Page 12 - Cover Letter and Evaluation for Susan Marx

Plans that appear to meet your criteria

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

Aetna Medicare UPMC for Life HMO
Plan Name Medigap Plan G Medigap Plan N
Value PPO Plan Premier Rx Plan

Toll-Free Number NA NA (855) 275-6627 (877) 381-3765
QuaSection Heading How do these plans compare?
lity ratings from

Are your physicians in this Medigap policies Medigap policies They are listed in They are listed in
plan's network? do not have do not have provider directory, provider directory,
networks networks but verify but verify

You can see any You will not be
What are this plan's You can see any You can see any provider but will covered out of
network restrictions? provider who provider who pay more out of network except in
accepts Medicare accepts Medicare
network emergencies
Do you need referrals to
see specialists? No No No Yes

What are these plans' High premiums High premiums $1,000 health plan No coverage out of
compared to
compared to
weaknesses? Advantage plans Advantage plans deductible network unless
emergency
Below average for
How good is the plan's Excellent. It does Excellent. It does PPO; $6,700 in Below average for

catastrophic coverage for not have an out-of- not have an out-of- network and an HMO; $6,000
pocket limit,
pocket limit,
for network
medical costs? though though $10,000 in and out- services
of-network
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

Exam, x-rays, teeth Exam, x-rays, teeth
Routine dental care Not covered Not covered
cleaning cleaning

Routine vision care Not covered Not covered Limited benefits Limited benefits

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

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