Page 12 - Cover Letter and Evaluation for Forrest Hoover

Plans that appear to meet your criteria

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

AARP Medicare
Medigap Plan High- Complete Focus Humana Gold Plus
Plan Name Medigap Plan G HMO Plan
Deductible F PPO Plan (H5619-051)
(H2228-020)

Toll-Free Number NA NA (800) 555-5757 (800) 833-2364

QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see
your physician(s)? Yes Yes Yes Yes, but verify

How large is the plan's Medigap policies Medigap policies More than 1,000 More than 5,500
provider network? do not have do not have providers in Ft. providers in Ft.
networks
Wayne area
networks
Wayne area
Do you need referrals to
see specialists? No No No Yes

What is the potential cost No cost for No cost for $370 a day for days $275 a day for days

of a hospital stay? Medicare-covered Medicare-covered 1-5 in a network 1-7 in a network
hospital
hospital services
hospital services
hospital
Excellent. It does Excellent. It does Average for PPO.
How good is the plan's not have an out-of- not have an out-of- $4,800 in network; Very good. $3,400
catastrophic coverage? pocket limit, pocket limit, $10,000 in-and-out for network
services
though though of 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 out of 5 stars
Medicare Medicare
Benefits for services not covered by Medicare

Limited benefits,
Routine dental care Not covered Not covered supplemental plans Supplemental plans
available available

Routine vision care Not covered Not covered Limited benefits Limited benefits

After $250 After $250
deductible, 80% of deductible, 80% of
Foreign travel emergencies Not covered Not covered
costs ($50,000 costs ($50,000
lifetime limit) lifetime limit)

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