2019 Plan Benefits for Age

Original
Medicare

C Plus
Plan B

$140 per month

Enroll

C Plus
Plan F

$176 per month

Enroll
Part A Hospital Expenses
Part A
Hospital Expenses
With Medicare alone
YOU PAY:
With Plan B
YOU PAY:
With Plan F
YOU PAY:
Initial Part A Hospital Deductible
Initial Part A Hospital Deductible $1,364 $0 $0
Daily Copay For Days 61-90 In A Hospital
Daily Copay For Days 61-90 In A Hospital $341 per day $0 $0
Daily Copay For Days 91-150 In A Hospital
Daily Copay For Days 91-150 In A Hospital $682 per day $0 $0
Additional 365 Days Once Lifetime Reserve Days Are Used
Additional 365 Days Once Lifetime Reserve Days Are Used All costs $0 $0
Daily Copay For Days 21-100 In A Skilled Nursing Facility
Daily Copay For Days 21-100 In A Skilled Nursing Facility $170.50 per day $170.50 per day $0
Part B Physician Services and Supplies
Part B
Physician Services & Supplies
With Medicare alone
YOU PAY:
With Plan B
YOU PAY:
With Plan F
YOU PAY:
Annual Part B Deductible
Annual Part B Deductible $185 $185 $0
Doctor and specialist visits
Doctor and specialist visits 20% $0 $0
Lab and X-ray
Lab and X-ray 20% $0 $0
Outpatient services and procedures
Outpatient services and procedures 20% $0 $0
Durable medical equipment
Durable medical equipment 20% $0 $0
Other Part B services
Other Part B services 20% $0 $0
Other Benefits Not Covered by Medicare
Other Benefits
Not Covered by Medicare
With Medicare alone
YOU PAY:
With Plan B
YOU PAY:
With Plan F
YOU PAY:
Medically Necessary Emergency Care Services During The First 60 Days Of Each Trip Outside The United States
Medically Necessary Emergency Care Services During The First 60 Days Of Each Trip Outside The United States All costs All costs $250 deductible, then 20%, and all costs over $50,000

Original
Medicare

C Plus
Plan B

$140 per month

Enroll

C Plus
Plan F

$176 per month

Enroll

You must continue to pay your Medicare Part B premium. You must pay your Part B deductible on Plan B.

SilverSneakers® Fitness Program is provided by Tivity Health Inc.™ 2019, an independent company with subsidiaries and affiliates worldwide. All rights reserved.

This is a solicitation of insurance. Contact may be made by an issuer or insurance producer or another acting on behalf of the issuer or producer. C PlusSM is a Medicare Select plan and is a private insurance plan regulated by the Alabama Department of Insurance. It is not connected with or endorsed by the U.S. government or the federal Medicare program.

2019 Plan Overview

SilverSneakers

Fitness Program Included
What is this?

Freedom of choice:

  • Concerned your provider choices may be limited with C Plus? Don’t be!
    You have access to the largest network in Alabama — with over 95% of all doctors and 98% of all hospitals. And you don't need referrals!
  • If you’re TRAVELING outside of Alabama ...
    You're free to use any doctor or hospital that accepts Medicare — anytime, anywhere. If Medicare pays, C Plus pays!

C Plus benefits include:

  • No referrals for specialists
  • $0 copays for Medicare-eligible in-network doctor visits, outpatient hospital stays and emergency room visits
  • Medicare-eligible inpatient hospital stays – covered in full
  • No out-of-pocket costs on Plan F

C Plus can be combined with BlueRxSM, a Medicare-approved Part D Plan.

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