|
|
Medicare Supplemental Plans
Monthly Fees
| MONTHLY PAYMENT SCHEDULE FOR THE YEAR 2008 |
M-1
Medigap Plan C
|
COVERS:
- 100%
Part A deductible, hospital co-insurance amounts,
skilled nursing facility co-insurance amounts
- 100%
Part B deductible, Part B co-insurance amounts,
generally 20% of Medicare approved services
- 100% first 3 pints of unreplaced blood
|
$170.00
per month
|
M-Basic
Medigap Plan A
|
COVERS all procedures covered in M-1 (Medigap Plan-C) except for
- Part A deductible, Part B deductible, skilled nursing facility co-insurance amounts
|
$91.00
per month
|
|
M-2
|
COVERS:
- 100%
of the difference between Medicare's
approved amount for Part B services and the
actual billed provider charges up to a
maximum benefit of $3000 per calendar year
|
$30.00
per month
|
|
M-3
|
COVERS:
- $8,000.00 prescription drug expenses per calendar year
- 50% of prescription drug expenses after $250 deductible is met
|
$73.00
per month
|
|
M-3D
|
COVERS:
- 100% of Medicare approved prescription drugs not paid by Medicare from $200 to $2,250
- 50% of Medicare approved prescription drug expenses from $2,250 to $3,600 and 100% from $3,600 to $5,000 not covered by Medicare
|
$41.00
per month
|
|
M-4
|
Provides same coverage as plans M-1, M-2 and M-3 combined, plus:
- "Preventive Medical Care"
- doctor prescribed "At-Home Recovery Services"
|
$272.00
per month
|
|
M-4D
|
Provides same coverage as plan M-4 but with M-3D for prescription drugs
|
$240.00
per month
|
These pages are designed to provide general descriptions of our benefit plans and further restrictions may apply or may have changed. For further information, please contact the LRFA office or refer to specific plan Regulations.
|
