blue cross OLEG SKURSKIY (818) 987 -5000

Authorized Agent for Blue Cross of California


Life Annuity

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Blue Cross Claim Free Standard Plan A

Blue Cross Senior Classic C, F, I and J

Outside of California >>
 

ClaimFree® Standard Plan A

Blue Cross Senior ClassicSM C

Blue Cross Senior Classic F

Blue Cross Senior Classic I

Blue Cross Senior Classic J

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  Unique Plans That Fill the Gaps in Medicare
  • 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.

 
  The Advantages are Yours With:
 
  • 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.

 
Medicare, Blue Cross of California and You
 
 
   
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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* Published yearly by the Centers for Medicare and Medicaid Services (CMS) of the U.S. Department of Health and Human Services.
 
BENEFITS
(effective 1/2005)
(Medicare does not pay)
Plan A
Plan C
Plan F
Plan I
Plan J
Select
SmartChoice Preferred
Smart Choice
Part A Deductible ( $992 )
medicare
medicare
medicare
medicare
medicare
medicare
medicare
365 Additional Hospital Days
medicare
medicare
medicare
medicare
medicare
medicare
medicare
medicare
Skilled Nursing Facility Coinsurance
medicare
medicare
medicare
medicare
medicare
medicare
medicare
3 Pints of Unreplaced Blood
medicare
medicare
medicare
medicare
medicare
medicare
medicare
medicare
Part B Annual Deductible ($131)
medicare*
medicare**
medicare**
medicare
medicare
medicare
Part B Excess Charges at 100%
medicare
medicare
medicare
medicare
medicare
medicare
Part B Coinsurance
medicare
medicare***
medicare
medicare
medicare
medicare
medicare
medicare
Prescription Drugs
No longer covered with any of the plan under Medigap plans
At-Home Recovery
medicare
medicare
Additional Preventive Medical Care
medicare
Foreign Travel Emergency
medicare
medicare
medicare
medicare
medicare
medicare
medicare
Term  
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

 

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:
$124 per year.

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Part A and B Coinsurance Part A and B Coinsurance

Benefit covers:
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.
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

 

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:
80% of the cost of emergency care during the first 60 days of each trip (after you pay the $250 deductible).
Up to $50,000 in your lifetime.

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At-Home Recovery

 

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:
The cost of at-home help with daily activities like bathing and dressing if you are already getting Medicare-covered home health visits.
Up to 8 weeks of at-home help after skilled care is no longer needed.
Will pay up to $40 each visit and $1,600 each year.

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Skilled Nursing Coinsurance

 

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:
Up to $119 a day for days 21-100 in a Skilled Nursing Facility

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Preventative Care

 

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:
Up to $120 each year.

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365 Extra Days
of Hospital Coverage

 

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:
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

 

3 Pints of Blood

Benefit covers:
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.

 

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