Page 10 - Cover letter and evaluation for Lee Palmiter

Plans that appear to meet your criteria

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

Medigap High-
Plan Name Medigap Plan F Medigap Plan G Medigap Plan N
Deductible Plan F

Toll-Free Number NA NA NA NA
QuaSection Heading How do these plans compare?
lity ratings from
Can you continue to see

your physician(s)? Yes Yes Yes Yes

How large is the plan's Medigap policies Medigap policies Medigap policies Medigap policies
provider network? do not have do not have do not have do not have
networks networks networks networks
Do you need referrals to

see specialists? No No No No

After paying the No cost for After paying the
What is the potential cost No cost for $185 Part B hospitalization; $50 $2,300 plan

of a hospital stay? Medicare-covered deductible, no cost for emergency deductible, no cost
for Medicare-
for Medicare-
hospital services
covered services room visit covered services
Excellent. It does Excellent. It does Excellent. It does
How good is the plan's not have an out-of- not have an out-of- not have an out-of- Good, although
catastrophic coverage? pocket limit, pocket limit, pocket limit, there's a $2,300
plan deductible
though though though

What are Medicare's Medigap policies Medigap policies Medigap policies Medigap policies
ratings for this plan? are not rated by are not rated by are not rated by are not rated by
Medicare
Medicare
Medicare
Medicare
Benefits for services not covered by Medicare
Routine dental care Not covered Not covered Not covered Not covered

Routine vision care Not covered Not covered Not covered Not covered

After a $250 After paying the After paying the
deductible, 80% of $185 Part B $2,300 plan
Foreign travel emergencies Not covered
costs ($50,000 deductible, same as deductible, same as
lifetime limit) Plan F Plan F

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