      
    
   
|
How Medicare Supplement Plan
F
helps
to "fill the gaps" for 2004.... |
Part A- Medicare Hospital Insurance
(Semi-Private
room, general nursing services, hospital services and supplies) |
INPATIENT HOSPITAL |
MEDICARE PAYS |
PLAN F PAYS |
YOU PAY |
| Day 1 - 60 |
All but $876 |
$876 |
Nothing! |
| Day 61 - 90 |
All but $219/day |
$219/day |
Nothing! |
| Day 91 - 150 |
All but $438/day |
$438/day |
Nothing! |
| Day 150 + |
Nothing! |
100% for next 365 Days |
Nothing! |
| Skilled Nursing Care |
MEDICARE PAYS |
PLAN F PAYS |
YOU PAY |
| Day 1 - 20 |
100% |
Nothing |
Nothing! |
| Day 21 - 100 |
All but $109.50/day |
$109.50/day |
Nothing! |
| Day 100 + |
Nothing! |
Nothing |
All Costs** |
**
See Long Term Care for details.
Part B- Medicare Medical Insurance
(Doctor's services in/outpatient, medical/surgical
services; physical, speech & occupational therapy; diagnostic tests, durable medical
equipment; Home Health Care; blood)
| |
MEDICARE PAYS |
PLAN F PAYS |
YOU PAY |
| Part B Deductible |
Nothing! |
$100 |
Nothing! |
| Expenses "approved by Medicare" |
80% |
20% |
Nothing! |
| "Excess Charges": If a physician does not 'accept Medicare assignment',
he can bill you for an additional 15% of the approved amount. |
Nothing! |
100% |
Nothing! |
An Example Of How Plan F Pays.... |
|
Example: Doctors Bill is $1,000
Let's say Medicare approves $600.... |
|
| |
|
| Medicare will pay 80% of $600 |
$480 |
| Plan F pays 20% of $600 |
$120 |
| |
|
| If Doctor does NOT accept Medicare assignment, he can bill 115% of $600 |
$90 |
| Plan F will pay 100% of these "Excess Charges" |
$90 |
| |
|
| Total paid by Medicare and Plan F: $690 |
$690 |
| You pay |
$0 |
If
you would like further information about the Medicare Supplements that we offer in
Virginia or Maryland,
please feel free to drop us a note! |