Medicare Supplement Plan F (PLH-5371MSF-19)*

• Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
• Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
• Blood: First three pints of blood each year.
• Hospice care: EmblemHealth pays Part A coinsurance.*
• Coinsurance* for skilled nursing facility care.
• Part A inpatient deductible** per benefit period: $1,484 in 2021.
• Part B annual deductible***: $203 in 2021.
• 100% of Part B excess charges – Plan pays 100% of Part B excess charges.
• Emergency care rendered during the first 60 days of foreign travel.

Only applicants eligible for Medicare prior to January 1, 2020 may purchase Plan C, Plan F and High Deductible Plan F    

* Coinsurance is the portion or percentage of the cost of a Medicare covered service that you are responsible to pay.

** Part A inpatient deductible is the dollar amount of costs for covered services you would be expected to pay for Medicare Part A hospitalization services, including semi-private room and board, general nursing and miscellaneous services and supplies during the first 60 days of a covered admission.

*** Part B annual deductible is the amount you pay for health care outside of the hospital before your plan starts to pay.