Page 10 - Cover Letter and Evaluation for Judy Thomas
P. 10

Comparison of PERA & Medigap plans


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

                                                                               PERA Anthem       PERA Anthem
                           Plan Name     Medigap Plan G    Medigap Plan N        Medicare     Medicare Advantage
                                                                            Advantage Plan #1       Plan #2

          QuaSection Heading
          lity ratings from              How do these plans compare?

              Can you continue to see

                   your physician(s)?         Yes                Yes               Yes                Yes


                                                                             Not specified, but  Not specified, but
              How large is the plan's   Medigap policies   Medigap policies  there are no added  there are no added
                   provider network?      do not have        do not have    costs for seeing out-costs for seeing out-
                                                                                                  of-network
                                            networks
                                                              networks
                                                                                of-network
                                                                                 providers         providers
            Do you need referrals to
                      see specialists?         No                No                 No                No




           What is the potential cost      No cost for                           $300 per          $500 per
                                                                                               admission; $1,500
                                                                             admission; $900
                   of a hospital stay?  Medicare-covered        $335        maximum per year maximum per year
                                        hospital services

                                        Excellent. It does                   Excellent. $2,000
               How good is the plan's  not have an out-of-  Excellent. $2,620   for medical care,   Fair. $6,000 for
                                                                                                medical care, not
              catastrophic coverage?      pocket limit,      for covered       not including   including premiums
                                                               services
                                             though                             premiums

                What are Medicare's     Medigap policies   Medigap policies
                ratings for this plan?   are not rated by   are not rated by       NA                 NA
                                           Medicare
                                                              Medicare
                               Benefits for services not covered by Medicare

                  Routine dental care     Not covered        Not covered    In PERA plans, dental and vision benefits
                                                                              are covered by stand-alone policies
                  Routine vision care     Not covered        Not covered

                                           After $250        After $250
                                       deductible, 80% of  deductible, 80% of   Foreign travel emergencies are covered;
          Foreign travel emergencies                                           details not specified in PERA plans'
                                         costs ($50,000     costs ($50,000           benefits summaries
                                          lifetime limit)   lifetime limit)





                                                            2
   5   6   7   8   9   10   11   12   13   14   15