Enhancing Safer Independent Living
1-800-657-1772
 |
 |
 |
 |
 |
 |
 |
Get Info about... |
 |
|
|
|
|
|
|
Contact Us |
Enhanced Care Solutions 952-285-1772 Office |
Links to Information and Resources
For all states except Massachusetts, Minnesota, and Wisconsin*, there are ten standardized MediGap plans (labeled Plan A through J), which private insurance companies may offer. Each plan type offers a varying degree of benefits. Plans H, I, J are the only standardized MediGap plans that offer prescription drug benefits.
Medicare
Medicare Primer
Equipment Coverage
Resource Links
Prescription Drugs
The right question
Need to know (pdf)
MN Approved Cards (pdf) Resource Links
Medicaid
Medicaid Primer
Medicaid Services
Medicare vs Medicaid
Resource Links
Medigap
Medigap Overview
Standardized Plans
MN Company List (pdf)
Resource Links
Long Term Care Insurance
Overview
Coverage Options
Resource Links
Minnesota Programs
Medical Assistance Elderly Waiver (pdf)
-
Coverage for the Part A coinsurance amount for days 61 through 90 of hospital stay in each Medicare benefit period.
-
Coverage for the Part A coinsurance amount for days 91 through 150 of a hospital stay for each of Medicare's 60 lifetime reserve days that may be used once.
-
After all Medicare hospital benefits are exhausted, coverage for 100% of the Medicare Part A eligible hospital expenses. Coverage is limited to a maximum of 365 days of additional inpatient hospital care during the policyholder's lifetime. Policyholder may be responsible for payment when Medigap hospital benefits are exhausted.
-
Coverage under Medicare Parts A and B for the reasonable cost of the first three pints of blood or equivalent quantities of packed red blood cells per year unless this blood is replaced.
-
Coverage for the coinsurance amount for Part B services (generally 20 percent of Medicare-approved amount) after $100 annual deductible is met.
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- Coverage for the Medicare Part B deductible.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for at-home recovery. The at-home recovery benefit pays up to $40 each visit and $1,600 per year for short-term, at home assistance with activities of daily living (like bathing, dressing, personal hygiene, etc.) for those recovering from an illness, injury or surgery.
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for preventive medical care. The preventive medical care benefit pays up to $120 per year for things like a physical examination, serum cholesterol screening, hearing test, diabetes screenings, and thyroid function test.
PLAN F -- includes the basic benefits plus:
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- Coverage for the Medicare Part B deductible.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for 100% of Medicare Part B excess charges.(Excess Charge = The difference between a doctor's or other healthcare provider's actual charge (up to the amount of charge limitation set by Medicare or the state) and the Medicare-approved payment amount)
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for 80% of Medicare Part B excess charges.
- Coverage for at-home recovery. The at-home recovery benefit pays up to $40 each visit and $1,600 per year for short-term, at home assistance with activities of daily living (like bathing, dressing, personal hygiene, etc.) for those recovering from an illness, injury, or surgery.
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for 50% of the cost of prescription drugs up to a maximum of $1,250 per year after the policyholder meets a $250 deductible per year (basic prescription drug benefit).
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for 100% of Medicare Part B excess charges.
- Coverage for at-home recovery. The at-home recovery benefit pays up to $40 each visit and $1,600 per year for short-term, at home assistance with activities of daily living (like bathing, dressing, personal hygiene, etc.) for those recovering from an illness, injury, or surgery.
- Coverage for 50% of the cost of prescription drugs up to a maximum of $1,250 per year after you meet a $250 deductible per year (basic prescription drug benefit).
- Coverage for the Medicare Part A inpatient hospital deductible.
- Coverage for the skilled nursing facility coinsurance amount.
- Coverage for the Medicare Part B deductible.
- 80% coverage for medically necessary emergency care in a foreign country, after a $250 deductible.
- Coverage for 100% of Medicare Part B excess charges.
- Coverage for at-home recovery. The at-home recovery benefit pays up to $40 each visit and $1,600 per year for short-term, at home assistance with activities of daily living (like bathing, dressing, personal hygiene, etc.) for those recovering from an illness, injury, or surgery.
- Coverage for preventive medical care. The preventive medical care benefit pays up to $120 per year for things like a physical examination, serum cholesterol screening, hearing test, diabetes screening, and thyroid function test.
- Coverage for 50% of the cost of prescription drugs up to a maximum of $1,250 per year after you meet a $250 deductible per year (basic prescription drug benefit).
* MA, MN, and WI had Medigap standardization programs in place before the passage of OBRA in 1990 and were granted exemptions allowing continued operation of those plans.
Source: GlaxoSmithKline Reimbursement Resource Center, Medicare.gov
Home | About Us | Is ECS Right for You? | FAQ | Resources | Site Map | Contact Us
ECS Products & Services:
Early Notification | Medical Alert - Personal Emergency Response
Health Management | Care Concierge
© 2005 Enhanced Care Solutions - All Rights Reserved
Terms of Use - Privacy