Page 12 - Cover Letter and Evaluation for Stephen Spero

Plans that appear to meet your criteria

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

Anthem MediBlue
Anthem MediBlue
Plan Name Medigap Plan G Medigap Plan N Coordination Plus
Plus HMO Plan
HMO Plan
Toll-Free Number NA NA (844) 316-0357 (844) 799-9862
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see

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

What are this plan's You can see any You can see any You can see only You can see only
provider who
network providers network providers
provider who
network restrictions? accepts Medicare accepts Medicare (unless emergency) (unless emergency)
Do you need referrals to
see specialists? No No Yes, in most cases Yes, in most cases

What is the plan's service
area for non-emergency All 50 states All 50 states San Diego County San Diego County
services?

How good is the plan's Excellent. It does Excellent. It does Poor for an HMO;
catastrophic coverage for not have an out-of- not have an out-of- Excellent. $3,400 in $6,700 limit for
pocket limit,
network
pocket limit,
medical costs? though though network services

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

Routine dental care Not covered Not covered No dental benefits; Some dental and
optional packages vision benefits
Routine vision care Not covered Not covered available included

80% of the cost 80% of the cost
Foreign travel after a $250 after a $250
deductible;
deductible;
emergencies $50,000 lifetime $50,000 lifetime Some coverage Some coverage
limit limit

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