Page 98 - Cover Letter and Evaluation for Amy Prack

Page 3 N*** 100% 100% *** 100% 100% 100% 100% 80%

100% 100% 100% 100% 100% 50% 80% Jillian Froment Director
M

100% 75% 75% 75% 75% 75%
L** $2,620

100% 50% 50% 50% 50% 50% Out-of pocket limit in 2018
K** $5,240
Medicare Supplement Insurance (Medigap) Plans
100% 100% 100% 100% 100% 100% 100% 80%
G

100% 100% 100% 100% 100% 100% 100% 100% 80%
Benefits Chart of Standard MedSup Plans
F*

100% 100% 100% 100% 100% 100% 80%
D

100% 100% 100% 100% 100% 100% 100% 80%
C

100% 100% 100% 100% 100%
B

100% 100% 100% 100%

A * Plan F also offers a high-deductible plan. If you choose this option, this means you must pay for Medicare- covered costs (coinsurance, copayments, deductibles) up to the deductible amount of $2,240 in 2018 before ** For Plans K and L, after you meet your out-of-pocket yearly limit and your yearly Part B deductible ($183 in 2018), the Medigap plan pays 100% of covered services for the rest of the calendar year.

Benefits Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are Medicare Part B coinsurance or copayment Part A hospice care coinsurance or copayment Skilled nursing facility care coinsurance Foreign travel emergency (up to plan limits)

Blood (first 3 pints) Medicare Part A deductible Medicare Part B deductible Medicare Part B excess charges your policy pays anything. Mike DeWine Governor

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