Stonebridge Medicare Supplement Rates




Company / Plan

Coverage Highlights
Annual Deductible
Monthly Premium
Plans: 4

Plan A

Yes Part B Coinsurance
Yes Skilled Nursing
No Part B Excess
80% Foreign Travel
$0 Application Fee
No Household Discount
Part A: $1,260
Part B: $147
$104.31

Plan N

Yes Part B Coinsurance
Yes Skilled Nursing
No Part B Excess
80% Foreign Travel
$0 Application Fee
No Household Discount
Part A: $0
Part B: $147
$135.83

Plan G

Yes Part B Coinsurance
Yes Skilled Nursing
Yes Part B Excess
80% Foreign Travel
$0 Application Fee
No Household Discount
Part A: $0
Part B: $147
$158.01

Plan F

Yes Part B Coinsurance
Yes Skilled Nursing
Yes Part B Excess
80% Foreign Travel
$0 Application Fee
No Household Discount
Part A: $0
Part B: $0
$178.61
  1. Medigap Plan F offers a high deductible option. You must pay for Medicare-covered costs up to the high-deductible amount ($2,180 in 2015) 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 $250 deductible for foreign travel emergency and there is a $50,000 lifetime maximum benefit.
  4. After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($147 in 2015) the plan pays 100% of covered services for the rest of the calendar year (This applies only to plans K & L) & [Excess charges do to apply to maximum out of pocket]
  5. Modified Plan F offers an individual assistance program, as well as coverage for preventive dental care (available in some states)
  • 2015 Out of Pocket Limit for Plan K is $4,940.
  • 2015 Out of Pocket Limit for Plan L is $2,470.