Medigap Insurance: Plans are Widely Available But Have Limited Benefits and May Have High Costs : Report to Congressional Committees

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Page 22 - Committee on Finance United States Senate The Honorable Edward M. Kennedy Chairman The Honorable Judd Gregg Ranking Minority Member Committee on Health, Education, Labor and Pensions United States Senate The Honorable WJ "Billy" Tauzin Chairman The Honorable John D. Dingell Ranking Minority Member Committee on Energy and Commerce House of
Page 32 - 2001) Medicare+Choice: Plan Withdrawals Indicate Difficulty of Providing Choice While Achieving Savings (GAO/HEHS-00-183, Sept. 7, 2000) Medigap: Premiums for Standardized Plans That Cover Prescription Drugs (GAO/HEHS-00-70R, Mar. 1, 2000) Prescription Drugs: Increasing Medicare Beneficiary Access and Related Implications (GAO/T-HEHS/AIMD-00-100, Feb. 16, 2000)
Page 2 - On June 14, 2001, the Secretary of Health and Human Services announced that the name of HCFA had been changed to the Centers for Medicare and Medicaid Services (CMS). In this report, we will continue to refer to HCFA where our findings apply to
Page 4 - No deductible is charged for second and subsequent hospital admissions if they occur within 60 days of the beneficiary's most recent covered inpatient stay. "No cost sharing is required for certain preventive services—including specific screening tests for colon, cervical, and prostate cancer, and flu and pneumonia vaccines. Source:
Page 28 - Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Michigan Mississippi Missouri Montana Nebraska New Hampshire New Jersey New Mexico Nevada New York North Carolina North Dakota Ohio
Page 3 - known as part B, which helps pay for selected physician, outpatient hospital, laboratory, and other services. Beneficiaries must pay a premium for part B coverage, currently $50 per month.
Page 4 - Inpatient hospital $792 deductible per admission' $198 copayment per day for days 61-90 $396 copayment per day for days 91-150 All costs beyond 150 days Skilled nursing facility No cost sharing for first 20 days $99 copayment or less for days 21-100 All costs beyond 100 days Home health No cost sharing 20 percent coinsurance for durable medical equipment
Page 4 - year 20 percent coinsurance for most services 50 percent coinsurance for mental health services Clinical laboratory No cost sharing Home health No cost sharing 20 percent coinsurance for durable medical equipment Outpatient hospital
Page 4 - 20 percent coinsurance for durable medical equipment Hospice $5 copayment for outpatient drugs 5 percent coinsurance for inpatient respite care Blood Cost of first 3 pints Part B coverage
Page 4 - cost sharing is required for certain preventive services—including specific screening tests for colon, cervical, and prostate cancer, and flu and pneumonia vaccines. Source:

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