Medicare Supplement (Medigap) Insurance Plan M in Georgia - Healthpocket

Medigap Plan M

1 Company Offers Medigap Plan M in Your Area

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Zip Code30044
Applicant1/22/1984 Male
Coverage Start1/23/2019
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Plan Benefits

Medigap Plan M covers many, but not all, of the out-of-pocket costs that can arise from Medicare coverage. 50% of the deductible for hospital services (Medicare Part A) is covered but the deductible for medical services (Medicare Part B) is not covered and must be paid by the enrollee. Additionally, excess charges above the Medicare-approved amount for a medical service is also not covered by Plan M.

Key Coverages

  • 48.19078947368421% Part A Deductible
  • 100% Covered Skilled Nursing Costs
  • Foreign Travel Emergencies

Key Gaps

  • Part B Deductible
  • Part B Excess Charges
  • No Out of Pocket Cap

Additional Coverages

  • Hospitalization - coverage for 365 additional days after Medicare benefits end
  • Blood - pays 100% the cost for the first three pints of blood each year

Medicare Part A Hospital Coinsurance/Deductible

What Medicare Pays

What Medigap Pays

What You Pay

Days 1-60
All but $1260$630$630
Days 61-90
All but $315 per day$315 per day$0
Days 91-150 (while using your 60 lifetime reserve days)
All but $630 per day$630 per day$0
Additional 365 Days
$0100% of Medicare-approved expenses$0 of Medicare-approved expenses
After the Additional 365 Days
$0$0All Costs

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

What Medicare Pays

What Medigap Pays

What You Pay

Days 1-20
100% of approved amounts$0$0
Days 21-100
All but $157.50 per day$157.50 per day$0
After 100 Days
$0$0All costs

Part A Hospice Care Coinsurance or Copayment

What Medicare Pays

What Medigap Pays

What You Pay

Hopsice care
100%0%0%
Prescription drugs
All but $5$5$0
Inpatient respite care
95%5%0%

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

What Medicare Pays

What Medigap Pays

What You Pay

$0$0All Costs

Medicare Part B Clinical Lab Services

What Medicare Pays

What Medigap Pays

What You Pay

Tests for diagnostic services
100%$0$0

Blood

What Medicare Pays

What Medigap Pays

What You Pay

First 3 pints
$0100%$0
After 3 pints
100%$0$0

Foreign Travel Emergency

What Medicare Pays

What Medigap Pays

What You Pay

$0After the $250 deductible is met, 80% up to a lifetime maximum of $50,000.First: $250 deductible. Then: 20% up to the lifetime maximum of $50,000. You pay 100% after the $50,000 maximum is met.

Medicare Preventive Care Part B Coinsurance

What Medicare Pays

What Medigap Pays

What You Pay

Routine check-ups and screening tests
80%20%0%

1 Company Offers Medigap Plan M in Your Area

CompanyPricing Method
Members Health Insurance Company
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Klevansky, Jason
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Poddar, Satish
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Rodrigo, Irandathy
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Diaz, Ruben
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Dougherty, Lisa
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Farster, Jill
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Fonseca, Kathryn
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Lancaster, Frances
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Iora Senior Health, Inc
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Witter, Esther
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Turner, Kathryn
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Iora Health Georgia, P.c.
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Mason, Joshua
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Children's Dentistry Of Lawrenceville
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Mcalister, Brittney
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Alliance Health Care Inc
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Choicemed Inc
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Baker Surgical Services
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Dang, Anh-thu
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Legacy Healthcare Services, Inc.
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Williford, Sonja
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Lakhani, Ambreen
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Wolfe, Diane
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Brooks, Rachel
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Brooks, Greg
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Jason Klevansky, DMD
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  • Phone Number
    (770) 921-1115
  • Office Locations
    3455 Lawrenceville Hwy
    Lawrenceville, GA 30044
3455 Lawrenceville Hwy Lawrenceville GA, 30044

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.

Medigap Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.