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Medicare Supplement —Senior Blue®
2007 Medicare Supplement Plan Options for Iowa and South Dakota Residents
Discover a range of options designed to meet your health insurance needs.
Medicare Supplement plan benefits do not vary between insurance companies.
We offer five standardized plans. Use this chart to help you determine
which plan best meets your needs:
| Items Not Covered By Medicare |
Covered by Senior Blue® |
|
A
|
C
|
E
|
F
|
L
|
| Part A Hospital Services |
|
|
|
|
|
| Part A Deductible |
|
X
|
X
|
X
|
X (75%)
|
| Copayment for days 61-90 in a hospital |
X
|
X
|
X
|
X
|
X
|
| Copayment for days 91-150 in a hospital |
X
|
X
|
X
|
X
|
X
|
| 100% of Medicare-allowable expenses for additional 365 days after
Medicare hospital benefits stop completely |
X
|
X
|
X
|
X
|
X
|
| Calendar year blood deductible (first 3 pints of blood) if the
deductible is not met by the replacement of blood |
X
|
X
|
X
|
X
|
X (75%)
|
| Copayment for 21-100 days in a skilled nursing facility |
|
X
|
X
|
X
|
X (75%)
|
| Part B Physician and Medical Services |
|
|
|
|
|
| $131 Part B deductible |
|
X
|
|
X
|
|
| 20% of Medicare-approved amount after $131 Part B deductible is
met |
X
|
X
|
X
|
X
|
X (75%)
|
| 100% of Medicare Part B excess charges |
|
|
|
X
|
|
| Additional Benefits Not Covered by Medicare |
|
|
|
|
|
| Benefits for medically necessary emergency care received in a foreign
country |
|
X
|
X
|
X
|
|
| Out-of-Pocket Annual Limit |
|
|
|
|
X
|
Medicare Supplement Members
Please refer to your Senior Blue Outline of Coverage for additional
information. |
 |
| Apply
Now |
| Apply
Online |
|
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| Continue Your Application Process |
|
| Call
a Licensed Representative |
- Senior Blue Medicare Supplement
1-800-336-0505
7:30 a.m. - 5 p.m., weekdays, CST
TTY/TDD 1-888-781-4262
|
- MedicareBlue Rx
1-866-434-2037
8 a.m. to 8 p.m.,
daily, CST
TTY/TDD 1-866-456-1550
|
- MedicareBlue PPO
1-866-434-2038
8 a.m. to 8
p.m., daily, CST
TTY/TTD 1-866-456-1550
|
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