Med Supp Chart page2_10-06-99.p65

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					              Chart of the Ten Standard Medicare Supplemental Insurance Policies
Medicare supplemental insurance policies can be sold in only 10 standard plans. This chart shows the benefits included in each plan.
Every company must make Plan A available. Some plans may not be available in your State.
Basic Benefits 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).
   Blood: First 3 pints of blood each year.
     A             B            C            D            E           F*            G            H                         I            J*
    Basic           Basic           Basic        Basic         Basic         Basic         Basic         Basic          Basic         Basic
    Benefit         Benefit         Benefit      Benefit       Benefit       Benefit       Benefit       Benefit        Benefit       Benefit
                                    Skilled       Skilled      Skilled       Skilled       Skilled       Skilled       Skilled       Skilled
                                   Nursing       Nursing       Nursing       Nursing       Nursing       Nursing       Nursing       Nursing
                                 Coinsurance   Coinsurance   Coinsurance   Coinsurance   Coinsurance   Coinsurance   Coinsurance   Coinsurance
                   Part A           Part A        Part A        Part A        Part A        Part A        Part A        Part A        Part A
                  Deductible      Deductible    Deductible    Deductible    Deductible    Deductible    Deductible    Deductible    Deductible
                                   Part B                                   Part B                                                   Part B
                                  Deductible                               Deductible                                               Deductible
                                                                              Part B       Part B                       Part B         Part B
                                                                             Excess        Excess                      Excess         Excess
                                                                             (100%)        (80%)                       (100%)         (100%)
                                   Foreign      Foreign       Foreign       Foreign       Foreign       Foreign        Foreign       Foreign
                                    Travel       Travel        Travel        Travel        Travel        Travel         Travel        Travel
                                  Emergency    Emergency     Emergency     Emergency     Emergency     Emergency      Emergency     Emergency
                                                At Home                                   At Home                      At Home       At Home
                                                Recovery                                  Recovery                     Recovery      Recovery
                                                                                                          Basic         Basic        Extended
                                                                                                       Drug Benefit Drug Benefit Drug Benefit
                                                                                                       ($1250 Limit) ($1250 Limit) ($3000 Limit)
                                                             Preventive                                                             Preventive
                                                               Care                                                                   Care

*Plans F and J also have a high deductible option. These high deductible plans offer the same benefits as plans F and J. You must pay a
deductible of $1,500 per year before the policy pays anything. There are also additional deductibles that must be met including a separate
prescription drug deductible of $250 per year for Plan J and a separate foreign travel emergency deductible of $250 per year for Plans F and J.
Medicare Supplemental Insurance Policies                                                                                                 Chinese
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 å|/å|OI Part A  @IOI)[WF¹åøOILq²ôáTÊ»Q­Ñºå|Lq+
 åøOÎ/åøOI Part B  @IOI+q`OF¹åøOIÖãºÊÀ§GQ+
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      A               B               C     D      E       F*       G           H            I           J*
     ò»              ò»              ò»     ò»     ò»     ò»        ò»         ò»           ò»           ò»
     LG              LG              LG     LG     LG     LG        LG         LG           LG           LG

                                   M~(z    M~(z   M~(z   M~(z     M~(z       M~(z         M~(z         M~(z
                                   @IOI    @IOI   @IOI   @IOI     @IOI       @IOI         @IOI         @IOI

                   å|OI            å|OI    å|OI   å|OI   å|OI     å|OI       å|OI         å|OI         å|OI
                    î£B             î£B     î£B    î£B    î£B      î£B        î£B          î£B          î£B

                                   åøOI                 åøOI                                       åøOI
                                    î£B                    î£B                                          î£B

                                                          åøOI     åøOI                   åøOI         åøOI
                                                           9B       9B                     9B           9B
                                                         ÊÀ§Ê   ÊÀ§KQ                ÊÀ§Ê       ÊÀ§Ê


                                   ê~Èæ    ê~Èæ   ê~Èæ   ê~Èæ     ê~Èæ       ê~Èæ         ê~Èæ         ê~Èæ
                                    æ-      æ-     æ-     æ-       æ-         æ-           æ-           æ-

                                           ~a                       ~a                      ~a           ~a
                                           _ì                       _ì                      _ì           _ì

                                                                              ò»Ä¯         ò»Ä¯         µùį
                                                                            ­B $1250   ­B$1250   ­B$3000

                                                   M¾                                                    M¾
                                                   Ó7                                                    Ó7

* F Î J Oæ]³ûªî£B (deductible) §ïÜ+oÇûªî£BOæPÉ´O³ F *J GµOæ§ì³LG+bOæäIôóOÎe)
z²·ýIC~ $1,500 §î£B+J OæºÄ¯C~t·I $250 §î£B+F Î J Oæºê~ÈææEC~t·I $250 §î£B+

Medicare Supplemental Insurance Policies                                                                   Chinese

				
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