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2020 Medicare Supplement 1

Plan Overview

Monthly Premium $197
Hospitalization $0
Skilled Nursing Facility (SNF) Days 1–100: $0 
101st - 365th days: plan pays $10**; you are responsible for balance 
Beyond day 365: you pay all the costs
Doctor and Specialist Visits
(You can see any doctor who accepts Medicare.) 		$0
Diagnostic Tests
(Lab tests, X-rays, and other tests) 		$0
Durable Medicare Equipment, Prosthetics, and Medical Supplies $0
Home Health Care $0
Emergency Room Care $0
Outpatient Surgery $0
Foreign Travel $0
Wellness Reimbursement $150 reimbursement 
Part D Prescription Drugs
(Medicare Supplement plans do not include Medicare Part D prescription drug coverage.) 		Not covered

Plan Documents

$197


per month

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*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 not received skilled care in any other facility for 60 days in a row.

**2019 Original Medicare cost. Original Medicare costs may increase for 2020.

HNE