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Consumers
Home : Consumers
Age chosen = 73

Medigap benefits A B C D F* G K L M  N  
Basic benefits
A has Basic benefits B has Basic benefits C has Basic benefits D has Basic benefits F has Basic benefits G has Basic benefits K has Basic benefits  **** L has Basic benefits  **** M has Basic benefits N has Basic benefits  ****
Part A: Inpatient
hospital deductible
B has Part A: Inpatient hospital deductible C has Part A: Inpatient hospital deductible D has Part A: Inpatient hospital deductible F has Part A: Inpatient hospital deductible G has Part A: Inpatient hospital deductible 50% 75% 50% N has Part A: Inpatient hospital deductible
Part A: Skilled-nursing
facility co-insurance
C has Part A: Skilled-nursing facility co-insurance D has Part A: Skilled-nursing facility co-insurance F has Part A: Skilled-nursing facility co-insurance G has Part A: Skilled-nursing facility co-insurance 50% 75% M has Part A: Skilled-nursing facility co-insurance N has Part A: Skilled-nursing facility co-insurance
Part B: Deductible
C has Part B: Deductible F has Part B: Deductible
Foreign travel
emergency**
C has Foreign travel emergency** D has Foreign travel emergency** F has Foreign travel emergency** G has Foreign travel emergency** M has Foreign travel emergency** N has Foreign travel emergency**
Part B: Excess
charges
100% 100%
2010 out-of-pocket limit $4,620*** $2,310***  

Please select the plan that you are interested in.

ABCDFGKL  MN 

High Deductible F

Medicare Select Plans

Basic benefits include:
  • Part A daily hospital inpatient co-insurance charges
  • All hospital costs after the Medicare benefit is used up
  • Part B co-insurance charges (except N: $20 copay per office visit, $50 copay per emergency room visit)
  • Part B co-insurance charges for palliative drugs during respite care and respite care charges
  • First three pints of blood
* Medigap Plan F also offers a high-deductible option. You must pay for Medicare-covered costs up to the high-deductible amount ($2000 in 2010) before your Medigap policy pays anything.

**

You must also pay a separate deductible for foreign travel emergency ($250 per year).

***

After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the plan pays 100% of covered services for the rest of the calendar year.

****

Must cover at least part of the basic benefit.

If you have additional questions, please call 1-888-575-6611 or email us at: ndshic@nd.gov

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