Each Medicare Supplement Insurance policy option is made up of a certain combination of basic benefits. Use the following Texas Medicare supplement chart to determine which plan has the right benefits for you.
*Medicare Supplement Plan F also has a high-deductible version. Not all insurance companies offer it. In this plan, you will pay for Medicare-covered costs up to the deductible of $2200 in 2017 first. Once you satisfy the deductible, then your policy will kick in. It will pay like a regular Plan F for the rest of the year.
**For Medicare supplement plans K and L, the Medigap plan pays 100% of covered services after you meet your out-of-pocket limit and Part B deductible for the year.
***Plan N covers the 20% that Medicare Part B doesn’t, except you will incur a copay. Copay can be up to $20 for doctor appointments and up to $50 for an ER visit as long as you are not admitted.
Texas Medicare Supplement Chart Glossary of Terms:
Part A Coinsurance – Pays the daily hospital coinsurance for days 61 – 150. Also includes an additional 365 days at 100% of Medicare eligible expenses
Part B Coinsurance – 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 $164.50 per day in 2017.
Part A Deductible – pays this deductible ($1317 in 2017)
Part B Deductible – pays the annual deductible for Part B (outpatient) services, which is $183 in 2017.
Excess Charges – 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. This includes annual routine physical, immunizations, mammograms, pap smear, colo-rectal screenings, prostate screenings, and bone density tests.