Compare Medicare Supplement Rates in Your Area!
Enter your zip code, first name and email to get started.
 
   Your Zip Code
    
     First Name
    
     Your Email
    

   
 
Home |  Top 10 Things You Should Know |  Common Medigap Questions
 Medicare Overview |  Eligibility |  Plan Comparisons  |  Medicare Advantage |  Your Rights  
 
   

Medicare Supplement Plan E Policy Coverage Information

Click on link for information on any standardized Medicare Supplement Policy:
  A     B     C     D     E     F     G     H      I      J  

Medicare Supplement Plan E:

Plan E
MEDICARE (PART A) - HOSPITAL SERVICES - PER BENEFIT PERIOD
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.
Service: HOSPITALIZATION
Semiprivate room and board, general nursing and miscellaneous services and supplies:
MEDICARE PAYS PLAN PAYS YOU PAY
First 60 days All but $1024 $1024 (Part A Deductible) $0
61st through 90th day All but $256 a day $256 a day $0
91st day and after:      
While using 60 lifetime reserve days All but $512 a day $512 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
Service: 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 through 100th day

All but $128.00 a day

Up to $128.00 a day

$0
101st day and after $0 $0 All costs
Service: BLOOD
First 3 pints $0 3 pints $0
Additional amounts 100% $0 $0
Service: 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 $0 Balance
NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy's "Core Benefits." During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
 
Plan E
MEDICARE (PART B) - MEDICAL SERVICES - PER CALENDAR YEAR
Once you have been billed $135 of Medicare-Approved amounts for covered services your Medicare Part B Deductible will have been met for the calendar year.
Service: 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:
MEDICARE PAYS PLAN PAYS YOU PAY
First $135 of Medicare Approved Amounts $0 $0 $135 (Part B Deductible)
Remainder of Medicare Approved Amounts Generally 80% Generally 20% $0
Part B Excess Charges (Above Medicare Approved Amounts) $0 $0 All costs
Service: BLOOD
First 3 pints $0 All cost $0
Next $135 of Medicare Approved Amounts $0 $0 $135 (Part B Deductible)
Remainder of Medicare Approved Amounts 80% 20% $0
Service: CLINICAL LABORATORY SERVICES
Blood tests for Diagnostic Services 100% $0 $0
 
MEDICARE  PARTS  A & B
Service: HOME HEALTH CARE
Medicare Approved Services:
MEDICARE PAYS PLAN PAYS YOU PAY
Medically necessary skilled care services and medical supplies 100% $0 $0
Durable medical equipment:        
First $135 of Medicare Approved Amounts $0 $0 $135 (Part B Deductible)
Remainder of Medicare Approved Amounts 80% 20% $0
OTHER BENEFITS - NOT COVERED BY MEDICARE
Service:
FOREIGN TRAVEL
Medically necessary emergency care services beginning during the first 60 days of each trip outside the USA:
First $250 each calendar year $0 $0 $250
Remainder of charges $0 80% to a lifetime maximum of $50,000 20% and amounts over the $50,000 lifetime maximum
Service:
PREVENTIVE MEDICAL CARE
BENEFIT-NOT COVERED BY MEDICARE
Some annual physical and preventative tests and services such as: digital rectal exam, hearing screening, dipstick urinalysis, diabetes screening, thyroid function test, tetanus and diphtheria booster and education, administered or ordered by your doctor when not covered by Medicare:
First $120 each calendar year
$0
$120
$0
Additional charges $0 $0 All costs
Medicare benefits are subject to change. Please consult the latest Guide to Health Insurance for People with Medicare.

 

 
   
Live call by BoldCall
  
   

Site Map

This website and all the information contained herein is for general informational purposes only. Nothing contained herein is representative of any speciific inusrance company or policy. Requests made on this site are for the services of a licensed agent from Medigap360 to assist in locating appropriate coverage only and are not for details on a specific insurance company or policy. Copyright © 2006-2008, Medigap360. All Rights Reserved. Not connected with or endorsed by the United States Government or the federal Medicare Program.