Page 10 - Cover Letter and Medicare Evaluation for Eric Hartman
P. 10
Plans that appear to meet your criteria
These four plans are compared on this page and the following page
SCAN Venture Alignment Health
Advantage HMO PPO Advantage
Plan Name Medigap Plan G Medigap Plan N
Plan (your current Plan powered by
plan) Hoag
Toll-Free Number NA NA (800) 559-3500 (888) 979-2247
QuaSection Heading How do these plans compare?
lity ratings from
Can you continue to see
your physician(s)? Yes Yes Yes Yes
Do you need referrals to
see specialists? No No In most cases No
Medicare does not Medicare does not
Medicare's quality rating rate Medigap rate Medigap 4.5 out of 5 stars 3.5 out of 5 stars
policies policies
Above average for
Excellent. It does Excellent. It does Excellent -- $1,000
How good is the plan's not have an out-of- not have an out-of- for Medicare- a PPO plan --
catastrophic coverage? pocket limit, pocket limit, covered services in $3,900 in network
and $8,950 in and
though though network
out-of-network
How much does a hospital $0 for in-patient $150 a day for days
stay cost? $0 $0 services in a 1-3 in a network
network hospital hospital
Benefits for services not covered by Medicare
No coverage unless
No co-pays for oral
exam, teeth you buy
Routine dental care Not covered Not covered supplemental
cleaning, and
dental x-rays package ($63 a
month)
No cost for eye No cost for eye
Routine vision care Not covered Not covered
exam and glasses exam and glasses
Limited benefits
$450-$750 co-pays
Hearing benefits Not covered Not covered including free
for hearing aids
hearing exam
After $250 After $250 Included in
Foreign travel deductible, 80% of deductible, 80% of Some coverage supplemental
emergencies costs ($50,000 costs ($50,000 (not specified) package for $63 a
lifetime limit) lifetime limit) month
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