ALTERNATIVE # 1: Retirees Only, Age 65 & Over
|
SENIOR PARTNER – OPTION 2
|
MEDI-GAP PLAN F WITH PRESCRIPTION CARD
|
| Part A Deductible of Medicare |
|
| 61st day to 90th day |
$198 a day |
91st day & after – using 60 lifetime
reserve days
|
$396 a day |
Once Lifetime Reserve Days are used:
|
| Additional 365 days |
100% of
Medicare
Eligible
Expenses |
Skilled Nursing Facility Care
21st day to 100th day
|
Up to $99
per day |
| Blood |
Up to 3
Pints |
| |
|
| Part B Doctors and Surgeons |
|
| Medicare deductible – approved amounts |
$100 |
| |
|
| Part B Deductible |
|
| Excess Charges |
20% |
| Above Medicare Approved Amounts |
100% |
| |
|
| Prescription Drug Program |
|
| Retail Days Supply Limitation |
30 days
Non-maintenance
Drugs |
| |
|
| Mail Order |
90 days |
| Co-Pays |
Generic |
$10 |
$15 mail order |
| |
Brand |
50% |
50% mail order |
|
| |
QUARTERLY RATE: $887.28 |
Available in NY and other States |
Retiree
Medical Coverage
