Page 10 - Evaluation for Tom Tappan

Plans that appear to meet your criteria

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

BofA Medicare
BofA Medicare
Plan Name Medigap Plan F Medigap Plan L Advantage Core Advantage
Plan Comprehensive
Plan

Toll-Free Number NA NA NA NA
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
provider network? do not have do not have Unknown Unknown
networks
networks
Do you need referrals to
see specialists? No No No No

What is the potential cost No cost for $100 daily co-pay $100 co-payment
of a hospital stay? Medicare-covered $329 for days 1-9; per hospital
hospital services nothing thereafter admission

Excellent. It does
How good is the plan's not have an out-of- Excellent. $2,560 Excellent. $3,000 a Exceptional. $600
catastrophic coverage? pocket limit, for covered year per year
services
though

What are Medicare's Medigap policies Medigap policies
ratings for this plan? are not rated by are not rated by Not rated Not rated
Medicare Medicare

Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Not covered Not covered

$30 co-pay for one $25 co-pay for one
Routine vision care Not covered Not covered
exam a year exam a year

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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