DISCLOSURES, EXCLUSIONS & LIMITATIONS VARY BY STATE |
Medicare Part A Coinsurance (after the Part A deductible)
Semi-private room and board, general nursing and miscellaneous services and supplies. Includes hospital costs limited to an additional 365 days (in your lifetime) after Medicare benefits are used up. |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
Medicare Part B Coinsurance or Copayment (after the Part B deductible)
Generally 20% of Medicare approved expenses |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔▲ |
Blood (First 3 Pints) |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
Part A Hospice Care Coinsurance or Copayment
Medicare pays all but very limited co-payment / coinsurance for out-patient drugs and inpatient respite care. Must meet Medicare's requirements including a doctor's certification of terminal illness. |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
Skilled Nursing Facility Care Coinsurance
Care in a facility approved by Medicare (100 day limit). Must have been in a hospital for at least 3 days and have entered the facility within 30 days after discharged from hospital. |
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✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
Medicare Part A Deductible
Inpatient hospital deductible for each benefit period. |
|
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
✔ |
Medicare Part B Deductible
Medical Insurance calendar year deductible. |
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|
✔ |
|
✔ |
✔ |
|
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Medicare Part B Excess Charges
May exceed the eligible Medicare expense, not to exceed the charge limitation established by Medicare. |
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✔ |
✔ |
✔ |
|
Foreign Travel Emergency
Eligible Medicare expenses for medically necessary emergency care received outside of the U.S. which began during the first 60 days of each trip. Not to exceed a lifetime maximum of $50,000. You pay $250 deductible per calendar year. |
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✔
(Pays 80%) |
✔
(Pays 80%) |
✔
(Pays 80%) |
✔
(Pays 80%) |
✔
(Pays 80%) |
✔
(Pays 80%) |