Notice of Changes in Medicare

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

Medicare Part A services and supplies

Medicare Part A Benefits
Services	In 2019, Medicare paid per benefit period	Effective 1/1/2020, 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 $1,364 for first 60 days	All but $1,408 for the first 60 days
	All but $341 a day for days 61–90	All but $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)
	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 $170.50 a day for days 21–100	All but $176 a day for days 21–100
	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	In 2019, Medicare paid	Effective 1/1/2020, Medicare pays
Part B deductible	$185	$198
Physician and outpatient services and supplies	80% of approved amounts after $185 deductible	80% of approved amounts after $198 deductible
Blood	80% of all costs except non-replacement fees (blood deductible) for first 3 pints in each calendar year after $185 deductible	80% of all costs except non-replacement fees (blood deductible) for first 3 pints in each calendar year after $198 deductible


blank cell	Medicare benefits		Your Medicare supplement coverage
blank cell	In 2019, Medicare paid per calendar year	Effective 1/1/2020, Medicare pays	In 2019, your coverage pays	Effective 1/1/2020, your coverage pays
Out-of-pocket limit	Not applicable (Plan L only)	Not applicable (Plan L only)	Plan L: You paid $2,780	Plan L: You pay $2,940

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.