Full coverage on Medicare Part B expenses not covered by Medicare. Plan F covers the same benefits of Plan C while adding 100% coverage of excess charges above what Medicare will pay on Part B.
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Plan F (PLH-5371MSF-19)
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- Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
- Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
- Blood: First three pints of blood each year.
- Hospice care: EmblemHealth pays Part A coinsurance.*
- Coinsurance* for skilled nursing facility care.
- Part A inpatient deductible** per benefit period: $1,364 in 2019.
- Part B annual deductible***: $185 in 2019.
- 100% of Part B excess charges – Plan pays 100% of Part B excess charges.
- Emergency care rendered during the first 60 days of foreign travel.
* Coinsurance is the portion or percentage of the cost of a Medicare covered service that you are responsible to pay.
** Part A inpatient deductible is the dollar amount of costs for covered services you would be expected to pay for Medicare Part A hospitalization services, including semi-private room and board, general nursing and miscellaneous services and supplies during the first 60 days of a covered admission.
*** Part B annual deductible is the amount you pay for health care outside of the hospital before your plan starts to pay.
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2019 Medicare Supplement Benefit Chart
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2019 Medicare Supplement Brochure
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Medicare Supplement Application Form
Last Updated 10/29/18
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