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Home >> Texas Medicare Supplements >> Chart

Texas Medicare Supplement Chart

Each Texas Medicare Supplement Insurance policy option is made up of a certain combination of basic benefits. Use the following chart to determine which plan has the right benefits for you.

How to read the chart:

If an X appears in the column of this chart, the Medigap policy covers 100% of the described benefit. If a row lists a percentage, the policy covers that percentage of the described benefits. If a row is blank, the policy doesn't cover that benefits. Note: The Medigap policy covers coinsurance only after you have paid the deductible (unless the Medigap policy also covers the deductible).

Medigap Benefits

A

B

C

D

F*

G

K**

L**

M

N

Medicare Part A Coinsurance

X

X

X

X

X

X

X

X

X

X

Medicare Part B Coinsurance

X

X

X

X

X

X

50%

75%

X

X***

Blood (1st 3 Pints)

X

X

X

X

X

X

50%

75%

X

X

Part A Hospice Care Coinsurance or Copayment

X

X

X

X

X

X

50%

75%

X

X

Skilled Nursing Facility Coinsurance

 

 

X

X

X

X

50%

75%

X

X

Medicare Part A Deductible  

X

X

X

X

X

50%

75%

50%

X

Medicare Part B Deductible    

X

 

X

 

 

 

 

 

Medicare Part B Excess Charges          ****100% ****100%  

 

 

Foreign Travel Emergency    

X

X

X

X

 

 

X

X

   

 

 

 

Out of Pocket Limit $4640

Out of Pocket Limit $2320

 

 

*Plan F also offers a high-deductible plan. If you choose this high-deductible version, this means you must pay for Medicare-covered costs up to the deductible amount of $2070 (in 2012) before your Medigap plan pays anything.

**After you meet your yearly Part B deductible ($140 in 2012), the Medigap plan pays 100% of covered services for the rest of the calendar year.

***Plan N pays 100% of the Part B coinsurance, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don't result in an inpatient admission.

****Pays 100 percent of the excess fees, which are limited to 15 percent above the Medicare-approved amount

Texas Medicare Supplement Glossary of Terms:

Part A Coinsurance - Pays the daily hospital coinsurance for days 61 - 150, plus an additional 365 days at 100% of Medicare eligible expenses

Part B Coinsurance - this covers the 20% that Medicare doesn't cover for Part B (outpatient) expenses

Blood - pays for the first 3 pints of blood that Medicare doesn't cover

Skilled Nursing Coinsurance - Covers the coinsurance for Skilled Nursing facility on days 21 - 100 up to $144.50 per day in 2012.

Part A Deductible - pays this deductible ($1156 in 2012)

Part B Deductible - pays the annual deductible for Part B (outpatient) services, which is $140 in 2012.

Excess Charges - Part B excess charge benefit pays some or all of the difference between what your doctor charges and Medicare's approved amount, depending on which plan you choose

Foreign Travel Emergency - pays 80% of the cost of your foreign emergency care after a $250 deductible. Maximum lifetime benefit is $50K.

Part A Hospice Care Coinsurance or Copay -  pays for Medicare-approved hospice benefits except for small copay for prescription medicines for patient comfort

Part B Preventive Care Coinsurance - pays your coinsurance for Medicare Part B covered preventive care, such as annual routine physical, immunizations, mammograms, pap smear, colorectal screenings, prostate screenings, and bone density tests.

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We offer Texas Medicare supplement insurance information and quotes only for your independent review of your Texas Medicare insurance options.

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