Davidson College. Medicare Eligible Retiree Benefits Program. Your 2014 Retiree Health Benefits

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Davidson College. Medicare Eligible Retiree Benefits Program. Your 2014 Retiree Health Benefits"

Transcription

1 c/o AmWINS Group Benefits/NEBCO 5 Whitecap Drive North Kingstown, RI 2852 Davidson College Medicare Eligible Retiree Benefits Program Your 214 Retiree Health Benefits

2

3 Your 214 Retiree Medical Benefits As the insurance administrator of Davidson College's retiree medical program, National Employee Benefit Companies (NEBCO), an AmWINS Group Benefits operating company, is pleased to provide this information regarding your eligibility for retiree medical and prescription drug insurance. Benefits under the Plan are available to eligible retirees and their spouses who are age 65 or older, no longer working and enrolled in Medicare Parts A and B. Davidson College has notified AmWINS Group Benefits that you and/or your spouse will soon turn age 65, or are already 65 and will be retiring, and eligible to participate in this Retiree Medical and prescription drug program. You become Medicare-eligible on the first day of the month in which your 65th birthday falls. By completing the enclosed enrollment form you are enrolling in both the medical and prescription drug plan. The prescription drug plan is a Medicare Part D plan. The medical plan is based on utilizing Medicare directly as your primary coverage source with a supplement to cover some of the out-of-pocket cost within Medicare Part A and B. In addition, the plan includes Medicare Part D coverage for prescription drugs. We realize that having quality health insurance is extremely important to you. We hope that you will find that your benefits under this plan offer a combination of great coverage and exceptional service. If you have any questions regarding the enclosed materials, please call the AmWINS Group Benefits Customer Care Center, Monday through Friday, 8: AM to 8: PM EST at

4 Retiree medical summary Insurance policy underwritten by Monumental Life Insurance Company, Cedar Rapids, IA for Davidson College MEDICARE (PART A) - HOSPITAL SERVICES - PER BENEFIT PERIOD Services Medicare Pays Plan Pays You Pay Hospitalization*: Semi-private room and board, general nursing and miscellaneous services and supplies: First 6 days All but $ 1,184 $ 1,184 $ 61 st through 9th day All but $ 296 per day $ 296 per day $ 91 st through 15th day: While using 6 lifetime reserve days: All but $ 592 per day $ 592 per day $ Additional 365 days: $ 1% of Medicare- Eligible expenses $ Beyond the Additional 365 days: $ $ All Costs Skilled Nursing Facility Care*: Semi-private room and board, skilled nursing and rehabilitative services and other services and supplies. First 2 days All approved amounts $ $ 21st through 1th day All but $ 148 per day up to $148 per day $ 11st day and after $ $ All Costs Blood: When furnished by a hospital or skilled nursing facility during a covered stay. First 3 pints $ 3 pints $ Additional amounts 1% $ $ Hospice Services Available as long as your doctor certifies you are terminally ill and you elect to receive these services All but very limited coinsurance for outpatient drugs and inpatient respite care $ Balance MEDICARE (PART B) - MEDICAL SERVICES - PER CALENDAR YEAR Services Medicare Pays Plan Pays You Pay Medical Expenses: In or Out of the Hospital and Outpatient Hospital Treatment, such as Physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment: First $147 of Medicare-approved amounts** $ $ $147 Part B Deductible Remainder of Medicare-approved amounts 8% 2% $ Medicare Part B Excess Charges (above Medicare Approved Amounts) $ $ All Costs Clinical Laboratory services, blood tests, urinalysis and more 1% $ $ Blood: First 3 pints are covered by the Plan Next $147 of Medicare-approved amounts** $ $ $147 Part B Deductible Remainder of Medicare-approved amounts 8% 2% $ continued next page

5 Retiree medical summary Insurance policy underwritten by Monumental Life Insurance Company, Cedar Rapids, IA for Davidson College continued from previous page MEDICARE PARTS A & B Services Medicare Pays Plan Pays You Pay Home Health Care: Medicare Approved Services: Medically necessary skilled care services and medical supplies 1% $ $ Durable Medical Equipment: First $147 of Medicare-approved amounts** $ $ $147 Part B Deductible Remainder of Medicare-approved amounts 8% 2% $ other benefits - not covered by Medicare Foreign Travel Emergency: Medically necessary emergency care services beginning during the first 6 days of each trip outside the United States. First $ 1 each Calendar Year $ $ $ 1 Remainder of charges $ 8% to a lifetime maximum of $5, 2% and amounts over the $5, lifetime maximum * A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 6 days in a row. **Once you have been billed $147 of Medicare-Approved amounts for covered services, your Medicare Part B Deductible will have been met for the calendar year. The summary of program benefits described herein is for illustrative purposes only. In case of differences or errors, the Group Policy governs.

6 prescription DRUG summary 214 Medicare GenerationRx (Employer PDP) Prescription Drug Plan 214 Medicare GenerationRx (Employer PDP) Plan Design Monthly Premium Your premium is included in your monthly payment to Davidson College 31-Day Retail 9-Day Mail Order Annual Deductible $ Prescription Benefit Network Retail Pharmacy (up to 31-day supply) Network Mail Order Pharmacy (up to 9-day supply)* Initial Coverage You pay the following until total yearly drug costs reach $2,97 Generic Drugs $9 Co-pay $18 Co-pay Preferred Brand Drugs $49 Co-pay $98 Co-pay Non-Preferred Brand Drugs $7 Co-pay $14 Co-pay Specialty Drugs 33% Coinsurance 33% Coinsurance Coverage Gap Catastrophic Coverage Generics (including brand drugs treated as generic) Once your total drug cost for drugs reaches $2,85, your copays/coinsurance through the Coverage Gap will remain the same until you reach a total out-of-pocket cost of $4,55. Once your reach that out-of-pocket cost of $4,55, you qualify for Catastrophic Coverage. After your yearly out-of-pocket drug cost reach $4,75, you pay the greater of: $2.55 or 5% All other drugs $6.35 or 5% *You save money by using mail service. Copays are 2 times the 31-day supply. You can get a 9-day prescription filled at a network pharmacy; however, the copay is 3 times the 31-day supply. Note: The above amounts are the 214 Medicare amounts.

7 answers to YOuR QuESTIONS Q: Who can I call with questions? A: Please contact the AmWINS Group Benefits/NEBCO Customer Care Center toll-free at , Monday through Friday, from 8: am to 8: pm EST. Q: Who is NEBCO? A: NEBCO, an AmWINS Group Benefits operating company, is the administrator responsible for servicing the retirees who enroll in this retiree medical and prescription drug plan. NEBCO enrolls members and serves as an advocate for the retiree with the insurance carrier. Q: How does the plan work? A: Medicare has certain expenses that are not covered and you may be responsible for some of these costs, such as co-insurance, co-payments, and deductibles. This plan helps with the costs not paid by Medicare. You may go to any doctor, specialist, or hospital that accepts Medicare. Medicare pays its share and then your plan pays based on your plan s benefits. You will receive a notice in the mail (in most cases each month), that includes information on the amount paid on your behalf and any additional amount due. Q: Do I still need my Medicare ID card? A: Yes. You will continue to use your Medicare ID card with this plan in conjunction with your Monumental ID card. Monumental Life Insurance Company is the insurance company. You will also receive a Medicare Generation Rx card (for prescription drugs). Q: Can my over age 65 spouse or domestic partner enroll if I am not yet age 65? A: Yes, if your spouse or domestic partner is currently enrolled under your retiree benefits or has other coverage and loses that coverage, he/she is eligible to enroll in this plan. These rules will apply only to the spouse you were married to at the time you retired from Davidson College. Q: Can my spouse or domestic partner enroll when I am 65 if he/she is not yet 65? A: No, You must be 65 years of age to be eligible for this plan. Q: If my under age spouse or domestic partner is currently on Medicare due to a disability, may I enroll them in this plan? A: No, You must be 65 years of age to be eligible for this plan. Q: When will I receive my ID Cards and additional information? A: ID cards and additional information will be mailed as soon as your enrollment is processed. The medical and prescription ID cards will arrive in two separate packages.

8 Q: How are my medical claims paid? A: As long as your physician accepts Medicare, you will not have to send in any claims forms. Simply present your Monumental Medical ID card along with your Medicare ID card to your doctor. Medicare pays the provider of services the Medicare portion of your claim and forwards the balance due electronically to the Monumental claims administration department. Remaining amounts will be billed to you. Q: What services are not covered by the Monumental plan? A: Services not covered by Medicare are not covered by this plan. Please contact us for the Medicare exclusion list, or contact 1-8-MEDICAR ( ) or visit the Medicare website at Remember prescriptions are covered by Medicare GeneartionRx. Q: Will I have to re-enroll in the plan each year? A: No Q: If I cancel my plan or do not enroll now, can I enroll in the future? A: No, once you opt out of any of the college sponsored coverage s, you are not eligible to enroll. Q: How do I get my prescriptions filled? A: Simply present your Medicare GenerationRx ID card and your prescriptions to any one of the 6, participating pharmacies in the Medicare GenerationRx network and they will fill your prescription. Instructions on how to use Mail-Order for a 9 day supply will be included with your Medicare GenerationRx ID card. Q: How do I find out if my pharmacy is a participating pharmacy? A: You will receive a copy of the formulary listing with your Medicare GenerationRx ID card, Schedule of Benefits, Explanation of Coverage, list of participating pharmacies and Mail Order information prior to your effective date. Or you can contact AmWINS Group Benefits/NEBCO toll-free at Q: How can I lower my drug expenses? A: Generic medications often cost less than their brand-name counter-parts. Talk to your doctor to determine if a generic drug is available. You may also have the option of mail order, where you can receive up to a 9-day supply for two times the retail copay.

9 Q: Do I have the option to enroll in either the medical or prescription drug coverage or do I have to enroll in both plans? A: The health benefit plan combines two separate plans into one package which includes both medical and prescription drug coverage. You may not elect the prescription drug coverage without participating in the medical plan or vice versa. Q: How do I pay for my coverage? A: AmWINS/NEBCO will send you a monthly invoice for the amount shown on the Monthly Premium Summary page. You will need to include your first payment with the enrollment form. You do have the option to sign up for automatic draft from your checking account. Instructions to sign up for this option will be included on your first invoice you receive. Q: Can I enroll in another Medicare Part D plan and this combined medical and prescription plan? A: No. You cannot enroll in two Medicare Part D plans. If you enroll in a Medicare Part D plan, you are not eligible to enroll in Davidson College s combined medical plan and prescription drug plan. Davidson College s prescription plan is a Medicare Part D plan. Q: How do I obtain replacement ID cards for Monumental and/or the Medicare GenerationRx plan? A: Contact AmWINS Group Benefits/NEBCO at , Monday through Friday from 8 a.m. to 8 p.m. EST.

10 Reverse side of form; intentionally left blank.

11

12 Disclaimer: The benefit information contained in this brochure is subject to change at any time, and Davidson College reserves the unlimited right to make benefit plan changes at any time. Any changes to the benefit plans implemented by Davidson College will be considered effective, regardless of whether notice has been given, on the date set by Davidson College. If you are ever in doubt about your retiree medical benefits, please contact AmWINS at

2015 Outline of Coverage Security 65 Medicare Supplement Plans. Plan A Plan B Plan C Plan H Plan H with Drug

2015 Outline of Coverage Security 65 Medicare Supplement Plans. Plan A Plan B Plan C Plan H Plan H with Drug 2015 Outline of Coverage Security 65 Medicare Supplement Plans Plan A Plan B Plan C Plan H Plan H with Drug Independence Blue Cross and Highmark Blue Shield Outline of Medicare Supplement Coverage Security

More information

A B C D F G Basic, including 100% Part B coinsurance. Basic, including 100% Part B coinsurance Skilled Nursing Facility Coinsurance

A B C D F G Basic, including 100% Part B coinsurance. Basic, including 100% Part B coinsurance Skilled Nursing Facility Coinsurance SOUTH CAROLINA HEALTH INSURANCE POOL (SCHIP) OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE 1 OF 2: STANDARDIZED MEDICARE SUPPLEMENT COVERAGE BENEFIT PLANS A and C AVAILABLE These charts show the benefits

More information

A B C D F F* G K L M N Basic, including. Basic, including. coinsurance. 75% Skilled Nursing. Facility Coinsurance. 50% Part A. Deductible.

A B C D F F* G K L M N Basic, including. Basic, including. coinsurance. 75% Skilled Nursing. Facility Coinsurance. 50% Part A. Deductible. This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must make Plan A available. Some plans may not be available in your state. AmeriHealth Insurance

More information

MediGap Plans A, C, F, & N 2016 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE

MediGap Plans A, C, F, & N 2016 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE MediGap Plans A, C, F, & N 2016 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE This page was intentionally left blank. BENEFIT CHART OF MEDICARE SUPPLEMENT PLANS SOLD FOR EFFECTIVE DATES ON OR AFTER JUNE 1, 2010

More information

Aetna Individual Medicare Supplement PlanSM

Aetna Individual Medicare Supplement PlanSM Aetna Individual Medicare Supplement PlanSM Aetna Life Insurance Company Outline of Medicare Supplement Coverage Benefit Plans A, B and F OOC-MD 18.02.312.1 MD (8/04) Outline of Medicare Supplement Coverage

More information

Concordia Health Plan 2016 Enrollment Guide for Medicare Members

Concordia Health Plan 2016 Enrollment Guide for Medicare Members c/o AmWINS Group Benefits 50 Whitecap Drive North Kingstown, RI 02852 Concordia Health Plan 2016 Enrollment Guide for Medicare Members S65 2016 2016 Concordia Health Plan (CHP) Enrollment Guide for Medicare

More information

[COMPANY NAME] Outline of Medicare Supplement Coverage-Cover Page: 1 of 2 Benefit Plans [insert letters of plans being offered

[COMPANY NAME] Outline of Medicare Supplement Coverage-Cover Page: 1 of 2 Benefit Plans [insert letters of plans being offered Incorporated Document (6) [COMPANY NAME] Outline of Medicare Supplement Coverage-Cover Page: 1 of 2 Benefit Plans [insert letters of plans being offered These charts show the benefits included in each

More information

Basic, Including 100% Part B Coinsurance. Part B Coinsurance. Coinsurance* 50% Skilled Nursing Facility Coinsurance. Skilled Nursing Facility

Basic, Including 100% Part B Coinsurance. Part B Coinsurance. Coinsurance* 50% Skilled Nursing Facility Coinsurance. Skilled Nursing Facility AMERICAN RETIREMENT LIFE INSURANCE COMPANY P. O. BOX 26580 AUSTIN, TX 78755-0580 866-459-4272 Outline of Medicare Supplement Coverage - Benefit Plans A, F, G and N This chart shows the benefits included

More information

MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F

MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BENEFIT PLANS A, C AND F Medicare supplement insurance can be sold in only 10 standard plans plus two high deductible

More information

Basic, including 100% Part B coinsurance. Foreign Travel Emergency

Basic, including 100% Part B coinsurance. Foreign Travel Emergency BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA An Independent Licensee of the Blue Cross and Blue Shield Association OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE 1 of 2: BENEFIT PLANS A, B, D and F

More information

Basic, including 100% Part B coinsurance. Foreign Travel Emergency

Basic, including 100% Part B coinsurance. Foreign Travel Emergency BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA An Independent Licensee of the Blue Cross and Blue Shield Association OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE 1 of 2: BENEFIT PLANS A, B, D and F

More information

100% of Medicare-eligible expenses Beyond the additional 365 $0 $0 $0 $0

100% of Medicare-eligible expenses Beyond the additional 365 $0 $0 $0 $0 Medicare Supplement Policy Comparison Chart Effective January 1, 2015 Medicare Supplement or BlueCare Plans A, B and C Part A Hospital Insurance Covered Services SERVICE MEDICARE PAYS PLAN A PAYS PLAN

More information

Plan F & Plan F* Skilled Nursing Facility Coinsurance Part A Deductible Part B. Deductible. Part B Excess (100%) Foreign Travel Emergency

Plan F & Plan F* Skilled Nursing Facility Coinsurance Part A Deductible Part B. Deductible. Part B Excess (100%) Foreign Travel Emergency Outline of Medicare Supplement Coverage By Reason of Age Cover Page: Benefit Plans A, F, High F and N See Outlines of Coverage sections for detail about all plans. This chart shows the benefits included

More information

OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT STANDARD PLANS A, B, C, D, F, J AND HIGH DEDUCTIBLE PLAN F

OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT STANDARD PLANS A, B, C, D, F, J AND HIGH DEDUCTIBLE PLAN F Anthem Blue Cross Blue Shield Connecticut Administrative Office: PO Box 1014 North Haven, CT 06473 Toll Free Telephone Number: 1-800-238-1143 OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT

More information

Skilled Nursing Facility Coinsurance. Skilled Nursing Facility Coinsurance Part A Deductible Part B. Part A Deductible Part B.

Skilled Nursing Facility Coinsurance. Skilled Nursing Facility Coinsurance Part A Deductible Part B. Part A Deductible Part B. Aetna Life Insurance Company Outline of Medicare Supplement Coverage Benefit Plans A, B, F, G and N are Offered Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010

More information

US Airways Medicare Options US Trust 2015 Benefits Guide

US Airways Medicare Options US Trust 2015 Benefits Guide US Airways Medicare Options US Trust 2015 Benefits Guide Welcome to the 2015 Medicare Options US Trust Retiree Benefit Plans This guide includes detailed information regarding the benefit options available

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. GERBER LIFE INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement plans. Every

More information

Medicare Supplement Coverage Options

Medicare Supplement Coverage Options Medicare Supplement Coverage Options Thank you for your interest in our Medicare Supplemental coverage options, also known as HealthNow New York Inc. Medicare Supplement (Medigap) plans. The Medicare Supplement

More information

Outline of Medicare Supplement Coverage

Outline of Medicare Supplement Coverage Outline of Medicare Supplement Coverage Cover Page 1 of 2 ATTAINED AGE BENEFIT PLANS A, C, F, J These charts show the benefits included in each of the 1990 standardized Medicare Supplement plans. Every

More information

2015 Benefit Chart of Medicare Supplement Plans Outline of Coverage 1-888-708-0123 mhinsurance.com

2015 Benefit Chart of Medicare Supplement Plans Outline of Coverage 1-888-708-0123 mhinsurance.com 2015 Benefit Chart of Medicare Supplement Plans Outline of Coverage 1-888-708-0123 mhinsurance.com MEMBERS HEALTH INSURANCE COMPANY Home Office: P.O. Box 1424, Columbia, TN 38402-1424 1-888-708-0123;

More information

Hospitalization and preventive care paid at 100%; other basic benefits paid at 50% Basic, including 100% Part B coinsurance. 100% Part B coinsurance

Hospitalization and preventive care paid at 100%; other basic benefits paid at 50% Basic, including 100% Part B coinsurance. 100% Part B coinsurance Health First Insurance, Inc. OUTLINE OF COVERAGE 2014 Benefit Plans A, F, N Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010 This chart shows the benefits included in each of the

More information

Benefit Chart of Medicare Supplement Plans Sold On or After June 1, 2015

Benefit Chart of Medicare Supplement Plans Sold On or After June 1, 2015 Outline of Medicare Supplement Coverage Benefit Chart of Medicare Supplement Plans Sold On or After June 1, 2015 This chart shows the benefits included in each of the standard Medicare Supplement plans.

More information

Part B. Coinsurance. Skilled Nursing Facility. 50% Skilled Nursing Facility. Coinsurance. Coinsurance 75% Part A Deductible.

Part B. Coinsurance. Skilled Nursing Facility. 50% Skilled Nursing Facility. Coinsurance. Coinsurance 75% Part A Deductible. AMERICAN RETIREMENT LIFE INSURANCE COMPANY P. O. BOX 26580 AUSTIN, TX 78755-0580 866-459-4272 Outline of Medicare Supplement Coverage - Benefit Plans A, F, G and N This chart shows the benefits included

More information

After SERIP Health Insurance Options

After SERIP Health Insurance Options After SERIP Health Insurance Options 03/2015 SERIP The SERIP contribution continues for five years through the end of the month in which you retired in 2010 Example You retired on May 7, 2010. The state

More information

Benefit Chart of Medicare Supplement Plans Sold On or After January 1, 2015

Benefit Chart of Medicare Supplement Plans Sold On or After January 1, 2015 19 North Main Street, Wilkes-Barre, Pennsylvania, 18711 Blue Cross of Northeastern Pennsylvania Benefit Chart of Medicare Supplement Plans Sold On or After January 1, 2015 BlueCare Security Benefit Plans

More information

MEDICARE SUPPLEMENT OUTLINE OF BENEFIT COVERAGE

MEDICARE SUPPLEMENT OUTLINE OF BENEFIT COVERAGE Shaded Sections show Benefit Plans A, B, C, F, High Deductible F*, M and N which are available These charts show the benefits included in each of the standard Medicare Supplement plans. Every company must

More information

Basic, Including 100% Part B Coinsurance. Part B Coinsurance. Coinsurance* 50% Skilled Nursing Facility Coinsurance. Skilled Nursing Facility

Basic, Including 100% Part B Coinsurance. Part B Coinsurance. Coinsurance* 50% Skilled Nursing Facility Coinsurance. Skilled Nursing Facility AMERICAN RETIREMENT LIFE INSURANCE COMPANY P. O. BOX 26580 AUSTIN, TX 78755-0580 866-459-4272 Outline of Medicare Supplement Coverage - Benefit Plans A, F, G and N This chart shows the benefits included

More information

UNITED AMERICAN INSURANCE COMPANY

UNITED AMERICAN INSURANCE COMPANY UNITED AMERICAN INSURANCE COMPANY A Nebraska Stock Company Administrative Offices: McKinney, Texas Outline of Medicare Supplement Coverage - Cover Page: 1 of 2 Benefit Plans B, HDF These charts show the

More information

Vermont Blue 65. Coverage for Vermonters with Medicare. 2016 Medicare Supplemental Products. Group Brochure. An independent, local Vermont company

Vermont Blue 65. Coverage for Vermonters with Medicare. 2016 Medicare Supplemental Products. Group Brochure. An independent, local Vermont company Vermont Blue 65 SM Coverage for Vermonters with Medicare 2016 Medicare Supplemental Products Group Brochure An independent, local Vermont company Three smart steps to quality health care after retirement:

More information

Basic, including 100% Part B coinsurance Skilled Nursing Facility Coinsurance

Basic, including 100% Part B coinsurance Skilled Nursing Facility Coinsurance Group Health Options, Inc. Outline of Medicare Supplement Coverage - Cover Page Benefit Plans A, F, K and N See Outlines of Coverage sections for details about ALL plans These charts show the benefits

More information

Medicare Supplement Coverage Options

Medicare Supplement Coverage Options Medicare Supplement Coverage Options Thank you for your interest in our Medicare Supplemental coverage options, also known as HealthNow New York Inc. Medicare Supplement (Medigap) plans. The Medicare Supplement

More information

Benefit Chart of Medicare Supplement Plans Sold on or After January 1, 2014

Benefit Chart of Medicare Supplement Plans Sold on or After January 1, 2014 Benefit Chart of Medicare Supplement Plans Sold on or After January 1, 2014 This chart shows the benefits included in each of the standard Medicare Supplement plans. Every company must make available Plans

More information

Offered by. Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010

Offered by. Benefit Chart of Medicare Supplement Plans Sold on or After June 1, 2010 SecureBlue This chart shows the benefits included in each of the standard Medicare Supplement plans. Every company must make available Plans A, B and C or F. Some plans may not be available in your state.

More information

Medicare Supplement Outline of Coverage

Medicare Supplement Outline of Coverage Blue Cross and Blue Shield of Nebraska Medicare Supplement Outline of Coverage Benefit Plans: A, B, C, F, G and L Rates Valid: April 1, 2016 through March 31, 2017 For Plans Effective: January 1, 2016

More information

Basic, including 100% Part B coinsurance. Foreign Travel Emergency

Basic, including 100% Part B coinsurance. Foreign Travel Emergency BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA An Independent Licensee of the Blue Cross and Blue Shield Association OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE 1 of 2: BENEFIT PLANS A, C, L and N

More information

Coinsurance Part A. Deductible. Nursing. Benefits. Skilled. Part B. Coinsurance Part A. Deductible. Nursing. Benefits. Skilled. Coinsurance Part A

Coinsurance Part A. Deductible. Nursing. Benefits. Skilled. Part B. Coinsurance Part A. Deductible. Nursing. Benefits. Skilled. Coinsurance Part A Guarantee Trust Life Insurance Company Outline of Medicare Supplement Coverage Cover Page: 1 of 2 Benefit Plan(s) A, D, G These charts show the benefits included in each of the standard Medicare supplement

More information

MedicareBlue Supplement SM

MedicareBlue Supplement SM MedicareBlue Supplement SM Important Information about the enclosed premiums and Medicare deductibles and cost-sharing amounts The MedicareBlue Supplement information enclosed in this Outline of Coverage

More information

HealthNow New York Inc. Mailing address: PO BOX 15013, Albany, New York 12212-5012 Physical address: 30 Century Hill Drive, Latham, New York 12110

HealthNow New York Inc. Mailing address: PO BOX 15013, Albany, New York 12212-5012 Physical address: 30 Century Hill Drive, Latham, New York 12110 HealthNow New York Inc. Mailing address: PO BOX 15013, Albany, New York 12212-5012 Physical address: 30 Century Hill Drive, Latham, New York 12110 Benefit Chart of Medicare Supplement Plans Sold for Effective

More information

Texas Department of Insurance

Texas Department of Insurance Texas Department of Insurance Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010 This chart shows the benefits included in each of the standard Medicare supplement

More information

Basic, including 100% Part B coinsurance. Skilled Nursing Facility Coinsuranc e Part A Deductible Part B

Basic, including 100% Part B coinsurance. Skilled Nursing Facility Coinsuranc e Part A Deductible Part B Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010 This chart shows the benefits included in each of the standard Medicare supplement plans. Every company must

More information

K L M N Basic, including Basic,

K L M N Basic, including Basic, Companion Life Insurance Company Administrative Office PO Box 14158 Clearwater, Florida 33766-4158 (888) 220-0466 Outline of Medicare Supplement Coverage Cover Page Benefit Plans A, F and G - See Outlines

More information

Plan F* Plan G. Basic, including 100% Basic, including 100% Basic, including 100% Part B coinsurance. Skilled nursing facility coinsurance

Plan F* Plan G. Basic, including 100% Basic, including 100% Basic, including 100% Part B coinsurance. Skilled nursing facility coinsurance Outline of Coverage UnitedHealthcare Insurance Company Overview of Available s Benefit Chart of Medicare Supplement s Sold on or After June 1, 2010 This chart shows the benefits included in each of the

More information

Outline of Medicare Supplement Coverage

Outline of Medicare Supplement Coverage Outline of Medicare Supplement Coverage Effective January 1, 2015 301 S. Vine St., Urbana, IL 61801-3347 1-800-965-4022 TTY 711 HealthAllianceMedicare.org med-msoutcov-11 med-2105msoutcov-1114 November

More information

Basic, including 100% Part B coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing

Basic, including 100% Part B coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, B, C, D, F AND G These charts show the benefits included in each of the standard Medicare supplement

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, C, D, F, AND G This chart shows the benefits included in each of the standard Medicare

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, C, D, F, AND G This chart shows the benefits included in each of the standard Medicare

More information

A B C D F F* G K L M N Basic,

A B C D F F* G K L M N Basic, Outline of Medicare Supplement Coverage Benefit Plans A, D, and F Corporate Office Omaha, NE Administrative Services PO Box 10386 Des Moines, IA 50306 www.gomedico.com Toll-Free 1-800-228-6080 This chart

More information

A B C D F F* G K L M N Basic,

A B C D F F* G K L M N Basic, Outline of Medicare Supplement Coverage Benefit Plans A, D, and F Corporate Office Omaha, NE Administrative Services PO Box 10386 Des Moines, IA 50306 www.gomedico.com Toll-Free 1-800-228-6080 This chart

More information

HealthNow New York Inc. Mailing address: PO BOX 13599, Albany, New York 12214-5767 Physical address: 30 Century Hill Drive, Latham, New York 12110

HealthNow New York Inc. Mailing address: PO BOX 13599, Albany, New York 12214-5767 Physical address: 30 Century Hill Drive, Latham, New York 12110 HealthNow New York Inc. Mailing address: PO BOX 13599, Albany, New York 12214-5767 Physical address: 30 Century Hill Drive, Latham, New York 12110 Benefit Chart of Medicare Supplement Plans Sold for Effective

More information

Outline of Medicare Supplement Coverage

Outline of Medicare Supplement Coverage Outline of Medicare Supplement Coverage Cover page 1 of 2 Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010 Plans A, B, C, D, F, high deductible F, G, L, M This

More information

Outline of Medicare Supplement Coverage - Standard Benefits for Plans A, B, C, F, High Deductible Plan F*, G, K, L and N

Outline of Medicare Supplement Coverage - Standard Benefits for Plans A, B, C, F, High Deductible Plan F*, G, K, L and N Outline of Medicare Supplement Coverage - Standard Benefits for Plans A, B, C, F, High Deductible Plan F*, G, K, L and N This chart shows the benefits included in each of the standard Medicare supplement

More information

A B C D F F* G K L M N Basic, Co-insurance. Skilled Nursing Facility Co-insurance 50% Part A. Skilled Nursing Facility. Part A Deductible Part B

A B C D F F* G K L M N Basic, Co-insurance. Skilled Nursing Facility Co-insurance 50% Part A. Skilled Nursing Facility. Part A Deductible Part B TRANSAMERICA PREMIER LIFE INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, G AND N SEE OUTLINES OF COVERAGE SECTIONS FOR DETAILS ABOUT ALL PLANS These charts show

More information

A B C D F F* G K L M N. Basic Benefits. Basic Benefits* Skilled Nursing Facility Coinsurance Part A Deductible Part B. 50% Skilled Nursing Facility

A B C D F F* G K L M N. Basic Benefits. Basic Benefits* Skilled Nursing Facility Coinsurance Part A Deductible Part B. 50% Skilled Nursing Facility Outline of Medicare Supplement Coverage Standard Benefit for Plan A, Plan F, High Plan F*, Plan N, and Blue Plan65 Select Benefit for Plan F and Plan N This chart shows the benefits included in each of

More information

A B C D F F* G K L M N Basic,

A B C D F F* G K L M N Basic, 1515 South 75th Street Omaha, Nebraska 68124 Outline of Medicare Supplement Coverage Benefit Plans A, D, and F www.gomedico.com Toll-Free 1-800-228-6080 This chart shows the benefits included in each of

More information

MedicareBlue Supplement

MedicareBlue Supplement SM MedicareBlue Supplement Plans A, D, F, High Deductible F, and N 2015 Outlines of Coverage Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or after January 1, 2015 This chart shows

More information

OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, F AND G

OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, F AND G UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, F AND G These charts show the benefits included in each of the standard

More information

100% of Medicare-eligible expenses Beyond the additional 365 $0 $0 $0 $0

100% of Medicare-eligible expenses Beyond the additional 365 $0 $0 $0 $0 Medicare Supplement Policy Comparison Chart Effective January 1, 2013 Medicare Select or BlueSelect Plans B, C and D Part A Hospital Insurance Covered Services SERVICE MEDICARE PAYS PLAN B PAYS PLAN C

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement plans.

More information

MEDICARE SUPPLEMENT PLANS PLUS PRESCRIPTION COVERAGE

MEDICARE SUPPLEMENT PLANS PLUS PRESCRIPTION COVERAGE MEDICARE SUPPLEMENT PLANS PLUS PRESCRIPTION COVERAGE FOR EMPLOYER GROUPS 2015 Toll-free 1-800-851-3379 ext. 8024 TTY/TDD 711 HealthAlliance.org mkt-grpmspdpbro-1014 Group Medicare Plans-Coverage for real

More information

RETIREE MED CONFIDENCE

RETIREE MED CONFIDENCE RETIREE MED CONFIDENCE THE INSURANCE PROGRAM THAT STARTS WHERE MEDICARE STOPS Retiree Med Confidence was specifically designed to provide Employer Groups and their valued eligible retirees with a quality

More information

Health plans for every body

Health plans for every body Health plans for every body Supplemental coverage for Medicare members Medicare modahealth.com/medicare Available April 1 through Dec. 31, 2015 Hello. Welcome to Moda Health, the place you go when you

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement

More information

Basic, including. Hospitalization and preventive care paid. 50% Skilled Nursing. Part A Deductible. 50% Part A. Deductible

Basic, including. Hospitalization and preventive care paid. 50% Skilled Nursing. Part A Deductible. 50% Part A. Deductible United of Omaha Life Insurance Company A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, C, F, HIGH DEDUCTIBLE F, G, M AND N This chart shows the benefits included

More information

OUTLINE OF COVERAGE. Regence Bridge. Medicare Supplement (Medigap) Plans

OUTLINE OF COVERAGE. Regence Bridge. Medicare Supplement (Medigap) Plans OUTLINE OF COVERAGE Regence Bridge Medicare Supplement (Medigap) Plans Regence BlueCross BlueShield of Utah is an Independent Licensee of the Blue Cross and Blue Shield Association 09713rep07355-ut UT

More information

Medicare. Supplemental Coverage Outline. n Supplement-65 District of Columbia

Medicare. Supplemental Coverage Outline. n Supplement-65 District of Columbia Medicare Supplemental Coverage Outline n Supplement-65 District of Columbia SUDDCOB (1/09) Offered by Group Hospitalization and Medical Services, Inc.* d/b/a CareFirst BlueCross BlueShield 840 First Street,

More information

Skilled Nursing Facility Coinsurance Part A Deductible Part B. Deductible. Part B Excess- 100% Foreign Travel Emergency

Skilled Nursing Facility Coinsurance Part A Deductible Part B. Deductible. Part B Excess- 100% Foreign Travel Emergency Aetna Life Insurance Company Outline of Medicare Supplement Coverage Benefit Plans A, B, F, G and N are Offered Medicare supplement contracts can be sold in only standard plans. This chart shows the benefits

More information

Regence Bridge. Medicare Supplement (Medigap) Plans

Regence Bridge. Medicare Supplement (Medigap) Plans OUTLINE OF COVERAGE Regence Bridge Medicare Supplement (Medigap) Plans Regence BlueCross BlueShield of Oregon is an Independent Licensee of the Blue Cross and Blue Shield Association 07355rep06630-or OR

More information

Outline of Medicare Supplement Coverage

Outline of Medicare Supplement Coverage Outline of Medicare Supplement Coverage Benefit Plans A, C, F, L, N for 2016 Outline of Medicare Supplement Coverage Benefit Plans A, C, F, L, N for 2016 These charts show the benefits included in each

More information

A B C D F F* G K L M N. Basic Benefits. Basic Benefits* Skilled Nursing Facility Coinsurance Part A Deductible. 50% Skilled Nursing Facility

A B C D F F* G K L M N. Basic Benefits. Basic Benefits* Skilled Nursing Facility Coinsurance Part A Deductible. 50% Skilled Nursing Facility Outline of Medicare Supplement Coverage Standard Benefit for Plan A, Plan F, High Plan F*, Plan N, and Blue Plan65 Select SM Benefit for Plan F and Plan N This chart shows the benefits included in each

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement

More information

Basic, including 100% Part B coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. UNITED WORLD LIFE INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, B, C, D, F, G, AND M These charts show the benefits included in each of

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement plans.

More information

Basic, including 100% Part B coinsurance* Basic, including 100% Part B coinsurance. Skilled Nursing Facility Coinsurance Part A Deductible

Basic, including 100% Part B coinsurance* Basic, including 100% Part B coinsurance. Skilled Nursing Facility Coinsurance Part A Deductible (Agency Note: Proposed new N.J.A.C. 11:4-23 Appendix Exhibit D reproduced below is not depicted in boldface, as would be the standard format for proposed new text, in order for the permanent boldfacing

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement plans.

More information

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing.

Basic, including 100% Part B Coinsurance, except up to $20 copayment for office visit, and up to $50 copayment for ER Skilled Nursing. OMAHA INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F, AND G This chart shows the benefits included in each of the standard Medicare supplement

More information

Outline of Medicare Supplement Coverage Cover Page: 1 of 2 Benefit Plan A, Plan D, Plan F, Plan K and Plan L

Outline of Medicare Supplement Coverage Cover Page: 1 of 2 Benefit Plan A, Plan D, Plan F, Plan K and Plan L Outline of Medicare Supplement Coverage Cover Page: 1 of 2 Benefit Plan A, Plan D, Plan F, Plan K and Plan L Medicare Supplement insurance can be sold in only 12 standard plans plus two high-deductible

More information

Basic, including 100% Part B. Part B co- Skilled Nursing Facility Coinsurance. Skilled Nursing. Skilled Nursing Facility Coinsurance

Basic, including 100% Part B. Part B co- Skilled Nursing Facility Coinsurance. Skilled Nursing. Skilled Nursing Facility Coinsurance UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE SUPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, C, F, G, and M These charts show the benefits included in each of the

More information

Moda Health Coverage Outline

Moda Health Coverage Outline Moda Health Coverage Outline Thank you for your interest in the Moda Health Senior Select Medicare Supplement plan! Attached is a copy of the policy Outline of Coverage and we have supplied you with a

More information

2015 Medicare Supplement Program

2015 Medicare Supplement Program 2015 Medicare Supplement Program NUSCO Retiree Health Plan Medicare Eligible Retirees and Surviving Spouses Your Medicare Supplement Program This guide can help you better understand your Medicare Supplement

More information

Medicare. Supplemental Coverage Outline. n MediGap-65 Maryland

Medicare. Supplemental Coverage Outline. n MediGap-65 Maryland Medicare Supplemental Coverage Outline n MediGap-65 Maryland MGMDOB (1/09) Offered by CareFirst of Maryland, Inc.* d/b/a CareFirst BlueCross BlueShield 10455 Mill Run Circle Owings Mills, Maryland 21117-5559

More information

UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company

UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company UNITED OF OMAHA LIFE INSURANCE COMPANY A Mutual of Omaha Company OUTLINE OF MEDICARE S UPPLEMENT COVERAGE COVER PAGE BENEFIT PLANS A, F AND G These charts show the benefits included in each of the standard

More information

APPLICATION FOR MEDICARE SUPPLEMENT INSURANCE ILLINOIS

APPLICATION FOR MEDICARE SUPPLEMENT INSURANCE ILLINOIS HEARTLAND NATIONAL LIFE INSURANCE COMPANY Medicare Supplement Administrative Office: PO Box 2878, Salt Lake City, UT 84110-2878 APPLICATION FOR MEDICARE SUPPLEMENT INSURANCE ILLINOIS HNAPP2013IL (2014)

More information

Simply BLUE MEDICARE SUPPLEMENT PLANS SR BRO 2013.1.A

Simply BLUE MEDICARE SUPPLEMENT PLANS SR BRO 2013.1.A Simply BLUE MEDICARE SUPPLEMENT PLANS 2013 SR BRO 2013.1.A Simply BLUE Table of Contents Standard Benefit Offerings... 2 Disclosures... 3 Important Facts to Consider... 4 Supplement Plan Premiums... 5

More information

Outline of coverage. January 2015 May 2015

Outline of coverage. January 2015 May 2015 January 2015 May 2015 Outline of coverage The federal government has asked us to provide this outline of coverage to help you decide which plan best fits your needs and meets your budget. D98, 10/14, SM

More information

Outline of coverage. June 2014 May 2015

Outline of coverage. June 2014 May 2015 June 2014 May 2015 Outline of coverage The federal government has asked us to provide this outline of coverage to help you decide which plan best fits your needs and meets your budget. D98, 3/14, SM Marks

More information

Outline of coverage. June 2015 - May 2016

Outline of coverage. June 2015 - May 2016 June 2015 - May 2016 Outline of coverage The federal government has asked us to provide this outline of coverage to help you decide which plan best fits your needs and meets your budget. D98, 2/15, SM

More information

Outline of Medicare Supplement Coverage

Outline of Medicare Supplement Coverage Outline of Medicare Supplement Coverage for Vermont residents Medicare supplement benefit plans with Dental and Vision: A, F, High Deductible F, K, and N Humana Reader s Digest Healthy Living Medicare

More information

MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, C, D, F AND G

MUTUAL OF OMAHA INSURANCE COMPANY OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, C, D, F AND G OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE 1 BENEFIT PLANS A, C, D, F AND G These charts show the benefits included in each of the standard Medicare supplement plans. Every company must make

More information

Medicare Supplement Coverage Options

Medicare Supplement Coverage Options A Division of HealthNow New York Inc. An Independent Licensee of the BlueCross BlueShield Association. Medicare Supplement Coverage Options Thank you for your interest in our Medicare Supplemental coverage

More information

GERBER LIFE INSURANCE COMPANY WHITE PLAINS, NEW YORK OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE

GERBER LIFE INSURANCE COMPANY WHITE PLAINS, NEW YORK OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE GERBER LIFE INSURANCE COMPANY WHITE PLAINS, NEW YORK OUTLINE OF MEDICARE SUPPLEMENT COVERAGE - COVER PAGE BASIC AND EXTENDED BASIC PLANS The Commissioner of Insurance of the State of Minnesota has established

More information

Medicare Supplement Coverage Options

Medicare Supplement Coverage Options Medicare Supplement Coverage Options Thank you for your interest in our Medicare Supplemental coverage options, also known as Traditional Blue (Medigap) policies. The Medicare Supplement Plans, when combined

More information

Skilled Nursing Facility Coinsurance Part A Deductible Part A Deductible Part A Deductible Part A Deductible Part A Deductible

Skilled Nursing Facility Coinsurance Part A Deductible Part A Deductible Part A Deductible Part A Deductible Part A Deductible BLUE CROSS AND BLUE SHIELD OF SOUTH CAROLINA An Independent Licensee of the Blue Cross and Blue Shield Association OUTLINE OF BLUE SELECT COVERAGE COVER PAGE 1 of 2: BENEFIT PLANS TRADITIONAL A and BLUE

More information

Omaha Insurance Company Application Packet

Omaha Insurance Company Application Packet Omaha Insurance Company Application Packet Thank you for your interest in the Omaha Insurance Company Medicare Supplement plan! This application packet provides you with a link to the Online Application

More information

A B C D F F* G K L M N. Basic, including 100% Part B Coinsurance. Part B. 75% Skilled Nursing Facility. Part B. Deductible

A B C D F F* G K L M N. Basic, including 100% Part B Coinsurance. Part B. 75% Skilled Nursing Facility. Part B. Deductible This chart shows the benefits included in each of the standard supplement plans sold for effective dates on or after June 1, 2010. Every company must make Plan A available. Blue Cross and Blue Shield of

More information

Simply BLUE MEDICARE SUPPLEMENT PLANS SR BRO 2015

Simply BLUE MEDICARE SUPPLEMENT PLANS SR BRO 2015 Simply BLUE MEDICARE SUPPLEMENT PLANS 2015 SR BRO 2015 Simply BLUE Table of Contents Standard Benefit Offerings...2 Disclosures...3 Important Facts to Consider...4 Supplement Plan Premiums...5 Benefit

More information

Humana Insurance Company Outline of Medicare Supplement Coverage - Cover Page: Benefit Plans Core and Supplement 1

Humana Insurance Company Outline of Medicare Supplement Coverage - Cover Page: Benefit Plans Core and Supplement 1 MA81077PD2 Page 1 Humana Insurance Company Outline of Medicare Supplement Coverage - Cover Page: Benefit Plans Core and Supplement 1 Medicare Supplement Insurance can be sold in only two standard plans.

More information

A B C D F F* G K L M N. Basic, including 100% Part B Coinsurance. Part B. Skilled Nursing Facility Coinsurance Part A Deductible Part B

A B C D F F* G K L M N. Basic, including 100% Part B Coinsurance. Part B. Skilled Nursing Facility Coinsurance Part A Deductible Part B This chart shows the benefits included in each of the standard Medicare supplement plans sold for effective dates on or after June 1, 2010. Every company must make Plan A available. Blue Cross and Blue

More information

MENDOCINO COUNTY 2010 HEALTH CARE BENEFITS FOR MEDICARE-ELIGIBLE RETIREES AND DEPENDENTS Questions and Answers

MENDOCINO COUNTY 2010 HEALTH CARE BENEFITS FOR MEDICARE-ELIGIBLE RETIREES AND DEPENDENTS Questions and Answers MENDOCINO COUNTY 2010 HEALTH CARE BENEFITS FOR MEDICARE-ELIGIBLE RETIREES AND DEPENDENTS Questions and Answers Q. Why the change? A. Anticipated exhaustion of the retiree health reserves by the end of

More information

Harvard Pilgrim s Medicare Supplement Plan HPHC Insurance Company, Inc.

Harvard Pilgrim s Medicare Supplement Plan HPHC Insurance Company, Inc. Medicare Supplement Core Massachusetts 2015 Coverage underwritten by HPHC Insurance Company, an affiliate of Harvard Pilgrim Health Care. Harvard Pilgrim s Medicare Supplement Plan HPHC Insurance Company,

More information

AFLAC MEDICARE SUPPLEMENT

AFLAC MEDICARE SUPPLEMENT AFLAC MEDICARE SUPPLEMENT P E N N S Y LVA N I A 2 0 13 IC(1/13) AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS Outline of Medicare Supplement Coverage Benefit Plans A, B, C, D, F, G and N Benefit

More information