Medigap Plan A Basic Benefits All Medigap policies must cover a basic set of benefits. These basic benefits include most Medicare Part A and B coinsurance amounts, blood, and additional hospital benefits not covered by Original Medicare. Part A Hospital Coinsurance Days 61-90 of a hospital stay in each Medicare benefit period Days 91-150 of a hospital stay. Medicare will only pay for these 60 days once during your lifetime Additional Part A Hospital Benefits An extra 365 days of inpatient hospital care after you use your Original Medicare hospital benefits Part B Coinsurance Pays for the Part B coinsurance after you meet your annual deductible Part A and B Blood Coverage Pays for the first three pints of blood per calendar year Part A Hospice Coinsurance Pays for outpatient prescriptions drug and inpatient respite care coinsurance
	Medigap Plan B   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible
	Medigap Plan C   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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 2005)   80 percent coverage for medically necessary emergency care in a foreign country, after a $250 deductible
	Medigap Plan D   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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
	Medigap Plan E   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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 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
	Medigap Plan F   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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 2005)   80 percent coverage for medically necessary emergency care in a foreign country, after a $250 deductible   Coverage for 100 percent of Medicare Part B excess charges
	Medigap Plan G   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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   Coverage for 80 percent of Medicare Part B excess charges
	Medigap Plan H   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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
	Medigap Plan I   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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   Coverage for 100 percent of Medicare Part B excess charges
	Medigap Plan J   All the basic benefits of Plan A   Coverage for the Medicare Part A inpatient hospital deductible ($912 per benefit period in 2005)   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   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