2020 Notice of Changes in Medicare and Your Medicare Supplement Coverage | Wellmark
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Notice of Changes in Medicare

The following chart briefly describes the modifications in Medicare Part A and B and in your Medicare supplement coverage. Please read this carefully.

Medicare Part A services and supplies 

Medicare Part A Benefits
Services Medicare benefits Your Medicare supplement coverage
In 2019, Medicare paid per benefit period Effective 1/1/2020, Medicare pays In 2019, your coverage paid Effective 1/1/2020, your coverage pays
Hospitalization

Semi-private room and board, general nursing and miscellaneous services and supplies

All but $1,364 for first 60 days

All but $1,408 for the first 60 days

$1,364 for first 60 days (except Plan A)

$1,408 for first 60 days (except Plan A)

All but $341 a day for days 61–90

All but $352 a day for days 61–90

$341 a day for days 61–90

$352 a day for days 61–90

All but $682 a day for days 91–150 (if you choose to use 60 nonrenewable lifetime reserve days)

All but $704 a day for days 91–150 (if you choose to use 60 nonrenewable lifetime reserve days)

$682 a day for days 91–150

$704 a day for days 91–150

$0 beyond 150 days

$0 beyond 150 days

Beyond 150 days, all costs for a lifetime maximum of 365 additional days

Beyond 150 days, all costs for a lifetime maximum of 365 additional days

Skilled nursing facility care

You must meet Medicare's qualifying requirements

All approved amounts for first 20 days

All approved amounts for first 20 days

$0 for first 20 days

$0 for first 20 days

All but $170.50 a day for days 21–100

All but $176 a day for days 21–100

Up to $170.50 a day for days 21–100 (except Plan A)

Up to $176 a day for days 21–100 (except Plan A)

$0 beyond 100 days

$0 beyond 100 days

$0 beyond 100 days

$0 beyond 100 days

Depending on your Medicare supplement plan, you have coverage to help pay for health care costs and some services not covered by Medicare. Refer to your benefits policy or your plan for details.

Medicare Part B services and supplies

Medicare Part B Benefits
Services Medicare benefits Your Medicare supplement coverage
In 2019, Medicare paid per calendar year Effective 1/1/2020, Medicare pays In 2019, your coverage paid Effective 1/1/2020, your coverage pays
Medical expenses

In or out of the hospital and outpatient hospital treatment, such as physician’s services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment

Generally 80% of the Medicare approved amounts after $185 deductible

Generally 80% of the Medicare approved amounts after $198 deductible

Plan A, Plan D, Plan G and High Deductible Plan G: after $185 deductible, 20% of Medicare approved amount

Plan F and High Deductible Plan F: $185 deductible and 20% of Medicare approved amounts

Plan N: after $185 deductible, balance other than up to $20 per office visit and up to $50 per emergency room visit

Plan A, Plan D, Plan G and High Deductible Plan G: after $198 deductible, 20% of Medicare approved amount

Plan F and High Deductible Plan F: $198 deductible and 20% of Medicare approved amounts

Plan N: after $198 deductible, balance other than up to $20 per office visit and up to $50 per emergency room visit

Blood

$0 for the first 3 pints

For additional amounts, 80% of Medicare approved amounts after $185 deductible

$0 for the first 3 pints

For additional amounts, 80% of Medicare approved amounts after $198 deductible

Plan A, Plan D, Plan G, High Deductible Plan G and Plan N: after $185 deductible, 20% of Medicare approved amounts

Plan F and High Deductible Plan F: $185 deductible and 20% of Medicare approved amounts

Plan A, Plan D, Plan G, High Deductible Plan G and Plan N: after $198  deductible, 20% of Medicare approved amounts

Plan F and High Deductible Plan F: $198  deductible and 20% of Medicare approved amounts

Plan deductible

Out-of-pocket expenses normally paid by the plan before the policy begins paying benefits

Not applicable

Not applicable

High Deductible Plan F and High Deductible Plan G: You paid a $2,300 annual deductible

High Deductible Plan F and High Deductible Plan G: You pay a $2,340 annual deductible