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Home : Consumers
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Age chosen = 75
| Medigap benefits |
A |
B |
C |
D |
F* |
G |
K |
L |
M |
N |
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Basic benefits
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Part A: Inpatient
hospital deductible
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50%
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75%
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50%
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Part A: Skilled-nursing
facility co-insurance
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50%
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75%
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Part B: Deductible
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Foreign travel
emergency**
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Part B: Excess
charges |
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100% |
100% |
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| 2010 out-of-pocket limit |
$4,620*** |
$2,310*** |
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Please select the plan that you are interested in.
A,
B,
C,
D,
F,
G,
K,
L
M,
N
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
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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. |
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You must also pay a separate deductible for foreign travel emergency ($250 per year). |
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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. |
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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
Return to the Medicare Supplement Home page
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