Standard Medigap Plans Offered in Massachusetts 2013



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Comparison of PlansCoreSupplement 1
Basic Benefits Included In All Plans
Hospitalization Part A Co-payments
Days 61 - 90: $296 per day
Days 91-150: $592 per day
365 Additional Lifetime Hospital days - Paid in full

X
X
X

X
X
X
Part B Coinsurance -
Coverage of coinsurance, in most cases, 20% of approved amount
Parts A and B Blood First 3 pints

X
X

X
X
Additional BenefitsCoreSupplement 1
Part A Deductible for Hospital Days 1 - 60
$1184 per benefit period

 
X
 
Skilled Nursing Facility Coinsurance
Days 21-100- $148.00 per day

 
X
 
Part B Annual Deductible - $147.00 X
Foreign Travel - For Medicare-covered services needed while traveling abroad.
 
X
 
Inpatient Days in Mental Health Hospitals
In addition to Medicare's coverage of 190 lifetime days and less any days previously covered by plan in same benefit period
 
60 days per calendar year120 days per benefit period

Medicare Supplement Plans Offered in Massachusetts for Coverage in 2012

Medigap Carriers
Please note that rates may change in 2013
Medicare Supplement Core
monthly premium
Medicare Supplement 1 monthly premium
Blue Cross & Blue Shield of MA (Medex TM)

1-800-678-2265 sales/applications
1-800-258-2226 member services
1-800-522-1254 (TDD)
www.bluecrossma.com
(continuous open enrollment )

Optional Preventive Care Benefits Rider 1



$96.38





 


$183.73
 
Optional Preventive Care Benefits Rider 1$7.67$7.67

Fallon Health & Life Assurance Company

1-866-330-6380 sales/apps
1-800-868-5200 member services
1-877-608-7677 (TDD)
www.fchp.org/medicare-choices
(continuous open enrollment)
$100.25

 
$182.00

 

HNE Insurance Company
1-877-443-3314
1-800-439-2370 (TDD/TTY)
www.hne.com
(continuous open enrollment)

 

$100.50$189.50

HPHC Insurance Company, Inc.

1-800-782-0334 sales/apps
1-877-907-4742 member services
1-888-259-8276 (TDD)
www.harvardpilgrim.org
(continuous open enrollment)
$98.50

 
$185.50

 
Humana Insurance Company 1-800-872-7294 sales/applications
1-800-866-0581 member services
1-800-833-3301 (TDD)
www.humana-medicare.com
(continuous open enrollment)
$137.18

 
$214.41

 

Humana Insurance Company 
HEALTHY LIVING
(including dental and vision benefits)
1-800-872-7294 sales/applications
1-800-866-0581 member services
1-800-833-3301 (TDD)
www.humana-medicare.com
(continuous open enrollment)

 

149.28226.51

Tufts Insurance Company

1-800-714-3000 sales/apps
1-800-701-9000 member services
1-800-208-9562 (member services)
1-888-899-8977 (sales/apps)
www.tuftsmedicarepreferred.org
(continuous open enrollment)
$102.71

 
$199.70

 
United Healthcare Insurance Company
Only for members of AARP (American Association of Retired Persons)
1-800-523-5800

(continuous open enrollment)
$122.75
$211.50
 


In addition to the above-noted Medicare Supplemental plans, Massachusetts residents may enroll in Medicare Advantage Plans as well as Part D Prescription Drug Plans with the Centers for Medicare and Medicaid Services ("CMS"). For further information regarding these plans please visit the following website:

https://www.medicare.gov/find-a-plan/questions/home.aspx