Notice of Changes in Medicare

The following chart briefly describes the modifications in Medicare Part A & B benefits. Please read this carefully!

Medicare Part A services and supplies

Medicare Part A Benefits
Services per benefit period
Services per benefit period	In 2016, Medicare paid...	Effective 1/1/2017, Medicare pays...
Inpatient hospital services: Semi-private room and board, miscellaneous hospital services and supplies, such as drugs. X-rays, lab tests and operating room	All but $1,288 for first 60 days*	All but $1,316 for the first 60 days*
	All but $322 a day for 61^st - 90^th days	All but $329 a day for 61^st - 90^th days
	All but $644 a day for 91^st - 150^th days (if you choose to use 60 nonrenewable lifetime reserve days)	All but $658 a day for 91^st - 150^th days (if you choose to use 60 nonrenewable lifetime reserve days)
	Nothing beyond 150 days	Nothing beyond 150 days
Blood	All costs except non-replacement fees (blood deductible) for first 3 pints each calendar year	All costs except non-replacement fees (blood deductible) for first 3 pints each calendar year
Skilled nursing facility care	There is a 3-day prior hospital confinement requirement	There is a 3-day prior hospital confinement requirement
	100% of costs for first 20 days	100% of costs for first 20 days
	All but $161 a day for 21^st - 100^th days*	All but $164.50 a day for 21^st - 100^th days*
	Nothing beyond 100 days	Nothing 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 for your plan details.

Medicare Part B services and supplies

Medicare Part B Benefits
Services
Services	In 2016, Medicare paid...	Effective 1/1/2017, Medicare pays...
Part B deductible	$166	$183
Physician and outpatient services and supplies	80% of approved amounts (after $166 deductible per calendar year)	80% of approved amounts (after $183 deductible per calendar year)
Blood	80% of all costs except non-replacement fees (blood deductible) for first 3 pints in each calendar year (after $166 deductible/calendar year)	80% of all costs except non-replacement fees (blood deductible) for first 3 pints in each calendar year (after $183 deductible/calendar year)

Medicare Part B out-of-pocket limit
blank cell	Medicare benefits		Your Medicare supplement coverage
blank cell	In 2016, Medicare paid...	Effective 1/1/2017, Medicare pays...	In 2016, your coverage paid...	Effective 1/1/2017, your coverage pays...
Out-of-pocket limit	Not applicable (Plan L only)	Not applicable (Plan L only)	Plan L: You paid $2,480	Plan L: You pay $2,560

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 for your plan details.