Medigap Benefits
|
A |
B |
C |
F |
K |
L |
| Medicare Part A Coinsurance and Medigap Coverage for Hospital Benefits |
X |
X |
X |
X |
X |
X |
| Medicare Part B Coinsurance or Copayment |
X |
X |
X |
X |
50% |
75% |
| Blood (First Three Pints) |
X |
X |
X |
X |
50% |
75% |
| Hospice Care Coinsurance or Copayment |
|
|
|
|
50% |
75% |
| Skilled Nursing Facility Care Coinsurance |
|
|
X |
X |
50% |
75% |
| Medicare Part A Deductible |
|
X |
X |
X |
|
|
| Medicare Part B Deductible |
|
|
X |
X |
|
|
| Medicare Part B Excess Charges |
|
|
|
100% |
|
|
| Foreign Travel Emergency (Up to Plan Limits) |
|
|
X |
X |
|
|
| At-Home Recovery (Up to Plan Limits) |
|
|
|
|
|
|
| Preventive Care Coinsurance (Included in the Part B Coinsurance) |
X |
X |
X |
X |
X |
X |