Medicare Supplement Insurance (Medigap) Plan Details

South Carolina

Supplement Plan A

 

Monthly Premium
$60 - $192

 

Covered Benefits
  • Basic Benefits
  • Skilled Nursing Facilities
  • Part A Deductible
  • Part B Deductible
  • Part B Excess Charges
  • Foreign Travel Emergency
  • Preventive Services

To enroll in Medicare Supplement Insurance plans you must also enroll in Original Medicare Part A and Part B

 

Blood

What You Pay (for Covered Services)
After 3 pints:$0
First 3 pints:$0

Premiums and Deductible

What You Pay (for Covered Services)

View Details - Opens in a new window

Foreign Travel Emergency

What You Pay (for Covered Services)

All costs

Medicare Part B Clinical Lab Services

What You Pay (for Covered Services)
Tests for diagnostic services:$0

Medicare Part B Coinsurance or Copayment

What You Pay (for Covered Services)

First:
$183 (Part B deductible)
Then:
$0

Medicare Preventive Care Part B Coinsurance

What You Pay (for Covered Services)
Routine check-ups and screening tests:$0

Part A Hospice Care Coinsurance or Copayment

What You Pay (for Covered Services)

$0

Medicare Part A Hospital Coinsurance/Deductible

What You Pay (for Covered Services)
Days 1-60:$1316 (Part A Deductible)
Days 61-90:$0
Additional 365 Days:$0 of Medicare-approved expenses
After the Additional 365 Days:All costs
Days 91-150 (while using your 60 lifetime reserve days):$0

Medicare Part B Excess Charges (above Medicare-approved amounts)

What You Pay (for Covered Services)

All costs

Medicare Part A Skilled Nursing Facility Coinsurance (for Medicare-covered stays)

What You Pay (for Covered Services)
Days 1-20:$0
Days 21-100:$164.50 per day
After 100 Days:All costs

 

Estimated Out-of-Pocket Costs (OOPC) for people in Good Health

Medigap Policy A with Original Medicare
Inpatient Care:$37.00
Dental Services:$42.00
Part B Premium 1:$134.00
All Other Services:$15.00
Monthly Plan Premium:$68.39
Outpatient Prescription Drugs:$328.00
Total Monthly Estimated Costs:$624.39

Estimated Monthly Out-of-Pocket Costs (OOPC) for People with High-Cost Conditions (chronic care and unexpected illnesses)

Medigap Policy A with Original Medicare
Average Monthly OOPC For a Typical Person With Diabetes:$851 to $900
Average Monthly OOPC For a Typical Person Who Has a Heart Attack:$1001+
Average Monthly OOPC For a Typical Person With Congestive Heart Failure:$1001+

 











 

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