|
Modernized Plan A 2019
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 $1364 |
$0 |
$1364 (Per Benefit Period) |
61st through 90th day |
All but $341 |
$341 a day |
$0 |
91st day and after: |
|
|
|
While using 60 lifetime
reserve days |
All but $682 a day |
$682 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 $170.50 a day
|
$0
|
Up to $170.50 a day
|
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 you
meet Medicare's
requirements,
your doctor certifies
you are terminally ill
and you elect to receive
these services. |
Outpatient Prescription
Drugs |
All but $5 |
$5 |
$0 |
Inpatient Respite Care |
All but 5% |
5% of Medicare's
approved amount |
$0 |
**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.
|
|
Modernized Plan A 2019
MEDICARE (PART B) - MEDICAL
SERVICES - PER CALENDAR
YEAR* |
* Once you have been billed
$185 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 $185 of Medicare
Approved Amounts* |
$0 |
$0 |
$185 (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 $185 of Medicare
Approved Amounts* |
$0 |
$0 |
$185 (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 $185 of Medicare
Approved Amounts* |
$0 |
$0 |
$185 (Part B Deductible) |
Remainder of Medicare
Approved Amounts |
80% |
20% |
$0 |