Page 10 - Cover Letter and Evaluation for Marilyn Shelton

Plans that appear to meet your criteria

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

Plan Name Medigap Plan G Medigap Plan N Medigap Plan L Medigap Plan K

Toll-Free Number NA NA NA NA

QuaSection Heading How do these plans compare?
lity ratings from

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

What is the plan's service
area for non-emergency All 50 states All 50 states All 50 states All 50 states
services?
Do you need referrals to No No No No
see specialists?

Semi-fixed costs: Part B
and health premiums + Rx
drug costs + health plan $4,859 $4,534 $4,459 $4,009
deductible (you may not spend
the deductibles)

How good is the plan's Excellent. It does Excellent. It does Good coverage after
catastrophic coverage for not have an out-of- not have an out-of- Excellent. $3,400 for the deductible has
network services
pocket limit,
pocket limit,
medical costs? though though been satisfied

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

80% of the cost 80% of the cost
after a $250 after a $250
Foreign travel emergencies Not covered Not covered
deductible; $50,000 deductible; $50,000
lifetime limit lifetime limit

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