Page 89 - Cover Letter & Evaluation for David Steenburgen

12/7/2017 AARP Medicare Supplement Insurance Plans

Plan pays
Plan N 100% of Part
$146.71 A Coinsurance,
Apply
Standard Rate Part A
With Hospice Plan pays - -
Enrollment Coinsurance 100%
Discount and Part B
enefit Table Coinsurance , †
//www.aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/BenefitsTable/StatePlanVariations/BT31_117_STD_N.pdf) Blood
Coinsurance.

Compare Plans (up to 4)

Resources Additional Services At No Cost To You ††

Your Guide to AARP Medicare Select and Medicare Supplement Insurance Plans Nurse HealthLine
(//www.aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/YourGuide/StateVariations/GU25056ST.pdf)
Vision Discounts for AARP Members
Guide to Health Insurance for People with Medicare
(//www.aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/GuideToHealth/BA25437ST_06-17.pdf) Tivity Health SilverSneakers Program
®
Rules and Disclosures
(//www.aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/RulesAndDisclosures/StateVariations/RD18%20AZ%20Select.pdf)
Plan Overview Chart Chart
(//www.aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/PlanOverview/StateVariations/POV31_717_STD_Select.pdf)
Language Assistance/Non-Discrimination Notice (//aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/NDNADisclaimer/WB26145ST.pdf)
Asistencia de Idiomas / Aviso de no Discriminación (//aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/NDNADisclaimer/WB26145ST.pdf)
語言協助 / 不歧視通知 (//aarpsupplementalhealth.com/content/dam/ole/MedSuppDocs/NDNADisclaimer/WB26145ST.pdf)
** Care needed immediately because of an injury or an illness of sudden and unexpected onset, beginning during the first 60 days of each trip outside the United States. Benefit is 80% and beneficiaries a
after the $250 annual deductible with a $50,000 lifetime maximum.
† Note: Up to $20 co-pay for office visits and up to $50 co-pay for ER. The co-payment of up to $50 is waived if the insured is admitted to any hospital and the emergency visit is covered as a Medicare Pa
1 Select Plan C and Select Plan F offer the same standard benefits as Plan C and Plan F, except you must use a network hospital for Medicare Part A Services. You should also verify that your chosen ph
network hospital.

WB26060S2 (08-16)

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