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Part A Hospital Services	F
The Part A deductible is $1676 per benefit period A benefit period starts when you are admitted to a facility and ends 60 days after you last received inpatient care at any facilityPart A Deductible ($1676)
The inpatient deductible is $1676 for each benefit period Days 1-60: Medicare covers 100% Days 61-90: You are responsible for $408 per day Days 91 until 60 day lifetime reserve is used up: Your responsibility is $826 per day Beyond lifetime reserve: You are responsible for all costs incurred Hospital Coinsurance
Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage
Skilled nursing facility coinsurance
3 Pints of (unreplaced) blood
Part B Services	F
Part B Deductible ($257)
Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance
Doctors who do not take Medicare Assignment can charge 15% above what medicare allows Some Medicare Supplement plans cover that extra 15%Part B Excess Charges
Additional Features	F
Out of Pocket Limit	NA
Hospice coverage
Foreign Travel Emergency
Monthly Rates & Brochures	F
Aflac eff 7/1/2025HH	410.08
Anthem CKHH	S: 446.72 I: Additional benefits included with Anthem Innovative plan rider Vision Benefits Routine eye exam In network: No Charge Out of network: $35 Allowance Eyeglass Frames In network: $100 allowance Out of network: $45 Allowance Eyeglass Lenses Single vision - In network:100% coverage after $25 copay Out of network:$25 benefit after $25 copay Bifocal - In network:100% coverage after $25 copay Out of network:$40 benefit after $25 copay Trifocal or Lenticular - In network:100% coverage after $25 copay Out of network:$55 benefit after $25 copay Contact Lenses In network: $100 allowance Out of network: $80 Allowance Hearing Benefits Coverage through Hearing Care Solutions Hearing exam: 100% coverage Hearing aids: Coverage allowance up to $750 per year Other Innovative Plan Benefits Nurse help line: Speak with a Registered nurse about health related questions Other Benefits (included with both Standard and Innovative Plans) SilverSneakers gym membership See page 21 or 22 in Anthem brochure for details 441.16
Blue Shield CKHH	About Blue Shield Plan F Blue Shield no longer sells Standard plan F This quote refelects the rate for Plan F Extra Plan F Extra includes all Plan F Standard benefits plus additional "Extra" benefits About Blue Shield Plan F Extra rider Basic gym access through sliver sneakers fitness program (silversneakers.com) Personal Emergency Benefit provides access to help 24/7, at the push of a button The vision benefit includes coverage for exams, frames and lenses Hearing aid benefit includes an annual hearing aid test and coverage for Vista brand mid-level and premium-level hearing aids for a low copay 451.00
Continental (Aetna) eff 9/1/2025 HH	569.94
Health Net	S: 368.00 Additional benefits included with Health Net Innovative plan rider Vision Benefits Routine Eye Exam (In network) - One vision exam every 12 months - $10 Copayment Routine Eye Exam (Out of network) - One vision exam every 12 months - $45 Allowance Frame & Lens Package - available from provider only (Once every 24 Months) - Up to $250 allowance Contact Lenses (includes materials only - once every 24 months) - Up to $250 allowance Medically necessary contact Lenses - Up to $250 allowance Hearing Benefits Routine Hearing Exam - One hearing exam every 12 months Hearing Aid(s) - all sizes and styles offered by Hearing Care Solutions Level 4 - You pay $1580 Level 3 - You pay $1125 Level 2 - You pay $700 Level 1 - You pay $0 See page 44 in Health Net brochure for detailsI: 373.00
Humana Achieve eff 9/1/2025CKHH	376.73
Humana Achieve to 8/30/2024CKHH	328.42
United American	474.00
UHC CKHH	402.50
United World Life CKHH	434.93
Choosing a Medigap Policy
Continental: Add $20 application fee.

Part A Hospital Services

The Part A deductible is $1676 per benefit period

A benefit period starts when you are admitted to a facility
and ends 60 days after you last received inpatient care at any facilityPart A Deductible ($1676)

The inpatient deductible is $1676 for each benefit period
Days 1-60: Medicare covers 100%
Days 61-90: You are responsible for $408 per day
Days 91 until 60 day lifetime reserve is used up: Your responsibility is $826 per day
Beyond lifetime reserve: You are responsible for all costs incurred

Hospital Coinsurance

Covers 365 Additional inpatient days after lifetime reserve has been used up365 days extra Hospital coverage

Skilled nursing facility coinsurance

3 Pints of (unreplaced) blood

Part B Services

Part B Deductible ($257)

Medicare covers 80% of Part B claims, you are responsible for 20%Part B Coinsurance

Doctors who do not take Medicare Assignment can charge 15% above what medicare allows

Some Medicare Supplement plans cover that extra 15%Part B Excess Charges

Additional Features

Out of Pocket Limit

Hospice coverage

Foreign Travel Emergency

Monthly Rates & Brochures

Aflac eff 7/1/2025HH

410.08

Anthem

CKHH

S: 446.72
I: Additional benefits included with Anthem Innovative plan rider

Vision Benefits
Routine eye exam In network: No Charge Out of network: $35 Allowance
Eyeglass Frames In network: $100 allowance Out of network: $45 Allowance
Eyeglass Lenses
- Single vision - In network:100% coverage after $25 copay Out of network:$25 benefit after $25 copay
- Bifocal - In network:100% coverage after $25 copay Out of network:$40 benefit after $25 copay
- Trifocal or Lenticular - In network:100% coverage after $25 copay Out of network:$55 benefit after $25 copay
Contact Lenses In network: $100 allowance Out of network: $80 Allowance
Hearing Benefits Coverage through Hearing Care Solutions
Hearing exam: 100% coverage
Hearing aids: Coverage allowance up to $750 per year
Other Innovative Plan Benefits
Nurse help line: Speak with a Registered nurse about health related questions
Other Benefits (included with both Standard and Innovative Plans)
SilverSneakers gym membership

See page 21 or 22 in Anthem brochure for details

441.16

Blue Shield Includes gym membership

CKHH

About Blue Shield Plan F
Blue Shield no longer sells Standard plan F
This quote refelects the rate for Plan F Extra
Plan F Extra includes all Plan F Standard benefits plus additional "Extra" benefits

About Blue Shield Plan F Extra rider

Basic gym access through sliver sneakers fitness program (silversneakers.com)
Personal Emergency Benefit provides access to help 24/7, at the push of a button
The vision benefit includes coverage for exams, frames and lenses
Hearing aid benefit includes an annual hearing aid test and coverage for Vista
brand mid-level and premium-level hearing aids for a low copay

451.00

Continental (Aetna) eff 9/1/2025 HH

569.94

Health Net Includes gym membership

S: 368.00
Additional benefits included with Health Net Innovative plan rider

Vision Benefits
Routine Eye Exam (In network) - One vision exam every 12 months - $10 Copayment
Routine Eye Exam (Out of network) - One vision exam every 12 months - $45 Allowance
Frame & Lens Package - available from provider only (Once every 24 Months) - Up to $250 allowance
Contact Lenses (includes materials only - once every 24 months) - Up to $250 allowance
Medically necessary contact Lenses - Up to $250 allowance
Hearing Benefits
Routine Hearing Exam - One hearing exam every 12 months
Hearing Aid(s) - all sizes and styles offered by Hearing Care Solutions
- Level 4 - You pay $1580
- Level 3 - You pay $1125
- Level 2 - You pay $700
- Level 1 - You pay $0

See page 44 in Health Net brochure for detailsI: 373.00

Humana Achieve eff 9/1/2025CKHH

376.73

Humana Achieve to 8/30/2024CKHH

328.42

United American

474.00

UHC

CKHH

402.50

United World Life CKHH

434.93

Choosing a Medigap Policy

Continental: Add $20 application fee.