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Term |
Content of Link |
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Part A Deductible |
Medicare Part A Hospital Deductible
You
may need this benefit if you have to stay in the hospital. The Part A
deductible for 2006 is $952. This amount can change every year. You have
to pay this deductible for each benefit period.
Benefit covers:
$952 in 2006.This amount
can change every year.
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Part B Deductible |
Medicare Part B Hospital Deductible
You
may want to consider this benefit (which is $124 in 2006) if you have
Medicare Part B. Each year you must pay the Part B deductible before
Medicare starts to pay its share. If you have this benefit, the Medigap
plan would pay this amount each year.
Benefit covers:
$124 per year.
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Part A and B Coinsurance |
Part A and B Coinsurance
Benefit covers:
The Part A coinsurance
amount for days 61-90 ($238 per day in
2006)
and days 91-150 ($476 per day in 2006) of a hospital stay.
The coinsurance or
copayment amount for Part B services after
you
meet the $124 yearly deductible.
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Part B Excess - Above Medicare's Approved Amount |
Medicare Part B Excess Charge
Under
federal law, doctors who don't accept "assignment " (take Medicare's
approved amount as payment in full) may charge up to 15% more than the
approved amount. You might want to think about this benefit if your
doctors don't accept assignment. You may also want this benefit if you
have to stay in the hospital and can't control whether the doctors you
see accept assignment.
Benefit covers:
Plans F, I and J pay all
of the excess charges.
Plan G pays 80% of the
excess charges.
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Foreign Travel Emergency |
Foreign Travel Emergency
If
you travel outside the United States, this benefit could save you money
for emergency care.
Benefit covers:
80% of the cost of
emergency care during the first 60 days of
each
trip (after you pay the $250 deductible).
Up to $50,000 in your
lifetime.
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At-Home Recovery |
At-Home Recovery
This benefit covers additional care at home if you are already getting
Medicare-covered home health services. It pays up to $40 a visit and
$1,600 a year. This benefit may cost a lot and may not be worth the
additional premiums you pay for it.
Benefit covers:
The cost of at-home help
with daily activities like bathing and
dressing
if you are already getting Medicare-covered home health
visits.
Up to 8 weeks of at-home
help after skilled care is no longer
needed.
Will pay up to $40 each
visit and $1,600 each year.
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Skilled Nursing Coinsurance |
Skilled Nursing Coinsurance
You
may want to consider this benefit if you need to go to a Skilled Nursing
Facility (SNF) after a hospital stay and stay in the SNF longer than 20
days.
Benefit covers:
Up to $119 a day for
days 21-100 in a Skilled Nursing Facility
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Preventative Care |
Preventative Care
This benefit helps pay for routine yearly check-ups and tests (such as
routine yearly check-ups, serum cholesterol E and screening, hearing
tests, diabetes screening, thyroid function test) that may be important
to you to keep you healthy.
Benefit covers:
Up to $120 each year.
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365 Extra Days
of Hospital Coverage |
365 Extra Days of Hospital Coverage
Under
federal law, doctors who don't accept "assignment" (take Medicare's
approved amount as payment in full) may charge up to 15% more than the
approved amount. You might want to think about this benefit if your
doctors don't accept assignment. You may also want this benefit if you
have to stay in the hospital and can't control whether the doctors you
see accept assignment.
Benefit covers:
100% of the cost for up
to 365 more days of a hospital stay
during
your lifetime after you use up all Medicare hospital
benefits.
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3
Pints of Blood |
3
Pints of Blood
Benefit covers:
The first 3 pints of
blood or equal amounts of packed red blood
cells
per calendar year, unless this blood is replaced.
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