Plan E

This provides details about Medicare Supplement Plan E in 2010.

Plan E is no longer available for sale. If you currently have a plan E you will be grandfathered in and can keep the plan. If you would like to look at the 2019 Modernized plans click here.

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Special Notes: 2010 Information

• You pay the Part B excess when you see a provider that does not accept Medicare Assignment.
• You pay the Part B annual deductible of $ 155.00 per year.
• Plan E pays the 20% remainder of Medicare Approved Amounts.
• Foreign Travel Emergency benefits are included in this plan.
• The Basic Benefits, the Part A deductible of 1100.00 is paid by the plan and Skilled Nursing Coinsurance is included in this plan.
• The plan pays the Part A Deductible of $ 1100.00 per benefit period.
• The Plan pays up to $ 120.00 for preventative not paid by Medicare per year.

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Medicare Supplement Plan Comparison. Choose a letter to see the plan summary. A B C D E F G H I J K L
Plan E 2010 MEDICARE (PART A) - HOSPITAL SERVICES - PER BENEFIT PERIOD
* 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 60 days in a row.
Service:	HOSPITALIZATION* Semiprivate room and board, general nursing and miscellaneous services and supplies:
	MEDICARE PAYS	PLAN PAYS	YOU PAY
First 60 days	All but $1100	$1100  (Part A Deductible)	$0
61st through 90th day	All but $275 a day	$275 a day	$0
91st day and after:
While using 60 lifetime reserve days	All but $550 a day	$550 a day	$0
Once lifetime reserve days are used:
Additional 365 days	$0	100% of Medicare Eligible Expenses	$0**
Beyond the Additional 365 days	$0	$0	All costs
Service:	SKILLED NURSING FACILITY CARE * You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility within 30 days after leaving the hospital:
First 20 days	All approved amounts	$0	$0
21st through 100th day	All but $137.50 a day	Up to $137.50 a day	$0
101st day and after	$0	$0	All costs
Service:	BLOOD
First 3 pints	$0	3 pints	$0
Additional amounts	100%	$0	$0
Service:	HOSPICE CARE 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	$0	Balance
**NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy's "Core Benefits." During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Plan E 2010 MEDICARE (PART B) - MEDICAL SERVICES - PER CALENDAR YEAR
* Once you have been billed $155 of Medicare-Approved amounts for covered services (which are noted with an asterisk), your Medicare Part B Deductible will have been met for the calendar year.
Service:	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:
	MEDICARE PAYS	PLAN PAYS	YOU PAY
First $155 of Medicare Approved Amounts*	$0	$0	$155 (Part B Deductible)
Remainder of Medicare Approved Amounts	Generally 80%	Generally 20%	$0
Part B Excess Charges (Above Medicare Approved Amounts)	$0	$0	All costs
Service:	BLOOD
First 3 pints	$0	All cost	$0
Next $155 of Medicare Approved Amounts*	$0	$0	$155 (Part B Deductible)
Remainder of Medicare Approved Amounts	80%	20%	$0
Service:	CLINICAL LABORATORY SERVICES
Blood tests for Diagnostic Services	100%	$0	$0
MEDICARE  PARTS  A & B
Service:	HOME HEALTH CARE Medicare Approved Services:
	MEDICARE PAYS	PLAN PAYS	YOU PAY
Medically necessary skilled care services and medical supplies	100%	$0	$0
Durable medical equipment:
First $155 of Medicare Approved Amounts*	$0	$0	$155 (Part B Deductible)
Remainder of Medicare Approved Amounts	80%	20%	$0
OTHER BENEFITS - NOT COVERED BY MEDICARE
Service:	FOREIGN TRAVEL Medically necessary emergency care services beginning during the first 60 days of each trip outside the USA:
First $250 each calendar year	$0	$0	$250
Remainder of charges	$0	80% to a lifetime maximum of $50,000	20% and amounts over the $50,000 lifetime maximum
Service:	***PREVENTIVE MEDICAL CARE BENEFIT-NOT COVERED BY MEDICARE Some annual physical and preventative tests and services such as: digital rectal exam, hearing screening, dipstick urinalysis, diabetes screening, thyroid function test, tetanus and diphtheria booster and education, administered or ordered by your doctor when not covered by Medicare:
First $120 each calendar year	$0	$120	$0
Additional charges	$0	$0	All costs
***Medicare benefits are subject to change. Please consult the latest Guide to Health Insurance for People with Medicare.

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