Page 12 - Cover Letter and Evaluation for Dr. Jim Fisgus

Plans that appear to meet your criteria

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

Aetna PPO Plan for
Plan Name Gensler Aetna Medicare Medigap Plan G Medigap Plan N
(Current Plan) Choice PPO Plan

Toll-Free Number NA (855) 275-6627 NA NA
QuaSection Heading How do these plans compare?
lity ratings from

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

How large is the plan's More than 20,000 You can see any You can see any
provider network? Not available providers provider who provider who
accepts Medicare accepts Medicare

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

area for non-emergency Not available Bernardino All 50 states All 50 states
services? counties

Average. $4,000 in
How good is the plan's network, $12,000 Average for PPO. Excellent. It does Excellent. It does

catastrophic coverage for in-and-out of $6,700 in network not have an out-of- not have an out-of-
pocket limit,
pocket limit,
and $10,000 in-
medical costs? network; includes and out-of-network though. though.
Rx drugs
What are Medicare's Medigap policies Medigap policies
ratings for this plan? Not available 4 out of 5 stars are not rated by are not rated by
Medicare
Medicare
Benefits for services not covered by Medicare

Routine dental care Separate rider Separate rider Not covered Not covered

Routine vision care Separate rider Some benefits 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; deductible;
$50,000 lifetime $50,000 lifetime
limit limit

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