Page 12 - Cover Letter and Evaluation for Sarah Spero

Plans that appear to meet your criteria

These four plans are compared on this page and the following page.

Scripps Classic
Blue Shield 65 Plus
Plan Name Medigap Plan G Medigap Plan N offered by SCAN (an
HMO Plan
HMO)
Toll-Free Number NA NA (888) 534-4263 (888) 315-7226
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see Yes, but verify with Yes, but verify with

your physician(s)? Yes Yes their offices their offices

What are this plan's You can see any You can see any No coverage out of No coverage out of
provider who
provider who
network restrictions? accepts Medicare accepts Medicare network unless network unless
emergency
emergency
Do you need referrals to
see specialists? No No Yes in most cases Yes in most cases

What is the plan's service
area for non-emergency All 50 states All 50 states San Diego County San Diego County
services?

How good is the plan's Excellent. It does Excellent. It does Excellent. $3,399 Excellent. $3,400
catastrophic coverage for not have an out-of- not have an out-of- limit for medical limit for medical
pocket limit,
pocket limit,
medical costs? though though services in network services in network

What are Medicare's Medigap policies Medigap policies
ratings for this plan? are not rated by are not rated by 4 out of 5 stars 4.5 out of 5 stars
Medicare
Medicare
Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Limited benefits. No dental, some
vision.
Supplemental Supplemental
Routine vision care Not covered Not covered packages available packages available

80% of the cost 80% of the cost Some coverage for Some coverage for
Foreign travel after a $250 after a $250 medical medical
deductible;
deductible;
emergencies $50,000 lifetime $50,000 lifetime emergencies emergencies
limit limit outside the U.S. outside the U.S.

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