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Medicare Supplement Plans

Choose a Senior Blue® Medicare Supplement Plan to fit your needs, lifestyle, and budget:


  Plan A Plan C Plan E Plan F Plan L
Part A (Hospital) Deductible  

X

X

X

75%

Part A Coinsurance          
  • Days 61-150

X

X

X

X

X

  • 365 Additional Hospital Days

X

X

X

X

X

Skilled Nursing Facility Coinsurance          
  • Days 21-100
 

X

X

X

75%

Part B (Medical) Deductible  

X

 

X

 
Part B 20% Coinsurance

X

X

X

X

75%

Part B Excess Charges at 100%      

X

 
Foreign Travel Emergency  

X

X

X

 
Preventive Care Services up to $120 per year    

X

   
Features of all Wellmark Senior Blue Medicare Supplement Plans
  • Local customer service based in Iowa & South Dakota
  • No waiting periods, even for pre-existing conditions
  • No claims filing when you see providers in Iowa or South Dakota
  • No medical exams
  • Nationwide acceptance
  • Blue365® Member Discounts
Plan Summary

Economical  option.

Covers essential major medical expenses.

Traditional Medicare coverage with minimal cost-sharing & preventive care coverage.

Most comprehensive option. You have the lowest out-of-pocket expenses with this plan.

An option  with higher member cost-sharing, resulting in lower premiums. 

 

*Plan L has an annual out-of-pocket limit that is adjusted each year for inflation. Part B excess charges do not count toward this limit.

 

Senior Blue will not cover services denied or not allowed by Medicare except as stated in your policy, nor any expenses which would duplicate benefits provided by Medicare. Please refer to your Senior Blue Outline of Coverage for additional information.

 

Note: Senior Blue is not connected with or endorsed by the U.S government or the federal Medicare program. This information is only a summary of the benefits of Senior Blue Medicare Supplement coverage. It is for descriptive purposes only. Benefits and general provisions described herein are subject to the terms of the actual health insurance policy and benefits certificate.

 

Senior Blue® is not connected with or endorsed by the U.S government or the federal Medicare program. MedicareBlueSM Rx (PDP) is a Medicare Prescription Drug plan with a Medicare contract. MedicareBlueSM PPO (Regonal PPO) is a Medicare Advantage plan with a Medicare contract. R5566_092209_B06 IA/SD F&U | S5743_092209_B07 IA/SD F&U | Last Update 10/01/2009


 
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