Page 8 - Cover letter and evaluation for Paulina Rosenstein

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 Medigap Plan L

Toll-Free Number NA NA NA NA
Yes
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see
Yes Yes Yes

your physician(s)?

How large is the plan's You can see any You can see any You can see any You can see any
provider who provider who provider who provider who

provider network? accepts Medicare accepts Medicare accepts Medicare accepts Medicare

Do you need referrals to
No No No No

see specialists?

What is the potential cost No cost for No cost for No cost for 25% of the Part A
Medicare-covered Medicare-covered deductible of
Medicare-covered hospital services hospital services
of a hospital stay? hospital services $1,340 (you pay
$335)

Excellent. It does Excellent. It does Excellent. It does Very good. $2,620

How good is the plan's not have an out-of- not have an out-of- not have an out-of- out-of-pocket limit

catastrophic coverage? pocket limit, pocket limit, pocket limit, for services the

though though though plan covers

What are Medicare's Medigap policies Medigap policies Medigap policies Medigap policies
are not rated by are not rated by are not rated by are not rated by
ratings for this plan?
Medicare Medicare Medicare Medicare

Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Not covered Not covered

Routine vision care Not covered Not covered Not covered Not covered

After $250 After $250 After $250

Foreign travel emergencies deductible, 80% of deductible, 80% of deductible, 80% of Not covered
costs ($50,000 costs ($50,000 costs ($50,000

lifetime limit) lifetime limit) lifetime limit)

2