Page 60 - Cover Letter and Evaluation for Barbara Lesswing
P. 60
11/18/2017 Your Medicare Health Plan Comparison
No No
Optional supplemental benefits
$275 for days 1 through 6 $225 for days 1 through 6
Inpatient hospital coverage $0 for days 7 through 90 $0 for days 7 through 90
$100 per visit $275 per visit
Outpatient hospital coverage
Primary: $0 copay Primary: $0 copay
Doctor visits Specialist: $25 per visit Specialist: $25 per visit
$0 copay $0 copay
Preventive care
Emergency: $80 per visit (always covered) Emergency: $80 per visit (always covered)
Emergency care/Urgent care Urgent care: $65 per visit (always covered) Urgent care: $65 per visit (always covered)
Diagnostic tests and procedures: $0-25 Diagnostic tests and procedures: $0-25
Diagnostic procedures/lab
services/imaging
Lab services: $0 or 0-20% Lab services: 0-20%
Diagnostic radiology services (e.g., MRI): Diagnostic radiology services (e.g., MRI):
$50 $125
Outpatient x-rays: $25 Outpatient x-rays: $25
$250 for days 1 through 6 $225 for days 1 through 6
Mental health services $0 for days 7 through 90 $0 for days 7 through 90
Outpatient group therapy visit with a Outpatient group therapy visit with a
psychiatrist: $40 psychiatrist: $40
Outpatient individual therapy visit with a Outpatient individual therapy visit with a
psychiatrist: $40 psychiatrist: $40
Outpatient group therapy visit: $40 Outpatient group therapy visit: $40
Outpatient individual therapy visit: $40 Outpatient individual therapy visit: $40
Coming soon Coming soon
Skilled Nursing Facility
Occupational therapy visit: $10 Occupational therapy visit: $15
Rehabilitation services
Physical therapy and speech and language Physical therapy and speech and language
therapy visit: $10 therapy visit: $15
$150 $225
Ambulance
Not covered Not covered
Transportation
Foot exams and treatment: $25 Foot exams and treatment: $25
Foot care (podiatry services) Routine foot care: Not covered Routine foot care: Not covered
Durable medical equipment (e.g., Durable medical equipment (e.g.,
Medical equipment/supplies wheelchairs, oxygen): 25% per item wheelchairs, oxygen): 20% per item
Prosthetics (e.g., braces, artificial limbs): Prosthetics (e.g., braces, artificial limbs):
25% per item 20% per item
Diabetes supplies: $0-10 per item Diabetes supplies: $0-10 per item
Covered Covered
Wellness programs (e.g., fitness,
nursing hotline)
Chemotherapy: 20% Chemotherapy: 20%
Medicare Part B drugs
Other Part B drugs: 20% Other Part B drugs: 20%
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Benefits Services
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