Page 12 - Evaluation for Norm Ross

Plans that appear to meet your criteria

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

Johns Hopkins
Plan Name Medigap Plan F Medigap Plan N Medigap Plan L Advantage MD Plus
PPO Plan

Toll-Free Number NA NA NA 888-403-7682
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see Yes, but two of
your physician(s)? Yes Yes Yes them are not in
plan network

How large is the plan's You can see any You can see any You can see any Between 9,000 and
provider who
provider who
provider who
provider network? accepts Medicare accepts Medicare accepts Medicare 10,000 providers
Do you need referrals to
see specialists? No No No No

25% of the Part A $255 a day for days
What is the potential cost No cost for No cost for deductible of 1-7 in network
of a hospital stay? Medicare-covered Medicare-covered $1,316 (you pay hospital; nothing
hospital services hospital services
$329) thereafter

Excellent. It does Excellent. It does Very good. $2,560 Fair: $5,900 in
How good is the plan's not have an out-of- not have an out-of- out-of-pocket limit network and
catastrophic coverage? pocket limit, pocket limit, for services the $10,000 in and out-
though though plan covers 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 2.5 stars
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
deductible, 80% of deductible, 80% of
Foreign travel emergencies Not covered Not covered
costs ($50,000 costs ($50,000
lifetime limit) lifetime limit)

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