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Oregon Health Insurance
Call 800.884.2343 or
541.434.9613
FAX - 541.284.2994
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Oregon Health Insurance Plans
LifeWise Health Plans of Oregon
Regence BC BS of OR
ODS Health Plans
PacificSource
Providence Health Plans
HealthNet of Oregon
Kaiser Permanente
Oregon Medical Insurance Pool
Medicare Supplement Plans
Medicare Advantage Plans
Other Insurance
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Oregon Medicare Supplement Plans > American Republic >
Please call 800.884.2343 for an application packet
Medicare Supplement Rates
| Rates effective 6/1/2010 |
Plan A |
Plan F |
Plan K |
Plan L |
| Male/65yr - 97402 (EFT) |
$96.42 |
$132.27 |
$63.39 |
$94.10 |
| Male/65yr - 97021 (EFT) |
$101.01 |
$138.57 |
$71.64 |
$98.59 |
| Female/65yr - 97402 (EFT) |
$83.83 |
$115.00 |
$59.46 |
$81.82 |
| Female/65yr - 97021 (EFT) |
$87.82 |
$120.48 |
$62.29 |
$85.72 |
| Benefits |
Plan A |
Plan F |
Plan K |
Plan L |
| Medicare Part A Coinsurance and Hospital Benefits |
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| Medicare Part A Deductible |
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50% |
75% |
| Medicare Part B Coinsurance or Co-payment |
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50% |
75% |
| Medicare Part B Deductible |
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| Medicare Part B Excess Charges |
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| Blood (First Three Pints) |
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50% |
75% |
| Hospice Care Coinsurance or Co-payment |
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50% |
75% |
| Skilled Nursing Coinsurance |
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50% |
75% |
| Foreign Travel Emergency (Up to Plan Limits)3 |
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| Medicare Preventive Care Part B Coinsurance |
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| 2010 out-of-pocket limit4 |
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$4,620 |
$2,310 |
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