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Review our plans for:
ZIP code , County
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Your plan benefits coverage for what Medicare does not pay
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A
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B
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C
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D
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F
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G
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J
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Monthly Premium
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$89.10
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$114.80
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$130.90
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$128.30
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$173.80
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$125.40
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$126.30
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Inpatient hospital deductible each benefit period
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Copayment for days 61-90 in hospital
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Copayment for days 91-150 in hospital
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Additional 365 hospital days after Medicare hospital benefits end
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Calendar year blood deductible
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Copayment for days 21-100 in skilled nursing facility
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Part B Deductible
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20% of Part B coinsurance after deductible is met
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Excess charges
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100%
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80%
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100%
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At home recovery
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Emergency care in a foreign country
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Additional preventive care benefits
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Vision care
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SilverSneakers®
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The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. This is an advertisement; for more information, contact a benefits specialist.
Web Page Last Updated: 8/30/2011
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