EmblemHealth Medicare Supplement Insurance Plan A (PLH-5372 MSA)
Plan at a Glance
- Hospitalization - EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare benefits end.
- Medical Expenses - EmblemHealth pays Part B coinsurance* (generally 20% of Medicare-approved expenses).
- Blood - First three pints of blood each year.
- Hospice - Part A coinsurance.
*Coinsurance is the portion or percentage of the cost of a Medicare covered service that you are responsible to pay.
Benefit Chart of Medicare Supplement Plans
When Benefits Begin
Coverage begins on the effective date of the contract as shown on the contract schedule page, which is sent to you upon receipt of your initial payment. For open enrollment applications approved between the first and 15th of the month, coverage will begin on the first day of the following calendar month. For open enrollment applications approved after the 15th of the month, coverage will begin on the first day of the second month after approval. A waiting period of six months is required for pre-existing conditions. The waiting period applies to conditions for which medical advice or medical treatment was recommended by or received from a physician within six months of your effective date of coverage. However, the six-month waiting period may be reduced if you are replacing an existing plan. Your EmblemHealth Medicare Supplement contract will describe the circumstances under which your EmblemHealth Medicare Supplement plan’s waiting period may be reduced by the period of time you have been covered under your existing plan.