Page 10 - Cover Letter and Evaluation for Paul Stelter

Plans that appear to meet your criteria

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

Aetna Medicare Humana Gold Plus
Plan Name Medigap Plan F Medigap Plan N
Value PPO HMO Plan

Toll-Free Number NA NA (855) 275-6627 (800) 833-2364

QuaSection Heading How do these plans compare?
lity ratings from

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

You can see any
How large is the plan's You can see any You can see any provider but will In-network
provider who
provider who
coverage only
provider network? accepts Medicare accepts Medicare pay more out of (unless emergency)
network
Do you need referrals to
see specialists? No No No Yes, in most cases

What is the plan's service
area for non-emergency All 50 states All 50 states All 50 states Greater Chicago
area
services?

How good is the plan's Excellent, but it Excellent, but it Good for PPO Plan. Excellent. $2,650
catastrophic coverage for does not have an does not have an $3,950 in network; out-of-pocket limit
$8,250 in- and out-
medical costs? out-of-pocket limit out-of-pocket limit of-network (network only)

What are Medicare's Medicare does not Medicare does not
ratings for this plan? rate Medigap rate Medigap 4 out of 5 stars 4 out of 5 stars
policies policies

Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Some coverage Some coverage

Routine vision care Not covered Not covered Some coverage Some coverage

80% of cost of 80% of cost of
medical medical
Foreign travel emergencies emergency; $250 emergency; $250 Not covered Not covered
deductible; $50k deductible; $50k
lifetime limit lifetime limit

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