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Humana Medicare Supplement Plan Information
Plan Overview | Enrollment form | Medicare and You | Choose
Medicare Supplement Plans & Rates Rates effective 7/1/2011 Plan A Plan B Plan C Plan F High Ded Plan F Plan K Plan L Plan N Monthly Premiums Male - 65 years old Preferred Rating $107.65 $116.98 $134.56 $137.27 $52.72 $63.96 $90.06 $85.40 Monthly Premiums Female - 65 years old Preferred Rating $107.37 $116.68 $134.22 $136.93 $52.59 $63.80 $89.83 $85.19 Monthly Premiums Male - 65 years old Standard Rating $159.90 $173.85 $200.14 $204.17 $77.82 $94.60 $133.62 $126.65 Monthly Premiums Female - 65 years old Standard Rating $159.49 $173.41 $199.63 $203.67 $77.62 $94.36 $133.28 $126.33 Benefits Plan A Plan B Plan C Plan F High Ded Plan F Plan K Plan L Plan N Medicare Part A Coinsurance and Hospital Benefits Medicare Part A Deductible   50% 75% Medicare Part B Coinsurance or Co-payment 50% 75% 3 Medicare Part B Deductible           Medicare Part B Excess Charges             Blood (First Three Pints) 50% 75% Hospice Care Coinsurance or Co-payment 50% 75% Skilled Nursing Coinsurance     50% 75% Foreign Travel Emergency (Up to Plan Limits)3         Medicare Preventive Care Part B Coinsurance Monthly premiums presented include $2 for coupon book billing method. If a policyholder elects either automatic bank withdrawal or recurring credit card transaction as a payment method, the premium is $2 less.

1. Medigap Plan F offers a high deductible option. You must pay for Medicare-covered costs up to the high-deductible amount ($2,070 in 2012) before your Medigap policy pays anything
2. 100% part B coinsurance except up to $20 copayment for office visits and up to $50 copayment for ER.
3. You must also pay a separate deductible for foreign travel emergency ($250 per year).
4. After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($140 in 2012) the plan pays 100% of covered services for the rest of the calendar year (This applies only to plans K & L)
5. Modified Plan F offers an individual assistance program, as well as coverage for preventive dental care (available in some states)

• 2012 Out of Pocket Limit for Plan K is $4,660.
• 2012 Out of Pocket Limit for Plan L is $2,330.