Plan N in New Hampshire
2024 Medicare Supplement Insurance Plan (Medigap)
Monthly Premium
$120-$730
Covered Benefits
- Skilled nursing facility
- Part A deductible
- Part B deductible
- Part B excess charges
- Foreign travel emergency
*Monthly costs shown do not include the standard Part B premium. 2024 Medicare Part B premium is $174.70 per month.
Coverage Overview
Part A - Hospital - Deductible
$0
(what you pay)Part B - Medical - Deductible
$240
(what you pay)Part B - Medical - Coinsurance
$0
(what you pay)Coverage Details
Part A Coinsurance
(what you pay)
Hospital stays
Days 1-60: $0
Days 61-90: $0
Days 91-150: $0 while using your 60 lifetime reserve days
Additional 365 days: $0 for Medicare-eligible services
After the additional 365 days: All costs
Skilled nursing facility (for Medicare-covered stays)
Day 1-20: $0
Days 21-100: $0
After 100 days: All costs
Blood (during a hospital stay)
First 3 pints: $0
After 3 pints: $0
Hospice care
$0
Part B Coinsurance
(what you pay)
Covered Part B services
First: $240 (Part B deductible)
Then: Up to $20 per office visit and up to $50 per emergency room visit. You won't have to pay the $50 copay if you're admitted to any hospital and the emergency visit is covered under Medicare Part A.
Preventive services
$0 Generally for most preventive services Medicare covers
Part B excess charges
All costs
Blood (outside a hospital stay)
First 3 pints: $0
After 3 pints: $240 (Part B deductible), then $0
Tests for diagnostic services
$0
Home Healthcare - Part A & B Services
(what you pay)
Home health care (for Medicare-approved services)
$0
Durable medical equipment (covered by Medicare)
First: $240 (Part B deductible)
Then: $0
Extra Benefits
(what you pay)
Foreign travel emergency
First: $250
Then: 20% and amounts over the $50,000 lifetime maximum
Insurance Companies Offering This Plan
-
Cigna Health & Life Insurance Company
-
State Farm Mutual Automobile Insurance Company
-
Mutual of Omaha
-
Washington National Insurance Company
-
AARP - UnitedHealthcare Insurance Company
-
Transamerica Life Insurance Company
-
Globe Life and Accident Insurance Company
-
Anthem Blue Cross and Blue Shield - New Hampshire
-
Harvard Pilgrim Health Care Inc.
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