Page 10 - Cover Letter and Evaluation for Diann Weade

Plans that appear to meet your criteria

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

Your current plan Humana Gold Plus
Plan Name Medigap Plan G Medigap Plan N Anthem MediBlue Plan (HMO)
Plus Plan (HMO) H5619-051

Toll-Free Number NA NA (855) 251-8827 (800) 833-2364
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see Yes for Dr. Garrean
your physician(s)? Yes Yes Yes and Dr. Mummert

How large is the plan's Medigap policies Medigap policies 20,000+ providers More than 5,500

provider network? do not have do not have in select Indiana providers
networks networks counties
Do you need referrals to

see specialists? No No Yes Yes

What is the potential cost No cost for No cost for $260 a day for days $275 a day for days

of a hospital stay? Medicare-covered Medicare-covered 1-7 in a network 1-7 in a network
hospital
hospital
hospital services
hospital services
Excellent. It does Excellent. It does
How good is the plan's not have an out-of- not have an out-of- Below average for Very good. $3,400
catastrophic coverage? pocket limit, pocket limit, an HMO. $4,900 for for network
network services
services
though though
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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