2008-2009
Medicare Supplements Texas

Medicare Supplement Plan J

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Medicare Supplement Plan J
Medicare (Part A) - Hospital Services - Per Benefit Period

* A benefit period begins on the first day you receive service as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row.
** $0 indicates your liability for covered charges. You are responsible for all other non-covered charges.

SERVICES	MEDICARE PAYS	PLAN J PAYS	YOU PAY
HOSPITALIZATION* Semiprivate room and board, general nursing and miscellaneous services and supplies First 60 days 61st thru 90th day 91st day and after: -While using 60 lifetime reserve days -Once lifetime reserve days are used: -Additional 365 days -Beyond the Additional 365 days	All but $992 All but $248 day All but $496 a day $0 $0	$992 (Part A Deductible $248 a day $496 a day 100% of Medicare Eligible Expenses $0	$0 $0 $0 $0+ All Costs
SKILLED NURSING FACILITY CARE* You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility within 30 days after leaving the hospital First 20 days 21st thru 100th day 101st day and after	All approved amounts All but $124 a day $0	$0 Up to $124 a day $0	$0 $0 All Costs
BLOOD First 3 Pints Additional Pints	$0 100%	3 Pints $0	$0 $0
HOSPICE CARE Available as long as your doctor certifies you are terminally ill and you elect to receive these services	All but very limited coinsurance for outpatient drugs and inpatient respite care	$0	Balance

+ NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy's "Core Benefits." During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.

Medicare Supplement Plan J
Medicare (Part B) - Medical Services - Per Calendar Year

SERVICES	MEDICARE PAYS	PLAN J PAYS	YOU PAY
MEDICAL EXPENSES-IN OUR OUT OF THE HOSPITAL AND OUTPATIENT HOSPITAL TREATMENT, such as Physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment First $131 of Medicare Approved Amounts* Remainder of Medicare Approved Amounts	$0 Generally 80%	$131 (Part B Deductible Generally 20%	$0 $0

TO BE CONTINUED: Plan details currently being updated with full Plan J information. If you need immediate help, please dial (817) 781-9982. Thank you. 08/27/2008

Medicare Supplement Plan J Quote

Medicare Supplement Plan J