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2010 Modernized Medicare Supplement Outline of Coverage Comparison
A B C D F* G
Basic Benefits Basic Benefits Basic Benefits Basic Benefits Basic Benefits Basic Benefits
    Skilled Nursing Facility Coinsurance Skilled Nursing Facility Coinsurance Skilled Nursing Facility Coinsurance Skilled Nursing Facility Coinsurance
  Part A Deductible Part A Deductible Part A Deductible Part A Deductible Part A Deductible
    Part B Deductible   Part B Deductible  
        Part B Excess 100% Part B Excess 100%
    Foreign Travel Emergency Foreign Travel Emergency Foreign Travel Emergency Foreign Travel Emergency
      At-Home Recovery   At-Home Recovery
           
K L M N
100% of Part A Hospitalization Coinsurance plus coverage for 365 Days after Medicare Benefits end.

50% Hospice cost-sharing

50% of Medicare-eligible expenses for the first three pints of blood.

50% Part B Coinsurance, Except 100% Coinsurance for Part B Preventive Services.

100% of Part A Hospitalization Coinsurance plus coverage for 365 Days after Medicare Benefits end.

75% Hospice cost-sharing

75% of Medicare-eligible expenses for the first three pints of blood.

75% Part B Coinsurance, Except 100% Coinsurance for Part B Preventive Services.

 

Basic, including 100% Part B co-insurance Basic, including100% Part B coinsurance, except up to $20copayment for office visit, and up to $50 copayment for ER
50% Skilled Nursing Facility Coinsurance 75% Skilled Nursing Facility Coinsurance Skilled Nursing Facility Co-insurance Skilled Nursing Facility Co-insurance
50% Part A Deductible 75% Part A Deductible 50% of Part A Deductible

 

Part A Deductible
    Foreign Travel Emergency Foreign Travel Emergency
$4,440 Out of Pocket Annual Limit $2,220 Out of Pocket Annual Limit    
After you reach the Out of Pocket Annual Limit these plans pay 100% of Medicare approved charges.
Basic Benefits
In-Patient Hospitalization: Medical Expenses:
1. Coinsurance of $275 a day for days 61-90 1. Part B Coinsurance
2. Coinsurance of $550 a day for days 91-150 2. Blood (First 3 pints each year)
3. Additional 365 Days of in-patient hospital expenses for days over 150
4. Blood (First 3 pints each year)

Additional information:

Part A Deductible = For each benefit period $1,100 for days 1-60 of hospital stay.
Part B Deductible = $155 Yearly
Skilled Nursing Facility Coinsurance = $137.50 per day for days 21-100
Part B excess charges = The deference between the Medicare-approved amount and the limiting charge (no more than 15% above the Medicare-approved amount) for doctor's fees and other assigned Part B services.
Foreign Travel Emergency = 80% coverage for the medically necessary emergency care in a foreign country after a $250 deductible.

Allen Insurance Agency is not employed by, connected with or endorsed by the State Department of Insurance, United States Government or the Federal Medicare program

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