Page 8 - Cover Letter and Evaluation for Mr. Michael Johnson

Plans that appear to meet your criteria

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

Plan Name Medigap Plan F Medigap Plan G

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

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

How large is the plan's You can see any You can see any
provider network? provider who provider who
accepts Medicare accepts Medicare

Do you need referrals to
see specialists? No No
What is the plan's service

area for non-emergency All 50 states All 50 states
services?

How good is the plan's Excellent. It does Excellent. It does

catastrophic coverage for not have an out-of- not have an out-of-
pocket limit,
pocket limit,
medical costs? though though

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

Routine dental care Not covered Not covered

Routine vision care Not covered Not covered

80% of the cost 80% of the cost
after a $250 after a $250
Foreign travel emergencies deductible; deductible;
$50,000 lifetime $50,000 lifetime
limit limit

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