Medicare Supplement Washington

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Plan Brochure  (PDF) | Medicare and You | Choose Medigap

Rates

Rates effective 6/1/2010	Plan A	Plan B	Plan C	Plan F	High Ded Plan F	Plan K	Plan L
Monthly Premiums Community Rates	$145.10	$157.74	$181.56	$185.23	$70.71	$85.92	$121.28
Benefits	Plan A	Plan B	Plan C	Plan F	High Ded Plan F	Plan K	Plan L
Medicare Part A Coinsurance and Hospital Benefits
Medicare Part A Deductible						50%	75%
Medicare Part B Coinsurance or Co-payment						50%	75%
Medicare Part B Deductible
Medicare Part B Excess Charges
Blood (First Three Pints)						50%	75%
Hospice Care Coinsurance or Co-payment						50%	75%
Skilled Nursing Coinsurance						50%	75%
Foreign Travel Emergency (Up to Plan Limits)3
Medicare Preventive Care Part B Coinsurance
2010 out-of-pocket limit4					$2,000	$4,620	$2,310

* Plan F also has an option called a high deductible plan F. This high deductible plan pays the same benefits as Plan F after one has paid a calendar year $2,000 deductible. Benefits from high deductible plan F will not begin until out-of-pocket expenses exceed $2,000. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare deductibles for Part A and Part B, but do not include the plan’s separate foreign travel emergency deductible.

Monthly premiums presented include $2 for coupon book billing method. If a policyholder elects either automatic bank withdrawal or recurring credit card transaction as a payment method, the premium is $2 less.