Page 12 - Cover Letter & Evaluation for Isaac Kapon

Plans that appear to meet your criteria

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

Humana Choice
Plan Name Medigap Plan F Medigap Plan L PPO Plan Aetna Medicare
(H5216-141) Choice PPO Plan

Toll-Free Number NA NA (800) 833-2364 (855) 338-7027
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see
your physician(s)? Yes Yes Yes Yes

How large is the plan's Medigap policies Medigap policies 3,001 - 3,500 2,501 - 3,000
provider network? do not have do not have providers providers
networks
networks
Do you need referrals to
see specialists? No No No No

$450 a day for days $325 a day for days
What is the potential cost No cost for 1-4 in network 1-5 in network
of a hospital stay? Medicare-covered $329 hospital; nothing hospital; nothing
hospital services
thereafter thereafter

Excellent. It does Weak. $6,700 in Weak. $6,700 in
How good is the plan's not have an out-of- Excellent. $2,560 network; $10,000 network; $10,000
catastrophic coverage? pocket limit, for covered in and out-of- in and out-of-
services
though network network

What are Medicare's Medigap policies Medigap policies
ratings for this plan? are not rated by are not rated by 3.5 stars 4 stars
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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