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Oregon Medicare Supplement Plans > Regence BlueCross BlueShield of Oregon >


LifeWise Health Plans of Oregon

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Medicare Supplement Rates

Rates effective 6/1/2010
Plan A
Plan C
Plan F
Plan K
Monthly Surepay Bill
$105
$128
$129
$70
Monthly Paper Bill
$107
$130
$131
$72
Quarterly Rate
$317
$386
$389
$212
Semi-Annual Rate
$632
$770
$776
$442
Annual Rate
$1,262
$1,538
$1,550
$842
Benefits
Plan A
Plan C
Plan F
Plan K
Medicare Part A Coinsurance and Hospital Benefits Yes Yes Yes Yes
Medicare Part A Deductible   Yes Yes 50%
Medicare Part B Coinsurance or Co-payment Yes Yes Yes 50%
Medicare Part B Deductible   Yes Yes  
Medicare Part B Excess Charges     Yes  
Blood (First Three Pints) Yes Yes Yes 50%
Hospice Care Coinsurance or Co-payment Yes Yes Yes 50%
Skilled Nursing Coinsurance   Yes Yes 50%
Foreign Travel Emergency (Up to Plan Limits)3   Yes Yes  
Medicare Preventive Care Part B Coinsurance Yes Yes Yes Yes
2010 out-of-pocket limit4       $4,620

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
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