CONTACT US
Salt Lake City Area:
(801) 572-3808
Toll Free:
(800) 603-5099
Fax:
(801) 255-5342
Brindle Insurance Group
PO Box 157
Sandy, UT 84091-0157
Contact Form
Plan N - Medicare Part A - Hospital Services - Per Benefit Period
| Services
/ Part A |
In
2010 Medicare Pays |
Plan
N Pays |
You
Pay |
| HOSPITALIZATION* Semiprivate room and board, general nursing and miscellaneous services and supplies -First 60 days |
All
but $1100.00 |
$1100.00
(Part A Deductible) |
$0 |
| -61st through
90th day |
All
but $275.00 a day |
$275.00
a day |
$0 |
| -91st day and after -While using 60 lifetime reserve days |
All
but $550.00 a day |
$550.00
a day |
$0 |
| -Once lifetime
reserve days are used: -Additional 365 days |
$0 |
100% of Medicare Eligible Expenses | $0 |
| -Beyond the
additional 365 days |
$0 |
$0 |
All
costs |
| SKILLED NURSING
FACILITY CARE* You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare approved facility within 30 days after leaving the hospital -First 20 days |
All
approved amounts |
$0 |
$0 |
| -21st day through
100th day |
All
but $137.50 a day |
Up
to $137.50 a day |
$0 |
| -101st day and
after |
$0 |
$0 |
All costs |
| BLOOD -First 3 Pints |
$0 |
3
pints |
$0 |
| -Additional amounts |
100% |
$0 |
$0 |
| HOSPICE CARE Available as long as your doctor certifies you are terminally ill and you elect to receive these services |
All
but very limited coinsurance for outpatient drugs and inpatient respite
care |
Medicare
co-payment / coinsurance |
$0 |
Plan N - Medicare Part B - Medical Services - Per Calendar Year
| Services
/ Part B |
In
2010 Medicare Pays |
Plan
N Pays |
You
Pay |
| MEDICAL EXPENSES IN OR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT: such as physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment -First $155.00 of Medicare Approved Amounts |
$0 |
$0 |
$155.00
(Part B Deductible) |
-Remainder of Medicare Approved Amounts |
Generally
80% |
Balance,
other than $20 per office visit and up to $50 per emergency room
visit. The co-payment of up to $50 is waived if the insured is
admitted to any hospital and the emergency visit is covered as a
Medicare Part A expense |
up
to $20 per office visit and up to $50 per emergency room visit.
The co-payment of up $50 is wavied if the insured is admitted to any
hospital and the emergency visit is covered as a Medicare Part A
expense. |
| -Part B Excess
Charges (above Medicare Approved Amounts) |
$0 | $0 |
All
costs |
| BLOOD -First 3 pints |
$0 |
All
costs |
$0 |
| -Next $155.00 of
Medicare Approved Amounts** |
$0 |
$0
|
$155.00 (Part B Deductible) |
| -Remainder of Medicare Approved Amounts |
80% |
20% |
$0 |
| CLINICAL LABORATORY SERVICES--BLOOD TESTS FOR DIAGNOSTIC SERVICES |
100% |
$0 |
$0 |
Part A & B
| Parts
A & B |
In
2010 Medicare Pays |
Plan
N Pays |
You
Pay |
| HOME
HEALTH CARE - MEDICARE APPROVED SERVICES Medically necessary skilled care services and medical supplies -Durable medical equipment |
100% |
$0 |
$0 |
| -First $155.00 of
Medicare Approved Amounts** |
$0 |
$0
|
$155.00 (Part B Deductible) |
| --Remainder of
Medicare Approved Amounts |
80% | 20% |
$0 |
Other Benefits - Not Covered By Medicare Part B (Covered under Plan N)
| Services
/ Part B |
Medicare
Pays |
Plan
N Pays |
You
Pay |
| FOREIGN
TRAVEL- NOT COVERED BY MEDICARE Medically necessary emergency care services beginning during the first 60 days of each trip outside the USA -First $250 of each calendar year |
$0 |
$0 |
$250 |
| -Remainder of
Charges |
$0 |
80%
to a lifetime benefit / maximum benefit of $50,000 |
20%
and amounts over the $50,000 lifetime maximum |
Plan A, Plan B, Plan C, Plan D, Plan F, Plan G, Plan K, Plan L, Plan M, Plan N
*A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.
**Once you have been billed $155.00 of Medicare Approved amounts for covered services (which are noted with an asterisk), your Part B Deductible will have been met for the calendar year.
Brindle Insurance Group is not associated with Medicare, Social Security or any other Government Agency.
The information on this site is an overview for generalization only. For exact definition of terms, benefits, exceptions and exclusions as well as any waiting periods, you must see the policy itself.
The Policy contained herein may have some Limitations and Exclusions.
*A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.
**Once you have been billed $155.00 of Medicare Approved amounts for covered services (which are noted with an asterisk), your Part B Deductible will have been met for the calendar year.
Brindle Insurance Group is not associated with Medicare, Social Security or any other Government Agency.
The information on this site is an overview for generalization only. For exact definition of terms, benefits, exceptions and exclusions as well as any waiting periods, you must see the policy itself.
The Policy contained herein may have some Limitations and Exclusions.