Page 14 - Cover Letter and Medicare evaluation for Dr. Peter Yesawich

Plans that appear to meet your criteria

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

Bright Advantage Aetna Medicare
Plan Name Medigap Plan F Medigap Plan N Part B Savings PPO Premier Plus PPO
Plan Plan

Toll-Free Number NA NA (844) 679-2028 (855) 275-6627
QuaSection Heading How do these plans compare?
lity ratings from
Will you be covered when Yes, but you will Yes, but you will

you continue to see your Yes Yes pay more if they pay more if they
physicians? are out of network are out of network

What is Medicare's quality Medicare does not Medicare does not Plan is too new to
rating of this plan? rate Medigap rate Medigap be measured 4 out of 5 stars
policies policies

Do you need referrals to
see specialists? No No No No
Range of annual Medigap

premiums (according to $3,283 - $4,975 $2,313 - $3,548 NA NA
CSG Actuarial)

Number of insurance
companies that sell this 20 24 NA NA
plan in your state

How good is the plan's Excellent, but it Excellent, but it Fair. $5,500 OOP Fair. $4,900 OOP
network limit;
limit in network;
catastrophic coverage for does not have an does not have an $10k in and out-of- $10k in and out-of-
medical costs? out-of-pocket limit out-of-pocket limit network network

Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Limited dental and Limited benefits
vision care;
Routine vision care Not covered Not covered optional plans Limited benefits
available
80% of cost of 80% of cost of
medical medical
Foreign travel emergencies emergency; $250 emergency; $250 Some coverage Not covered
deductible; $50k deductible; $50k
lifetime limit lifetime limit

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