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OLEG
SKURSKIY (818) 987 -5000 |
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Authorized Agent for Blue
Cross of California |
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Blue Cross Claim Free Standard
Plan A
Blue Cross Senior Classic C, F, I and J
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ClaimFree® Standard
Plan A
Blue Cross Senior ClassicSM
C
Blue Cross Senior Classic
F
Blue Cross Senior Classic
I
Blue Cross Senior Classic
J |
Request
paper Application Click Here |
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Unique Plans
That Fill the Gaps in Medicare |
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- Affordable monthly premiums
- No annual maximums for Medicare-covered
services
- Guaranteed renewable
- ClaimFree® processing when using
plan providers
- Toll-free dedicated customer service
phone number
Unlike Health Maintenance Organizations
(HMOs), which require that a specific
Primary Care Physician authorizes all
medical services outside the scope of
his or her office, a Preferred Provider
Organization (PPO) allows members to
choose their own physician and specialist
any time, anywhere within the provider
network. Blue Cross of California's
ClaimFree Standard Plan A, Blue Cross
Senior Classic C, Blue Cross Senior
Classic F, Blue Cross Senior Classic
I and Blue Cross Senior Classic J provide
their members a network of over 40,000
physicians statewide. |
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The
Advantages are Yours With: |
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- Freedom to use the doctors of your
choice, including over 40,000 Participating
Prudent Buyer® Physicians, plus specialists.
- Freedom to use the hospital of your
choice, including more than 300 Participating
Hospitals.
- Pays all Medicare deductibles.*
- Coverage for Skilled Nursing Facility
coinsurance (except on ClaimFree Standard
Plan A).
- Benefits for Medicare Part A and
B coinsurance.
- Benefits for Foreign Travel Emergency
(except on ClaimFree Standard Plan
A).
- Prescription No
longer covered with any of the plan
under Medigap plans
- Full conventional Medicare benefits
at all providers, inside and outside
California -- anywhere in the U.S.
- You get to keep your Medicare card
and your right to basic Medicare benefits
too!
* All Blue Cross Senior Classic Plans
pay the Medicare Part A $992 deductible.
All Blue Cross Senior Classic Plans,
with the exception of the Blue Cross
Senior Classic I Plan, pay the Medicare
Part B $131 annual deductible when you
use a Participating Prudent Buyer Provider. |
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Medicare,
Blue Cross of California and You |
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Before Medicare
will pay for any of the medical
services you want or need, you
must first pay the Medicare deductibles.
When combined with the Medicare
coinsurance you are also required
to pay, you could be out hundreds,
even thousands of dollars before
any benefits are paid by Medicare.
Blue Cross of California's ClaimFree
Standard Plan A, Blue Cross Senior
Classic C, Blue Cross Senior Classic
F, Blue Cross Senior Classic I
and Blue Cross Senior Classic
J can help provide you with protection
from these ever-increasing gaps
in Medicare. |
"Medicare
pays for many of your health care
expenses, but it does not cover
all of them. Medigap insurance
plans help fill the gaps in your
Medicare coverage."
-- The Guide to Health Insurance
for People with Medicare*
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Request
paper Application Click Here |
* Published
yearly by the Centers for Medicare
and Medicaid Services (CMS) of
the U.S. Department of Health
and Human Services. |
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Term |
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Part
A Deductible |
Medicare
Part A Hospital Deductible
You
may need this benefit
if you have to stay
in the hospital. The
Part A deductible for
2007 is $992. This amount
can change every year.
You have to pay this
deductible for each
benefit period.
Benefit
covers:
•
$992 in 2007.This amount
can change every year.
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Part
B Deductible
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Medicare
Part B Hospital Deductible
You
may want to consider
this benefit (which
is $131 in 2007) if
you have Medicare Part
B. Each year you must
pay the Part B deductible
before Medicare starts
to pay its share. If
you have this benefit,
the Medigap plan would
pay this amount each
year.
Benefit
covers:
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$124 per year.
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Part A and B Coinsurance |
Part
A and B Coinsurance
Benefit
covers:
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The Part A coinsurance
amount for days 61-90
($238 per day in 2006)
and days 91-150 ($476
per day in 2006) of
a hospital stay.
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The coinsurance or copayment
amount for Part B services
after you
meet the $124 yearly
deductible.
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Part
B Excess - Above Medicare's
Approved Amount
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Medicare
Part B Excess Charge
Under
federal law, doctors
who don't accept "assignment
" (take Medicare's
approved amount as payment
in full) may charge
up to 15% more than
the approved amount.
You might want to think
about this benefit if
your doctors don't accept
assignment. You may
also want this benefit
if you have to stay
in the hospital and
can't control whether
the doctors you see
accept assignment.
Benefit
covers:
•
Plans F, I and J pay
all of the excess charges.
•
Plan G pays 80% of the
excess charges.
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Foreign
Travel Emergency |
Foreign
Travel Emergency
If
you travel outside the
United States, this
benefit could save you
money for emergency
care.
Benefit
covers:
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80% of the cost of emergency
care during the first
60 days of each
trip (after you pay
the $250 deductible).
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Up to $50,000 in your
lifetime.
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At-Home
Recovery
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At-Home
Recovery This
benefit covers additional
care at home if you
are already getting
Medicare-covered home
health services. It
pays up to $40 a visit
and $1,600 a year. This
benefit may cost a lot
and may not be worth
the additional premiums
you pay for it.
Benefit
covers:
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The cost of at-home
help with daily activities
like bathing and dressing
if you are already getting
Medicare-covered home
health visits.
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Up to 8 weeks of at-home
help after skilled care
is no longer needed.
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Will pay up to $40 each
visit and $1,600 each
year.
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Skilled
Nursing Coinsurance
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Skilled
Nursing Coinsurance
You
may want to consider
this benefit if you
need to go to a Skilled
Nursing Facility (SNF)
after a hospital stay
and stay in the SNF
longer than 20 days.
Benefit
covers:
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Up to $119 a day for
days 21-100 in a Skilled
Nursing Facility
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Preventative Care
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Preventative
Care This
benefit helps pay for
routine yearly check-ups
and tests (such as routine
yearly check-ups, serum
cholesterol E and screening,
hearing tests, diabetes
screening, thyroid function
test) that may be important
to you to keep you healthy.
Benefit
covers:
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Up to $120 each year.
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365
Extra Days
of Hospital Coverage
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365 Extra Days of Hospital
Coverage Under
federal law, doctors
who don't accept "assignment"
(take Medicare's approved
amount as payment in
full) may charge up
to 15% more than the
approved amount. You
might want to think
about this benefit if
your doctors don't accept
assignment. You may
also want this benefit
if you have to stay
in the hospital and
can't control whether
the doctors you see
accept assignment.
Benefit
covers:
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100% of the cost for
up to 365 more days
of a hospital stay during
your lifetime after
you use up all Medicare
hospital benefits.
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3
Pints of Blood
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3
Pints of Blood
Benefit
covers:
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The first 3 pints of
blood or equal amounts
of packed red blood
cells
per calendar year, unless
this blood is replaced.
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* Covered when you
use a Participating Prudent Buyer Provider
with just a $5 office visit co-pay.
** Covered only when you use a Participating
Prudent Buyer Provider.
*** You pay just a $5 copay per office
visit, up to a maximum of $110 per year,
when using a Participating Prudent Buyer
Provider.
+ Prescription drug benefit covered
only when using a Participating Pharmacy
or Mail Order Program: Combined $250
annual deductible, 50% coinsurance,
$1,250 maximum annual benefit for Blue
Cross Senior Classic I, $3,000 maximum
annual benefit for Blue Cross Senior
Classic J. |
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These plans are intended
only for people age 65 or older, who
are enrolled in both Parts A and B of
Medicare.
Call your agent or Blue Cross of California
today for complete information, including
conditions, limitations and exclusions
of coverage. Do not apply for one of
these plans before you have reviewed
and understand that additional information.
Not connected with or endorsed by the
U.S. Government or the Federal Medicare
program.
Blue Cross Senior Classic C, Blue Cross
Senior Classic F, Blue Cross Senior
Classic I and Blue Cross Senior Classic
J are Medicare SELECT plans. |
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Copyright © 2005 Oleg Skurskiy Authorized
Independent Agent, CA License 0E50389 |
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