Best Texas Medicare Supplement Prices
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Eleven Standardized Medicare Supplement Insurance Plans
Benefit Chart of Medicare Supplement Plans Sold for Effective Dates on or After June 1, 2010.
These charts show the benefits included in each of the standard Medicare supplement plans. Every company must make available Plan "A". Some plans may not be available in your state. Plans E, H, I, and J are no longer available for sale.
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Basic, including 100% Part B co-insurance
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Basic, including 100% Part B co-insurance
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Basic, including 100% Part B co-insurance
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Basic, including 100% Part B co-insurance
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Basic, including 100% Part B co-insurance*
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Basic, including 100% Part B co-insurance
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Skilled Nursing Facility Co-insurance
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Skilled Nursing Facility Co-insurance
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Skilled Nursing Facility Co-insurance
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Skilled Nursing Facility Co-insurance
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Hospita-
lization and preventive care paid at 100%; other basic benefits paid at 50%
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Hospita-
lization and preventive care paid at 100%; other basic benefits paid at 75%
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Basic, including 100% Part B coinsurance
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Basic, including 100% Part B co-insurance, except up to $20 copayment for office visit, and up to $50 copayment for ER
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50% Skilled Nursing Facility Co-insurance
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75% Skilled Nursing Facility Co-insurance
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Skilled Nursing Facility Co-insurance
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Skilled Nursing Facility Co-insurance
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Out-of-pocket limit $4,660; paid at 100% after limit is reached
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Out-of-pocket limit $2,330; paid at 100% after limit is reached
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*Plans F also has an option called a high deductible Plan F. This high deductible plans pays the same benefits as Plan F after on has paid a calendar year $2,070 deductible. Benefits from a high deductible Plan F will not begin until out-of-pocket expenses exceed $2,070. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid be the policy/certificate. These expenses include the Medicare deductibles for Part A and Part B, but do not include the plans' separate foreign travel emergency deductible.
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Basic Benefits
Hospitalization
• Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.
Medical Expense
• Part B coinsurance (generally 20% of Medicare-approved expenses) or copayments for hospital outpatient services. Plans K, L, and N require insureds to pay a portion of Part B coinsurance or copayments.
Blood
• First 3 pints of blood each year.
Hospice
• Part A coinsurance
Medicare Part A Hospital Deductible
• The 2012 deductible is $1,156
Skilled Nursing Facility (SNF) Coinsurance
• $144.50 a day for days 21-100 in a Skilled Nursing Facility in 2012
Medicare Part B Yearly Deductible
• The 2012 deductible is $140
Medicare Part B Excess Charges
• Difference between doctor's charge and Medicare's approved amount
• Up to 15% above the Medicare approved charge which is the doctor’s maximum charge
Foreign Travel Emergency
• Pays 80% of the cost of emergency care during the first two months of each trip after you pay a $250 deductible
• Lifetime maximum of $50,000
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