Part A Deductible- Medicare Supplement Insurance Plans B, C, D, F, G, & N pay the inpatient deductible for each period ($1,156). Plans K & M pay 50% ($578). Plan L pays 75% ($867).
First 60 days- After the Part A deductible, Medicare pays all eligible expenses for services from your first through 60th dayof hospital confinement. Services include semiprivate room and board, general nursing, and miscellaneous hospital services and supplies.
Co-Insurance- Plans A - N pay when you are hospitalized for the 61st day through the 90th day. And, when you're in the hospital from the 91st day through the 150th day, your Medicare Supplement Plan pays for each Lifetime Reserve day used.
Extended Hospital Coverage- If your in the hospital longer than 150 days during a benefit period, and you've exhausted your 60 days of Medicare Lifetime Reserve, plans A - N pay the part A Medicare eligible expenses for hospitalization, subject to a lifetime maximum benefit of an additional 365 days.
Benefit for Blood- Medicare has one calendar year deductible for blood that is the cost of the first three pints. Standard Plans A, B, C, D, F, G, M, & N pay the deductible at 100%; K at 50%; L at 75%.
Skilled Nursing Facility Care- Medicare pays all eligible expenses for the first 20 days. Plans C, D, F G, M & N pay the daily coinsurance from the 21th through the 100th day during which you receive skilled nursing care. You must enter a Medicare certified skilled nursing facility within thirty (30) days of being hospitalized for at least three (3) days. Plan K pays 50%. Plan L pays 75%.
Hospice Care Benefit- Medicare pays all but very limited co-payment/coinsurance for outpatient drugs and inpatient respite care. Plans A, B, C, D, F, G, M, & N pay 100% of the co-payment/co-insurance amount for all Part A Medicare eligible hospice care expenses. Plan K pays 50%, Plan L 75%.
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Deductible- Plans C & F pay the Part B calendar year deductible.
Co-Insurance- After the Part B deductible, plans B, C, D, F, G & N generally pays 20% of the eligible expenses for physician's services, supplies, physical and speech therapy and ambulance services except up to a $20 co-payment for office visits and up to a $50 co-payment for emergency room visits.
For hospital outpatient services, the co-payment amount will be paid under a prospective payment system. If this system is not used, then generally 20% of eligible expenses will be paid.
Excess Benefits- Your bill for part B services and supplies may exceed the Medicare eligible expense. When that occurs, plans F & G pay 100% of the difference, not to exceed the charge limitation established by Medicare.
Blood Part B- Plans A - N, will pay for the first three (3) pints of blood in each calendar year. After meeting the Part B deductible, Medicare will pay 80% of the first three (3) pints of blood in each calendar year. Plans A, B, C, D, F, G, M & N will pay the remaining 20% of those cost. PLan K pays 50%; Plan L pays 75%.
Emergency Care Received Outside the U.S.- After you pay a $250 calendar-year deductible, plans C, D, F, G, M & N pay 80% of eligible expenses incurred during the first 60 days of a trip, outside the U.S. not to exceed a lifetime maximum of $50,000.
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