Anthem BCBS Indiana - Medicare Supplement Plans
Medicare Supplement Plans Overview
Why You Need Medicare Supplement Insurance
Medicare is a federal program to help older Americans and some disabled Americans pay for the high cost of health care. However, Medicare was never intended to cover all your health care costs. So even if you're covered by Medicare, you are still responsible for a large portion of your health care costs. Without Medicare Supplement insurance, your out-of-pocket costs could add up to more than $51,700 this year alone.
What Medicare Doesn't Cover
Medicare does not cover all health care costs. Medicare coverage consists of Part A (which covers hospital and skilled nursing facility care), and Part B (which covers doctor bills and other medical expenses).
Even with Medicare Part A and Part B coverage, you're responsible for some out-of-pocket expenses including:
- Part A hospital deductible ($1,216)
- Part B deductible ($147)
- Copayments for hospital stays over 60 days
- Care in a skilled nursing facility after 20 days
- Twenty percent coinsurance for doctor bills and other medical expenses
By law, Medicare Supplement insurance is standardized into twelve plans (Plans A through L). That means Plan F from one company must include the same benefits as plan F from another company. While the benefits must be the same, each company's rates, reputation, membership features and quality of service can vary. With Blue Cross and Blue Shield of Indiana, you don't have to sacrifice comprehensive benefits or freedom-of-choice for affordability. Their Medicare Supplement plans provide substantial benefits at rates that can save you money over other plans.
Anthem BCBS Indiana Member Benefits
All Blue Cross and Blue Shield of Indiana Medicare Supplement plans give you:
- Guaranteed Acceptance with no health questions asked
- Freedom to choose any doctors or specialists
- Coverage with domestic travel (Plans F, High Deductible F, G, and N cover foreign travel)
- Guaranteed renewability regardless of changes in your health
- Coverage guaranteed to match Medicare's cost increases year after year
- No claim forms, in most cases
Medicare Supplement Basic Benefits
Basic benefits included in all plans include:
- Hospitalization - Part A coinsurance plus coverage for 365 additional days after Medicare benefits end.
- Medical Expenses - Part B coinsurance (generally 20% of Medicare-approved expenses), or in the case of hospital outpatient department services under a prospective payment system, applicable copayments.
- Blood - First three pints of blood each year.
Blue Cross Blue Shield of Indiana Medicare Supplement Plans
Anthem BCBS of Indiana offers a choice of 5 Medicare Supplement Insurance plans; Plan A, Plan F, Plan HD-F, Plan G, and Plan N.
- Plan F, Plan HD-F, Plan G, and Plan N pay the Medicare Part A hospital deductible and co-payment(s), the skilled nursing facility copayment(s) and emergency care for foreign travel.
- Anthem Indiana also offers basic Plan A, the plan with the lowest benefits.
Anthem Indiana Medicare Supplement Plans - Quick Comparison Table
|Skilled Nursing Coinsurance||-||X||X||X|
|Part A Deductible||-||X||X||X|
|Part B Deductible||-||X||-||-|
|Part B Excess (100%)||-||X||X||-|
|Foreign Travel Emergency||-||X||X||X|
|At Home Recovery||-||-||-||-|
|Annual Out-of-Pocket Cost||-||-||-||-|
*Plan F also has an option called high deductible Plan F (HD-F). This high deductible plan pays the same benefits as Plan F after one has paid a calendar year $2,100 deductible. Benefits from high deductible Plan F will not begin until out-of-pocket expenses exceed $2,100. Out-of-pocket expeneses for this deductible are expenses that would ordinarily be paid by the policy. These expenses include the Medicare Part A and Medicare Part B deductibles, but do not include the plan's separate foreign travel emergency deductible.
Part B medical excess: Charges from your provider that exceed Medicare-approved amounts. Only Plan F, High Deductible Plan F, and Plan G cover these charges. For all other plans, you are responsible for paying excess charges. In no case can a provider charge more than 115% of the Medicare approved amount.
Skilled nursing coinsurance: Medicare pays the first 20 days of treatment in a skilled nursing facility, and an annually adjusted per diem for the 21st through 100th day. Plans with this benefit pay an additional annually adjusted per diem for the 21st through 100th day. You are responsible for all charges after the 100th day. In order to receive any Skilled Nursing Facility benefits, you must meet Medicare's requirements:
- You were admitted to a hospital for at least three days
- You were admitted to a Medicare-approved skilled nursing facility within 30 days of leaving the hospital
Foreign travel emergency: Medically necessary emergency care services beginning during the first 60 days of each trip outside of the United States. All plans offering this benefit require you to pay a foreign travel emergency deductible and a percent of costs after the deductible is met.
Preventive care: Some annual physical and preventive tests and services administered or ordered by your doctor when not covered by Medicare.