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Plan FPlan GPlan N
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BENEFITS F** G N
Medicare Part A coinsurance and hospital costs (up to an additional 365 days after Medicare benefits are used) 100% 100% 100%
Medicare Part B coinsurance or co-payment 100% 100% 100%
Blood (first 3 pints) 100% 100% 100%
Part A hospice care coinsurance and co-payment 100% 100% 100%
Skilled nursing facility care coinsurance 100% 100% 100%
Part A deductible 100% 100% 100%
Part B deductible 100%
Part B excess charges 100% 100%
Foreign travel emergency (up to plan limits) 80% 80% 80%

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** Plan F also offers a high-deductible plan in some states. If you choose this option, this means your must pay for Medicare-covered costs (coinsurance, copayments, and deductibles) up to the deductible amount of $2,200 in 2017 before your policy pays anything.

† Plan N pays 100% of the Part B coinsurance, except for a copayments of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.

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