Medicare Select Hospital Listing
Medicare Select Plans are available in specific geographic areas only, and you must live within a 30 mile radius of a Medicare Select participating hospital listed below to enroll in a Medicare Select plan.
Medicare Select Plans – Hospital Listing (by city)
- Medicare Select Hospital List
(print version)
| City | Hospital | City | Hospital |
| Aledo | Mercer County Hospital | Arlington Heights | Northwest Community Hospital |
| Aurora | Provena-Mercy Center Rush Copley Medical Center |
Hinsdale | Adventist Hinsdale Hospital |
| Barrington | Advocate – Good Shepherd | Hoffman Estates | St. Alexius Hospital Alexian Brothers Behavioral Health |
| Berwyn | MacNeal Memorial Hospital | Joliet | Provena St Joseph Medical Center Silver Cross Hospital |
| Bolingbrook | Adventist Bolingbrook | Kankakee | Provena St. Mary’s Hospital Riverside Medical Center |
| Canton | Graham Hospital Association | LaGrange | Adventist LaGrange Memorial Hospital |
| Chicago | Advocate – Illinois Masonic Medical Center Advocate – Trinity Hospital Aurora Columbia Chicago Lakeshore Hospital Holy Cross Hospital Jackson Park Hospital John H. Stroger Hospital Louis A. Weiss Memorial Hospital Mercy Hospital and Medical Center Mount Sinai Hospital and Medical Center Neurologic and Orthopedic Institute of Chicago Northwestern Memorial Hospital Norwegian American Hospital Our Lady of the Resurrection Medical Center Provident Hospital of Cook Country Rehabilitation Institute of Chicago Resurrection Hospital RML Specialty Hospital Roseland Community Hospital Schwab Rehabilitation Hospital St. Anthony Hospital St. Elizabeth Hospital Saint Joseph Health Center St. Mary of Nazareth Hospital Swedith Covenant Hospital Thorek Hospital University of Chicago Medical Center University of Illinois Hospital |
||
| Chicago Heights | St. James Hospital – Chicago Heights Campus | Maywood | Loyola University Medical Center |
| Clinton | Dr John Warner Hospital | Melrose Park | Gottlieb Memorial Hospital Westlake Community Hospital |
| Danville | Provena United Samaritan Medical Center | Moline | Trinity Medical Center |
| Decatur | Decatur Memorial Hospital St Mary’s Hospital |
Naperville | Edward Hospital |
| Des Plaines | Holy Family Medical Center | Oak Forest | Oak Forest Hospital of Cook County |
| Downers Grove | Advocate – Good Samaritan Hospital | Oak Lawn | Advocate – Christ Hospital |
| East St. Louis | Kenneth Hall Hospital Touchette Regional Hospital |
Oak Park | Rush Oak Park Hospital West Suburban Hospital |
| Elgin | Provena St. Joseph Hospital | Olympia Fields | St James Hospital |
| Elk Grove Villiage | Alexian Brothers Hospital | Palos Heights | Palos Community Hospital |
| Evanston | Northshore University – Evanston St Francis Hospital | Park Ridge | Advocate – Lutheran General Hospital |
| Evergreen Park | Little Company of Mary Hospital | Pekin | Pekin Hospital |
| Forest Park | Riveredge Hospital | Peoria | Proctor Hospital St Francis Hospital Medical Center |
| Galesburg | St. Mary’s Hospital | Pontiac | St. James Hospital |
| Glendale Heights | Adventist Glenoaks Hospital | Rockford | St. Anthony’s Hospital Van Matre Health South Rehabilitation Center |
| Glenview | North Short University – Glenbrook | Silvis | Illini Hospital |
| Harvey | Ingalls Memorial Hospital | Skokie | Skokie Hospital |
| Hazel Crest | Advocate – South Suburban Hospital | Springfield | St. John’s Hospital Memorial Medical Center |
| Highland Park | North Shore University – Highland Park | Taylorville | Taylorville Memorial Hospital |
| Hinsdale | Adventist Hinsdale Hospital | Urbana | Provena Covenant Medical Center Urbana |
| Wheaton | Marianjoy Rehabilitation Hospital | ||
**Med-Select hospital list is subject to change. Always verify the network status with BCBSIL or the hospital before receiving treatment.
Why You Need a Medicare Supplement Insurance Plan
Medicare is a federal program to help older Americans and some disabled Americans pay for the high cost of health care. However, Medicare was never intended to cover all your health care costs. So even if you’re covered by Medicare, you are still responsible for a large portion of your health care costs. Without a Medicare Supplement insurance plan, your out-of-pocket costs could add up to more than $57,424 this year alone.
What Medicare Doesn’t Cover
Medicare does not cover all health care costs. Medicare coverage consists of Part A (which covers hospital and skilled nursing facility care), and Part B (which covers doctor bills and other medical expenses).
Even with Medicare Part A and Part B coverage, you’re responsible for some out-of-pocket expenses including:
(Here are the 2017 deductibles):
- Part A hospital deductible ($1,316)
- Part B deductible ($183)
- Copayments for hospital stays over 60 days
- Care in a skilled nursing facility after 20 days
- Twenty percent coinsurance for doctor bills and other medical expenses
By law, Medicare Supplement insurance plans are standardized into twelve plans (Plans A through L). That means Plan F from one company must include the same benefits as plan F from another company. While the benefits must be the same, each company’s rates, reputation, membership features and quality of service can vary. With Blue Cross and Blue Shield of Illinois, you don’t have to sacrifice comprehensive benefits or freedom-of-choice for affordability. Their Medicare Supplement plans provide substantial benefits at rates that can save you money over other plans.
Blue Cross Blue Shield of Illinois Member Benefits
All Blue Cross and Blue Shield of Illinois Medicare Supplement Insurance plans give you:
- Guaranteed Acceptance with no health questions asked
- Freedom to choose any doctors or specialists
- Coverage with domestic travel (Plans F, HD-F, G, and N cover foreign travel)
- Guaranteed renewability regardless of changes in your health
- Coverage guaranteed to match Medicare’s cost increases year after year
- Blue Extras Member Discount Program that include discounts on wellness products and services including vision, fitness clubs, weight management, complementary alternative medicine, hearing and more
- No claim forms, in most cases
Medicare Supplement Insurance Plan Basic Benefits
Basic benefits included in all plans include:
- Hospitalization – Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.
- Medical Expenses – Part B coinsurance (generally 20% of Medicare-approved expenses), or in the case of hospital outpatient department services under a prospective payment system, applicable copayments.
- Blood – First three pints of blood each year.
*Plans K and L include benefits at different levels of cost sharing (see outline of coverage).
Premier Plans
- Of all available standardized plans, Plans F and Plan G offer the most complete protection for uncovered Medicare Part B excess charges. These are the most popular plans because they also pay the Medicare Part A hospital deductible and copayments, skilled nursing facility copayment and foreign travel emergency care.
- Plans F also covers the Medicare Part B deductible.
Budget-Conscious Plans
High Deductible Plan F, Plan K, Plan L and Plan N include cost-sharing features that allow you to save on premiums while still receiving dependable coverage.
- High Deductible Plan F features a $2,200 annual deductible (2017) before plan benefits begin
- Plan N features an office visit and emergency room copayment applicable to each visit
- Plans K and Plan L feature cost sharing for covered services under Medicare Part A and Part B. Once your annual out-of-pocket expenses reach the required limit, the plan pays 100% of covered expenses for the remainder of the calendar year.
If you are seeking the most basic benefit plan with the lowest cost, BCBSIL offers Medicare Supplement Plan A. For more detailed explanations on all the available BCBSIL Medicare Supplement plans and benefits, you can Compare BCBSIL Medicare Supplement Insurance Plans.
BCBSIL Medicare Supplement Insurance Plans – Quick Comparison Table
| Plans | A | F, HD-F* | G | K** | L** | N |
| Basic Benefits | X | X | X | X | X | X |
| Skilled Nursing Coinsurance | – | X | X | 50% | 75% | X |
| Part A Deductible | X | X | X | 50% | 75% | X |
| Part B Deductible | – | X | – | – | – | – |
| Part B Excess (100%) | – | X | X | – | – | – |
| Foreign Travel Emergency | – | X | X | – | – | X |
| At Home Recovery | – | – | – | – | – | – |
| Annual Out-of-Pocket Cost | – | $0 | $0 | $5,120 | $2,560 | $0 |
*Plan F also has an option called high deductible Plan F (HD-F). This high deductible plan pays the same benefits as Plan F after one has paid a calendar year $2,200 deductible. Benefits from high deductible Plan F will not begin until out-of-pocket expenses exceed $2,200. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare Part A and Medicare Part B deductibles, but do not include the plan’s separate foreign travel emergency deductible.
**Plans K and L provide for different cost-sharing than plans A-F. Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You will be responsible for paying excess charges.
Part B medical excess: Charges from your provider that exceed Medicare-approved amounts. Only Plan F, High Deductible Plan F, and Plan G cover these charges. For all other plans, you are responsible for paying excess charges. In no case can a provider charge more than 115% of the Medicare approved amount.
Skilled nursing coinsurance: Medicare pays the first 20 days of treatment in a skilled nursing facility, and an annually adjusted per diem for the 21st through 100th day. Plans with this benefit pay an additional annually adjusted per diem for the 21st through 100th day. You are responsible for all charges after the 100th day. In order to receive any Skilled Nursing Facility benefits, you must meet Medicare’s requirements:
- You were admitted to a hospital for at least three days
- You were admitted to a Medicare-approved skilled nursing facility within 30 days of leaving the hospital
Foreign travel emergency: Medically necessary emergency care services beginning during the first 60 days of each trip outside of the United States. All plans offering this benefit require you to pay a foreign travel emergency deductible and a percent of costs after the deductible is met.
Preventive care: Some annual physical and preventive tests and services administered or ordered by your doctor when not covered by Medicare.
Reduced Premium Medicare Select Option
Med-Select Options
Plan F, Plan G, Plan K, Plan L, and Plan N Med-Select options offer you the same solid benefits as the “standard” plans, but cost less. You save on premiums simply by agreeing to use any of the Med-Select participating hospitals for non-emergency elective admissions. If you do not use one of these hospitals for your non-emergency admissions, you pay the $1,316 Part A deductible. Med-Select is not an HMO. With Med-Select, you are fully covered for emergency care at any hospital, and you can choose your own doctors and specialists.
Med-Select is available in specific geographic areas only. You must live within a 30 mile radius of a Med-Select participating hospital.
| Basic Benefit Options | Premier Plan Options | Budget-Conscious Plan Options | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Plan A | Plan B | Plan C | Plan F | Plan G | High Deductible Plan F |
Plan K* | Plan L* | Plan N* | |
| Reduced Premium Medicare Select Option Available (eligibility based on ZIP code) |  |
|
|
|
|
|
|
||
| Basic Benefits | 100% | 100% | 100% | 100% | 100% | 100% | 100%/50% | 100%/75% | copay applies |
| Skilled Nursing Coinsurance | 100% | 100% | 100% | 100% | 50% | 75% | 100% | ||
| Part A Deductible | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | |
| Part B Deductible | 100% | 100% | 100% | ||||||
| Part B Excess | 100% | 100% | 100% | ||||||
| Foreign Travel Emergency Care | |
|
|
|
|
||||
| Annual Out of Pocket Limit** | $5,120 | $2,560 | |||||||
*Plans K-N provide for different cost-sharing than plans A-G.
Plans K and L pay 100% of hospitalization and preventive care Basic Benefits. All other Basic Benefits are paid at 50% (Plan K) and 75% (Plan L). Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You are responsible for paying excess charges.
Plan N covers Basic Benefits after a $20 copay for office visits and a $50 copay for emergency room visits.
**The out-of-pocket annual limit may increase each year for inflation. (2016 limits shown)
† Network restrictions apply
Medicare Select Plans
Blue Cross and Blue Shield of Illinois Medicare Select Plan options offer you the same solid benefits as the standard Blue Cross Blue Shield of Illinois Medicare Standard Supplement Plans, but cost less. You save on premiums simply by agreeing to use any of the Medicare Select participating hospitals for non-emergency elective admissions as defined by the admitting hospital. If you do not use one of these hospitals for your non-emergency admissions, you pay the full Part A deductible. Medicare Select is not an HMO. With Medicare Select, you are fully covered for emergency care at any hospital, and you can choose your own doctors and specialists.
Medicare Select Plan options include Plan F, Plan G, Plan K, Plan L, and Plan N and are available in specific geographic areas only. You must live within a 30 mile radius of a Medicare Select participating hospital.
Medicare Select Plan Comparison
| Medicare Select Plans | F | G | K** | L** | N |
| Basic Benefits | X | X | X | X | X |
| Skilled Nursing Coinsurance | X | X | 50% | 75% | X |
| Part A Deductible | X | X | 50% | 75% | X |
| Part B Deductible | X | – | – | – | – |
| Part B Excess (100%) | X | X | – | – | X |
| Foreign Travel Emergency | X | X | – | – | X |
| At Home Recovery | – | – | – | – | – |
| Annual Out-of-Pocket Cost | $0 | $0 | $4,640 | $2,320 | $0 |
**Plans K and L provide for different cost-sharing than plans A-F. Once you reach the annual limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year. The out-of-pocket annual limit does NOT include charges from your provider that exceed Medicare-approved amounts, called “excess charges.” You will be responsible for paying excess charges.
Medicare Select Plan F
Our Rating: 
Plan F is the most popular Blue Cross Blue Shield of Illinois Medicare Supplement plan. No other standardized Medicare Supplement plan offered in Illinois offers more complete protection for your uncovered Part B medical expenses than Plan F. It covers:
- Your Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Your Part B coinsurance and the cost of the first three pints of blood
- Medicare Part A hospital deductible and copayments
- Skilled nursing facility copayment
- Foreign travel emergency care
- $147 Part B Medicare deductible
- Part B doctor charges that are in excess of Medicare-approved amounts
Medicare Select Plan F Benefits
| Benefit | What Plan F Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2014 is $1,216. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan F covers 100% of the $1,216 deductible. |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $147 in 2014) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan F covers 100% of the $147 deductible. |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan F covers all of the 20% remainder costs |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan F covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan F covers all of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don’t accept “assignment ” (take Medicare’s approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don’t accept assignment. You may also want this benefit if you have to stay in the hospital and can’t control whether the doctors you see accept assignment. |
Plan F covers 100% of the excess charges |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan F covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan F covers up to $148 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan F covers the 20% remainder not paid by Medicare Part B. |
Medicare Select Plan G
Our Rating: 
Plan G covers:
- Your $1,216 Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Your Part B coinsurance and the cost of the first three pints of blood
- 80% of Part B physician charges that are in excess of the Medicare-approved amount (By law no physician may charge more than 115% of Medicare-approved amounts).
- Skilled nursing facility copayment
- Emergency care for foreign travel
Plan G does NOT cover:
- Your $147 Medicare Part B deductible
Medicare Select Plan G Benefits
| Benefit | What Plan G Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2014 is $1,216. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan G covers 100% of the $1,216 deductible. |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $147 in 2014) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan G does NOT cover the $147 Part B deductible, you must pay out of pocket. |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan G covers 100% of the 20% remainder costs |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan G covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan G covers all of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don’t accept “assignment ” (take Medicare’s approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don’t accept assignment. You may also want this benefit if you have to stay in the hospital and can’t control whether the doctors you see accept assignment. |
Plan G covers 100% of the excess charges |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan G covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan G covers up to $148 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Not covered. |
Medicare Select Plan K
Our Rating:
Medicare Select Plan K covers:
- Fifty percent of your Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Preventive benefits for Medicare-covered services usually leave you with 25% to pay — plan K pays that 25%
- Ten percent of your 20% Part B coinsurance and the 50% of the cost of the first three pints of blood
- Fifty percent of the skilled nursing facility copayment
- Once you’ve reached your $4,640 annual out-of-pocket limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year.
Medicare Select Plan K Benefits
| Benefit | What Medicare Select Plan K Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2014 is $1,216. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan K covers 100% of the $1,216 deductible |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $147 in 2014) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan K does not cover the Medicare Part B $147 deductible |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan K covers 10% of the remaining costs after you pay the $147 Part B deductible |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan K covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan K covers 50% of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don’t accept “assignment” (take Medicare’s approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don’t accept assignment. You may also want this benefit if you have to stay in the hospital and can’t control whether the doctors you see accept assignment. |
Plan K does not covers Part B Excess Charges |
| Hospice Care Hospice is a special way of caring for people who are terminally ill and for their families. This care includes physical care and counseling. The goal of hospice is to care for you and your family, not to cure your illness. |
Plan K covers 50% of your copay |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan K does not cover foreign travel emergencies |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan K covers up to 50% of $148 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan K covers 10% of the remainder after the $147 Medicare Part B deductible. |
| Out of Pocket Limit The maximum costs you are responsible for in a calendar year. |
Plan K will cover 100% of all costs if you reach the $4,640 out of pocket limit |
Medicare Select Plan L
Our Rating:
Plan L covers:
- 75% percent of your Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Preventive benefits for Medicare-covered services usually leave you with 25% to pay — plan L pays that 25%
- Fifteen percent of your 20% Part B coinsurance and the 75% of the cost of the first three pints of blood
- 75% percent of the skilled nursing facility copayment
- Once you’ve reached your $2,320 annual out-of-pocket limit, the plan pays 100% of the Medicare copayments, coinsurance and deductibles for the rest of the calendar year.
Medicare Select Plan L Benefits
| Benefit | What Plan L Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2014 is $1,216. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan L covers 100% of the $1,216 deductible |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $147 in 2014) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan L does not cover the Medicare Part B $147 deductible |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan L covers 15% of the remaining costs after you pay the $147 Part B deductible |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan L covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan L covers 75% of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don’t accept “assignment” (take Medicare’s approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don’t accept assignment. You may also want this benefit if you have to stay in the hospital and can’t control whether the doctors you see accept assignment. |
Plan L does not covers Part B Excess Charges |
| Hospice Care Hospice is a special way of caring for people who are terminally ill and for their families. This care includes physical care and counseling. The goal of hospice is to care for you and your family, not to cure your illness. |
Plan L covers 75% of your copay |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan L does not cover foreign travel emergencies |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan L covers up to 75% of $148 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan L covers 15% of the remainder after the $147 Medicare Part B deductible. |
| Out of Pocket Limit The maximum costs you are responsible for in a calendar year. |
Plan L will cover 100% of all costs if you reach the $2,320 out of pocket limit |
Medicare Select Plan N
Our Rating:
Plan N is identical to Plan G except there is a $20 copay for office visits and a $50 copay for emergency room visits. Like Plan G, Plan N does not cover the $147 Medicare Part B deductible.
Plan N covers:
- Your $1,216 Part A deductible and coinsurance
- The cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends
- Your Part B coinsurance and the cost of the first three pints of blood
- 80% of Part B physician charges that are in excess of the Medicare-approved amount (By law no physician may charge more than 115% of Medicare-approved amounts).
- Skilled nursing facility copayment
- Emergency care for foreign travel
Plan N does NOT cover:
- Your $147 Medicare Part B deductible
Medicare Select Plan N Benefits
| Benefit | What Plan N Covers |
| Part A Deductible You may need this benefit if you have to stay in the hospital. The Part A deductible for 2014 is $1,216. This amount can change every year. You have to pay this deductible for each benefit period. |
Plan N covers 100% of the $1,216 deductible. |
| Part B Deductible You may want to consider this benefit if you have Medicare Part B. Each year you must pay the Part B deductible (which is $147 in 2014) before Medicare starts to pay its share. If you have this benefit, the Medigap plan would pay this amount each year. |
Plan N does NOT cover the $147 Part B deductible, you must pay out of pocket. |
| Part B Coinsurance Without this benefit, you generally pay 20% of the Medicare-approved amount for Medicare Part B covered services and supplies (like doctor services and outpatient hospital care). This benefit will help you to reduce your out of pocket after Part B deductible. |
Plan N covers 100% of the 20% remainder costs after a $20 office visit copay and $50 emergency room copay |
| 365 Extra Days of Hospital Stay After you use all Medicare hospital benefits, you can receive up to 365 more days for hospital stays during your lifetime. |
Plan N covers all of the costs for an additional 365 additional hospital days |
| 3 Pints of Blood The first 3 pints of blood or equal amounts of packed red blood cells per calendar year, unless this blood is replaced. |
Plan N covers all of the costs of 3 pints of blood per calendar year |
| Part B Excess Charges Under federal law, doctors who don’t accept “assignment” (take Medicare’s approved amount as payment in full) may charge up to 15% more than the approved amount. You might want to think about this benefit if your doctors don’t accept assignment. You may also want this benefit if you have to stay in the hospital and can’t control whether the doctors you see accept assignment. |
Plan N covers 100% of the excess charges |
| Foreign Travel Emergency If you travel outside the United States, this benefit could save you money for emergency care. |
Plan N covers 80% (after a $250 deductible) to a lifetime maximum benefit of $50,000. |
| Skilled Nursing Coinsurance Medicare pays for the first 20 days of a skilled nursing facility. If you need to go to a Skilled Nursing Facility (SNF) after a hospital stay and stay in the SNF longer than 20 days, this benefit begins. |
Plan N covers up to $148 per day for days 21-100. |
| Home Health Care Home Health Care is skilled nursing care and certain other health care services you get in your home for the treatment of an illness or injury. |
Plan N covers the 20% remainder not paid by Medicare Part B. |
