Page 14 - Cover Letter and Evaluation for Debbie Workman

Plans that appear to meet your criteria

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

Humana Gold Plus AARP Medicare
Plan Name Medigap Plan F Medigap Plan L
HMO Plan Complete Plan 1

Toll-Free Number NA NA 800-833-2364 800-555-5757
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see Providence Medical Providence Medical
your physician(s)? Yes Yes Group is a listed Group is a listed
provider
provider

How large is the plan's Medigap policies Medigap policies
provider network? do not have do not have 3,500+ providers 1,000+ providers
networks
networks
Do you need referrals to
see specialists? No No Yes Yes

What is the potential cost No cost for $360 a day for days $395 a day for days
of a hospital stay? Medicare-covered $335 1-5; nothing 1-4; nothing
hospital services
thereafter
thereafter

Excellent. It does Fair. $5,900 in
How good is the plan's not have an out-of- Excellent. $2,620 network; no Fair. $5,500 in
catastrophic coverage? pocket limit, for covered coverage out-of- network; no out-of-
services
network coverage
though network

What are Medicare's Medigap policies Medigap policies
ratings for this plan? are not rated by are not rated by 4 out of 5 stars 4 out of 5 stars
Medicare
Medicare
Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Not covered Not covered

Routine eye exam, $20 for routine eye
Routine vision care Not covered Not covered
eyeglasses exam

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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