Plan N

If you agree to share some of the costs of your healthcare, Medicare Supplement Insurance Plan N* from Blue Cross and Blue Shield of Texas, A Division of Health Care Service Corporation is a practical choice. With 100 percent coverage for your Part A deductible, hospitalization coinsurance, foreign travel emergency care, skilled nursing co-payment and more.  With this plan it provides a workable solution for adding to your Original Medicare benefits. Here is a more detailed description of the benefits and costs you can expect.

Benefits

As a senior looking for dependable health care at a moderate price, Medicare Supplement Insurance Plan N may be the right choice. Provides full coverage for your Part A deductible ($1,316) and 100 percent of any hospitalization coinsurance after Medicare benefits end. That means on day 61 when Medicare stops paying. Pays the $329 a day through day 90 and $648 a day with Lifetime Reserve beyond day 91. This plan also covers 100 percent of all Medicare eligible expenses in the hospital for an extra 365 days after Medicare benefits end. Plus, the first three pints of blood are covered 100 percent as well as foreign travel emergency care.

Your Texas Medicare benefits pay for the first 20 days of skilled nursing care in full. Medicare Supplement Insurance Plan N continues this coverage by paying for the remaining amount ($164.50 a day) for days 21-100. This plan also pays your full Medicare co-payment/coinsurance for hospice care.

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Benefits Summary

  • Part A deductible
  • 100 percent of hospitalization coinsurance days 61-91
  • Extra 365 days of hospital care after Medicare coverage ends
  • 100 percent of the cost of the first three pints of blood
  • 100 percent of the skilled nursing facility co-payment days 21-100
  • Medicare co-payment/coinsurance for hospice care
  • 80 percent of Foreign travel emergency care (after $250 deductible, up to $50,000 lifetime)

What You Can Expect to Pay 

With Medicare Supplement Insurance Plan N, you will be required to pay a monthly premium, your Medicare Part B deductible and excess charges, hospitalization costs beyond the additional 365 days after the Lifetime Reserve is used, all skilled nursing facility costs after 101 days, a $20 copayment for office visits, $50 copayment for emergency room visits and an annual $250 for foreign care along with 20 percent of costs up to a $50,000 lifetime benefit. With this plan, if you agree to use a hospital in the Medicare approved network for non- emergency services, you will be eligible for a reduced premium.

Basic Benefit
Options
Comprehensive Plan
Options
Budget-Conscious Plan Options
Click on each
plan
to view details**
Plan A Plan F Plan G High Deductible
Plan F
Plan K Plan L Plan N
Reduced
Premium
Medicare Select
Option
Available*‡
(eligibility based
on ZIP code)
Basic Benefits 100% 100% 100% 100% 100%
/50%
100%
/75%

copay
applies
Skilled Nursing
Coinsurance
50% 75%
Part A Deductible 50% 75%
Part B Deductible
Part B Excess 100% 100%
Foreign Travel
Emergency Care†
Annual Out of
Pocket Limit††
$5,120 $2,560

 

* Network restrictions apply.
** Policy forms UWMSP(A)-2010, UWMSP(F)-2010, UWMSP(F-HD)-2010, UWMSP(G)-2010, UWMSP(K)-2010, UWMSP(L)-2010, UWMSP(N)-2010, UWMSP-SEL(F)-2010, UWMSP-SEL(G)-2010, UWMSP-SEL(K)-2010, UWMSP-SEL(L)-2010, UWMSP-SEL(N)-2010.

† Plans cover medically necessary emergency care services needed immediately because of an injury or illness of sudden and unexpected onset, beginning during the first 60 days of each trip outside the USA.

†† The out of pocket annual limit may increase each year for inflation (2017 limits shown).

‡ You must live within 30 miles of a participating Medicare Select hospital to be eligible.

BCBSTX is not connected with or endorsed by the United States Government, the Federal Medicare Program or any other governmental agency.
TXMEDWEB02-REV 08/12

*Not connected with or endorsed by the U.S. Government or Federal Medicare Program

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