Page 10 - Cover Letter and Evaluation for Mr. Fred Falten

Plans that appear to meet your criteria

These four plans are compared on this page and the following page.
Martin's Point
Plan Name Medigap Plan F Medigap Plan N Generations Humana Choice PPO
Advantage Prime Plan
(HMO-POS)
Toll-Free Number NA NA (888) 640-4423 (800) 833-2364
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see

your physician(s)? Yes Yes Yes, but verify Yes

Varies by the type
Do you need referrals to You can see any You can see any of medical service
provider who
provider who
see specialists? accepts Medicare accepts Medicare and whether in No
network.
Medicare does not Medicare does not
Medicare's quality rating rate Medigap rate Medigap 5 out of 5 stars 4 out of 5 stars
policies policies

How good is this plan's Excellent, but it Excellent, but it Below average for Average for PPO;
catastrophic coverage does not have an does not have an HMO; $7,050 in and $6,700 in network;
$8,500 in- and out-
for medical costs? out-of-pocket limit out-of-pocket limit out-of-network of-network

Benefits for services not covered by Medicare

No cost for dental x- Supplemental
rays, exam, and dental plans
Routine dental care Not covered Not covered
teeth cleaning in available for extra
network premium

No cost for eye No cost for eye
Routine vision care Not covered Not covered exam and exam and
eyeglasses eyeglasses

$40 co-pay for $45 co-pay for
Hearing benefits Not covered Not covered hearing exam; hearing exam;
limited benefits limited benefits

80% of cost of 80% of cost of Coverage for
Foreign travel medical emergency; medical emergency; emergency or
emergencies $250 deductible; $250 deductible; urgent medical Not covered
$50k lifetime limit $50k lifetime limit services

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