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Last Updated:    

6/30/2010

 

 

Standardized MEDIGAP Plans

 

 

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

 

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)

 

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

 

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

 

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

 

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

 

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)

 

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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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Coverage for 80 percent of Medicare Part B excess charges

 

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

 

 

 

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)

 

bullet

Coverage for the skilled-nursing facility co-insurance amount ($114 per day, for days 21 through 100 per benefit period, in 2005)

 

bullet

80 percent coverage for medically necessary emergency care in a foreign country, after a $250 deductible

 

bullet

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

 

 

 

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)

 

bullet

Coverage for the skilled-nursing facility co-insurance amount ($114 per day, for days 21 through 100 per benefit period, in 2005)

 

bullet

Coverage for the Medicare Part B deductible ($110 per calendar year in 2003)

 

bullet

80 percent coverage for medically necessary emergency care in a foreign country, after a $250 deductible

 

bullet

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

 

bullet

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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