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Regence BlueShield Medicare Supplement Rates

Rates effective June 1, 2010 Plan A Plan C Plan F Plan K
Monthly Surepay Rate $120 $169 $170 $91
Monthly Paper Bill Rate $122 $171 $172 $93
Quarterly Rate $362 $509 $512 $275
Semi-Annual Rate $722 $1,016 $1,022 $548
Annual Rate $1,442 $2,030 $2,042 $1,094
Benefits Plan A Plan C Plan F Plan K
Medicare Part A Coinsurance and Hospital Benefits Yes Yes Yes Yes
Medicare Part A Deductible   Yes Yes 50%
Medicare Part B Coinsurance or Co-payment Yes Yes Yes 50%
Medicare Part B Deductible   Yes Yes  
Medicare Part B Excess Charges     Yes  
Blood (First Three Pints) Yes Yes Yes 50%
Hospice Care Coinsurance or Co-payment Yes Yes Yes 50%
Skilled Nursing Coinsurance   Yes Yes 50%
Foreign Travel Emergency (Up to Plan Limits)3   Yes Yes  
Medicare Preventive Care Part B Coinsurance Yes Yes Yes Yes

Discounts are reflected in the premiums listed above for all payment options other than Monthly Paper Vill; there is no discount for monthly paper billing

  • Monthly Surepay from your bank account receives a discount of $2 - a $24 savings annually
  • Paying your bill quarterly saves you $4 - a $16 savings annually
  • Paying your bill semi-annually saves you $10 - a $20 savings annually
  • Paying your bill quarterly saves you $22
  1. Medigap Plan F offers a high deductible option. You must pay for Medicare-covered costs up to the high-deductible amount ($2,070 in 2012) before your Medigap policy pays anything
  2. 100% part B coinsurance except up to $20 copayment for office visits and up to $50 copayment for ER.
  3. You must also pay a separate deductible for foreign travel emergency ($250 per year).
  4. After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($140 in 2012) the plan pays 100% of covered services for the rest of the calendar year (This applies only to plans K & L)
  5. Modified Plan F offers an individual assistance program, as well as coverage for preventive dental care (available in some states)
  • 2012 Out of Pocket Limit for Plan K is $4,660.
  • 2012 Out of Pocket Limit for Plan L is $2,330.

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