Page 12 - Cover Letter and Evaluation for John

Plans that appear to meet your criteria

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

Plan Name Medigap Plan F Medigap Plan G Medigap Plan N Aetna Medicare
Choice PPO Plan

Toll-Free Number NA NA NA (833) 859-6031
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see Yes, but you will
your physician(s)? Yes Yes Yes pay out-of-network
costs

How large is the plan's You can see any You can see any You can see any 12,000 - 13,000
provider who
provider who
provider who
provider network? accepts Medicare accepts Medicare accepts Medicare providers
Do you need referrals to
see specialists? No No No No

What is the potential cost No cost for No cost for No cost for $225 a day for days
of a hospital stay? Medicare-covered Medicare-covered Medicare-covered 1-5; nothing
hospital services hospital services hospital stay thereafter

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

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

Benefits for services not covered by Medicare

Routine dental care Not covered Not covered Not covered Limited benefits

Routine vision care Not covered Not covered Not covered Limited benefits

After $250 After $250 After $250
deductible, 80% of deductible, 80% of deductible, 80% of
Foreign travel emergencies Not covered
costs ($50,000 costs ($50,000 costs ($50,000
lifetime limit) lifetime limit) lifetime limit)

2