Page 10 - Cover Letter and Medicare Evaluation for Scot Paltrow

Plans that appear to meet your criteria

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

Aetna Medicare Premier
Medigap Plan Name Medigap Plan G Medigap Plan N
Advantage Plan (PPO)

Toll-Free Number NA NA Already enrolled
QuaSection Heading How do these plans compare?
lity ratings from

Will you be covered when Yes, except for the two Yes, except for the two Yes, except for the two
you see your physician(s)? who do not accept who do not accept who do not accept
Medicare
Medicare
Medicare
How large is the plan's Medigap policies do not Medigap policies do not Not stated
provider network? have networks have networks

Do you need referrals to
see specialists? No No No

What is the potential cost No cost for Medicare- No cost for Medicare- $335 a day for days 1-6 in
of a hospital stay? covered hospital services covered hospital services a network hospital

How good is the plan's Excellent. It does not have Excellent. It does not have Good for PPO Plan. $5,000
catastrophic coverage? an out-of-pocket limit, an out-of-pocket limit, in network and $6,000 in
though
and out-of-network
though.

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

Benefits for services not covered by Medicare

Free exam, x-rays and
Routine dental care Not covered by Medicare or most Medigap policies. A teeth cleaning in network
few "innovative benefit" Medigap policies may
include limited dental and vision benefits. Eye exam, no-cost
Routine vision care
glasses/contacts

After $250 deductible, After $250 deductible,
Foreign travel emergencies 80% of costs ($50,000 80% of costs ($50,000 Some coverage
lifetime limit) lifetime limit)

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