 through 150 of a
hospital stay ($456 per day in 2005) for each of Medicare
60 lifetime
reserve days, which may be used only once |
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After
all Medicare hospital benefits are exhausted, coverage for 100 percent
of the Medicare Part A eligible hospital expenses. Coverage is limited
to a maximum of 365 days of additional inpatient hospital care during
your lifetime. You may be responsible for payment when Medigap
hospital benefits are exhausted |
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Coverage
under Medicare parts A and B for the reasonable cost of the first 3
pints of blood or equivalent quantities of packed red blood cells per
calendar year unless this blood is replaced |
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Coverage
for the co-insurance amount for Part B services (generally 20 percent
of Medicare-approved amount) after $100 annual deductible is met |
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Medigap
Plan B
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Medigap
Plan C
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
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Coverage
for the Medicare Part B deductible ($110 per calendar year in 2005) |
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80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
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Medigap
Plan D
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
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80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
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Coverage
for at-home recovery. The at-home recovery benefit pays up to $1,600
per year for short-term, at-home assistance with activities of daily
living (like bathing, dressing, personal hygiene, etc.) for those
recovering from an illness, injury, or surgery |
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Medigap
Plan E
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
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80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
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Coverage
for preventive medical care. The preventive medical care benefit pays
up to $120 per year for things like a physical exam, serum cholesterol
screening, hearing test, diabetes screening, and thyroid function test |
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Medigap
Plan F
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
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Coverage
for the Medicare Part B deductible ($110 per calendar year in 2005) |
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80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
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Coverage
for 100 percent of Medicare Part B excess charges |
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Medigap
Plan G
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
 |
80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
 |
Coverage
for at-home recovery. The at-home recovery benefit pays up to $1,600
per year for short-term, at-home assistance with activities of daily
living (like bathing, dressing, personal hygiene, etc.) for those
recovering from an illness, injury, or surgery |
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Coverage
for 80 percent of Medicare Part B excess charges |
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Medigap
Plan H
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
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80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
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Medigap
Plan I
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
 |
80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
 |
Coverage
for at-home recovery. The at-home recovery benefit pays up to $1,600
per year for short-term, at-home assistance with activities of daily
living (like bathing, dressing, personal hygiene, etc.) for those
recovering from an illness, injury, or surgery |
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Coverage
for 100 percent of Medicare Part B excess charges |
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Medigap
Plan J
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All
the basic benefits of Plan A |
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Coverage
for the Medicare Part A inpatient hospital deductible ($912 per
benefit period in 2005) |
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Coverage
for the skilled-nursing facility co-insurance amount ($114 per day, for
days 21 through 100 per benefit period, in 2005) |
 |
Coverage
for the Medicare Part B deductible ($110 per calendar year in 2003) |
 |
80
percent coverage for medically necessary emergency care in a foreign
country, after a $250 deductible |
 |
Coverage
for at-home recovery. The at-home recovery benefit pays up to $1,600
per year for short-term, at-home assistance with activities of daily
living (like bathing, dressing, personal hygiene, etc.) for those
recovering from an illness, injury, or surgery |
 |
Coverage
for 100 percent of Medicare Part B excess charges |
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Coverage
for preventive medical care. The preventive medical care benefit pays
up to $120 per year for things like a physical exam, serum cholesterol
screening, hearing test, diabetes screening, and thyroid function test |
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