Medicare Supplement plans sold with effective dates for coverage on or after January 1, 2020
Outline of Coverage High Deductible Plan G
Medicare (Part A) - Hospital Services - Per Benefit Period
* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.
**This high deductible plan pays the same benefits as Plan G after one has paid a calendar year $2,340 deductible. Benefits from the high deductible plan G will not begin until out-of-pocket expenses are $2,340. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the Plan’s separate foreign travel emergency deductible.
**This high deductible plan pays the same benefits as Plan G after one has paid a calendar year $2,340 deductible. Benefits from the high deductible plan G will not begin until out-of-pocket expenses are $2,340. Out-of-pocket expenses for this deductible are expenses that would ordinarily be paid by the policy. This includes the Medicare deductibles for Part A and Part B, but does not include the Plan’s separate foreign travel emergency deductible.
