Page 12 - Cover Letter & Evaluation for Michael Novotny
P. 12
Plans that appear to meet your criteria
These four plans are compared on this page and the following page.
AARP Medicare
Alignment Health
Plan Name Medigap Plan G Medigap Plan K Plan My Choice (an Complete Secure
HMO) Horizons Plan 1 (an
HMO)
Toll-Free Number NA NA (888) 979-2247 (800) 555-5757
QuaSection Heading How do these plans compare?
lity ratings from
Can you continue to see
your physician(s)? 2640 1100 Yes, but verify Yes, but verify
How large is the plan's Medigap policies Medigap policies
provider network? do not have do not have 10,000+ providers 5,500+ providers
networks networks
Do you need referrals to
see specialists? No No Yes, probably Yes, probably
What is the potential cost No cost for $50 a day for days $150 a day for days
of a hospital stay? Medicare-covered $670 1-3; nothing 1-5; nothing
hospital services
thereafter
thereafter
Excellent. It does
How good is the plan's not have an out-of- Fair. $5,240 for Very good. $3,400 Fair. $4,900 for
for network
catastrophic coverage? pocket limit, covered services. medical services network medical
services
though
What are Medicare's Medigap policies Medigap policies
ratings for this plan? are not rated by are not rated by 4.5 out of 5 stars 4.5 out of 5 stars
Medicare Medicare
Benefits for services not covered by Medicare
Routine dental care Not covered Not covered Limited benefits Supplemental plan
Routine eye exam Routine eye exam
Routine vision care Not covered Not covered
and eyeglasses and eye glasses
After $250
deductible, 80% of
Foreign travel emergencies Not covered Not covered Not covered
costs ($50,000
lifetime limit)
2

