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Oregon Medicare Supplement Plans > LifeWise Health Plan of Oregon >

LifeWise Health Plans of Oregon

Medicare Supplement Rates

Rates effective 6/1/2010
Plan A
Plan F
High Ded. Plan F
Plan N
Ages 65-69
$129
$171
$64
$127
Ages 70-74
$165
$218
$82
$162
Age 75+
$194
$257
$97
$192
Benefits
Plan A
Plan F
High Ded. Plan F
Plan N
Medicare Part A Coinsurance and Hospital Benefits Yes Yes Yes Yes
Medicare Part A Deductible   Yes Yes Yes
Medicare Part B Coinsurance or Co-payment Yes Yes Yes Yes3
Medicare Part B Deductible   Yes Yes  
Medicare Part B Excess Charges   Yes Yes  
Blood (First Three Pints) Yes Yes Yes Yes
Hospice Care Coinsurance or Co-payment Yes Yes Yes Yes
Skilled Nursing Coinsurance   Yes Yes Yes
Foreign Travel Emergency (Up to Plan Limits)3   Yes Yes Yes
Medicare Preventive Care Part B Coinsurance Yes Yes Yes Yes
2010 out-of-pocket limit4        

1Medigap Plan F offers a high deductible option. You must pay for Medicare-covered costs up to the high-deductible amount ($2,000 in 2010) before your Medigap policy pays anything
3You must also pay a separate deductible for foreign travel emergency ($250 per year).

Rates are for Automatic Funds Transfer (AFT). Paper billing is $5 per month extra.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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