Westchester In Touch DEPARTMENT OF SENIOR PROGRAMS AND SERVICES

Medicare Supplement Insurance (Medigap) Available to Westchester County Medicare Clients

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Chart of the Nine Standard Medigap Insurance Coverage Plans

Medicare supplement insurance can be sold only in 9 standard plans. This chart shows the benefits included in each plan. Every company must make available Plan A, Basic Benefits. New York State Law requires all companies to sell both Plan A and Plan B.

A

B

C

D

E

F

G

H

I

Basic Benefit

Basic Benefit

Basic Benefit

Basic Benefit

Basic Benefit

Basic Benefit

Basic Benefit

Basic Benefit

Basic Benefit
 

Part A Deductible

Part A Deductible

Part A Deductible

Part A Deductible

Part A Deductible

Part A Deductible

Part A Deductible

Part A Deductible
   

Skilled Nursing
Co-insurance

Skilled Nursing
Co-insurance

Skilled Nursing
Co-insurance

Skilled Nursing
Co-insurance

Skilled Nursing
Co-insurance

Skilled Nursing
Co-insurance

Skilled Nursing
Co-insurance
   

Part B Deductible

    

Part B Deductible

      
         

Part B Excess (100%)

Part B Excess (100%)

  

Part B Excess (100%)
   

Foreign Travel Emergency

Foreign Travel Emergency

Foreign Travel Emergency

Foreign Travel Emergency

Foreign Travel Emergency

Foreign Travel Emergency

Foreign Travel Emergency
     

At Home Recovery

    

At Home Recovery

  

At Home Recovery
             

Basic Drug Benefit ($1,250 Limit)

Basic Drug Benefit ($1,250 Limit)
       

Preventive Care

        

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