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Medicare Supplemental Insurance Comparison Chart 2015-2016

Medicare Supplemental Benefits
A
B
C
D
F*
G
K
L
M
N
  • Part A Hospital Co-insurance
  • Medicare Part B co-payment or co-insurance coverage
50%
75%
  • First 3 pints of blood
50%
75%
  • Part A hospice care co-insurance or co-payment
50%
75%
  • Skilled Nursing Facility (SNF) care co-insurance
No
No
50%
75%
  • Medicare Part A deductible
No
50%
75%
50%
  • Medicare Part B deductible
No
No
No
No
No
No
No
No
  • Medicare Part B ‘excess charges’
No
No
No
No
No
No
No
No
  • Foreign Travel Emergency
No
No
80%
 80%
80%
80%
No
No
 80% 80%
  • Medicare Preventative Care Part B co-insurance
  • Out of Pocket Limits**
N/A
N/A
N/A
N/A
N/A
N/A
  $4,940 $2,470
N/A
N/A

* 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 $2,180 in 2015 before your Medigap plan pays anything.

** After you meet your out-of-pocket yearly limit and your yearly Part B deductible, 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 inpatient admission.

Plan and Pricing
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