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Choose the Medicare Supplement insurance plan that is right for you:

POLICY BENEFITS	MEDICARE SUPPLEMENT PLAN COVERAGE^†
DISCLOSURES, EXCLUSIONS & LIMITATIONS VARY BY STATE	Plan A	Plan B	Plan C	Plan D	Plan F	Plan HDFˆ	Plan G	Plan N
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.			✔	✔	✔	✔	✔	✔
Medicare Part A Deductible Inpatient hospital deductible for each benefit period.		✔	✔	✔	✔	✔	✔	✔
Medicare Part B Deductible Medical Insurance calendar year deductible.			✔		✔	✔
Medicare Part B Excess Charges May exceed the eligible Medicare expense, not to exceed the charge limitation established by Medicare.					✔	✔	✔
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.			✔ (Pays 80%)	✔ (Pays 80%)	✔ (Pays 80%)	✔ (Pays 80%)	✔ (Pays 80%)	✔ (Pays 80%)

^†Not all plans are available in all states - get an online quote or call to confirm which plans are available in your state, and to verify complete coverage benefits.
^▲Plan N pays 100% of the Part B coinsurance, except for a copayment not to exceed $20 for some office visits and a $50 copayment for emergency room visits that don't result in an inpatient admission.
ˆHigh Deductible F pays the same as Plan F and requires payment of your costs (coinsurance, copayments, deductibles) for Medicare approved expenses up to the current calendar year deductible amount before the policy pays any benefits. The Medicare deductible changes each year, per Centers for Medicare & Medicaid Services (CMS) guidelines.

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