Page 12 - Cover letter and evaluation for John Johnson

Plans that appear to meet your criteria

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

Plan Name Medigap Plan F Medigap Plan G Medigap Plan N Aetna Medicare
Choice PPO Plan

Toll-Free Number NA NA NA (855) 275-6627
QuaSection Heading How do these plans compare?
lity ratings from
Yes, but Drs.
Can you continue to see Chapman and Luk
your physician(s)? Yes Yes Yes may not be in
network

How large is the plan's You can see any You can see any You can see any More than 20,000
provider network? provider who provider who provider who providers
accepts Medicare accepts Medicare accepts Medicare

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

area for non-emergency All 50 states All 50 states All 50 states North Central
Texas
services?

How good is the plan's Excellent. It does Excellent. It does Excellent. It does Average for a PPO:

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

Routine dental care Not covered Not covered Not covered
Some benefits

Routine vision care Not covered Not covered Not covered

80% of the cost 80% of the cost 80% of the cost
after a $250 after a $250 after a $250
Foreign travel emergencies deductible; deductible; deductible; Not covered
$50,000 lifetime $50,000 lifetime $50,000 lifetime
limit limit limit

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