Page 12 - Cover letter & Medicare evaluation for Mr. Carl Zambon

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 Medigap Plan L

Toll-Free Number NA NA NA NA
QuaSection Heading How do these plans compare?
lity ratings from

Can you continue to see Verify with Dr. Verify with Dr. Verify with Dr. Verify with Dr.
your physician(s)? Mellis that he Mellis that he Mellis that he Mellis that he
accepts Medicare accepts Medicare accepts Medicare accepts Medicare

How large is the plan's You can see any You can see any You can see any You can see any
provider network? provider who provider who provider who provider who
accepts Medicare accepts Medicare accepts Medicare accepts Medicare

Do you need referrals to
see specialists? No No No No
Range of annual premiums

(according to CSG $2,189 - $5,249 $1,868 - $5,428 $1,515 - $5,177 $1,587 - $3,504
Actuarial)

Number of insurance
companies that sell this 37 51 47 11
plan in your state

How good is the plan's Excellent, but it Excellent, but it Excellent, but it Good. $3,110 out
catastrophic coverage for does not have an does not have an does not have an of pocket limit for
medical costs? out-of-pocket limit out-of-pocket limit out-of-pocket limit covered services

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

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

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