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VES Benefits Insurance Agency The plans offered on this site are part of the member benefit program offered by the Visual Effects Society through Aetna. This site is owned and operated by VES Benefits Insurance Agency. This site is distributing information for the Visual Effects Society.

The Visual Effects Society has no responsibility for statements made by the supplier and no liability in the event any information is not correct. This site is not owned or operated by the Visual Effects Society.

Benefits may change without notice. Please contact the VES Benefits Insurance Agency for complete information on all programs offered on this site.This web site may contain concepts that have legal, accounting and tax implications. It is not intended to provide legal, accounting or tax advice. You may wish to consult a competent attorney, tax advisor, or accountant.

Medigap Policies


     A Medigap policy is a health insurance policy sold by private insurance companies to fill "gaps" in Original Medicare Plan coverage. Medigap policies must follow federal and state laws. These laws protect you. The front of the Medigap policy must clearly identify it as "Medicare Supplement Insurance."

     In all states, except Massachusetts, Minnesota, and Wisconsin, a Medigap policy must be one of twelve standardized policies so you can compare them easily. Each policy has a different set of benefits. Two of the standardized policies may have a high deductible option. In addition, any standardized policy may be sold as a "Medicare SELECT" policy. Medicare SELECT policies usually cost less because you must use specific hospitals and, in some cases, specific doctors to get full insurance benefits from the policy. In an emergency, you may use any doctor or hospital.


Click image to view guide to Medigap Policies


 

Outline of Medicare
Supplement Coverage

(Benefit Plans A-L)
Medicare Supplement Insurance can be sold in only twelve standard plans. This chart shows the benefits included in each plan. Every company must make available Plan "A". Some plans may not be available in your state as indicated below.

  A B C D E F* G H I J* K L
Medicare Part A Coinsurance and Medigap Coverage for Hospital Benefits
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  • Medicare Part B Coinsurance or Copayment
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  • 50%* 75%*
    Blood (First 3 pints)
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  • 50%* 75%*
    Hospice Care Coinsurance or Copayment
                        50%* 75%*
    Medicare Part A Deductible
     
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  • 50%* 75%*
    Skilled Nursing Facility Care Coinsurance
       
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  • 50%* 75%*
    Medicare Part B Deductible
       
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    Medicare Part B Excess Charges
             
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  • 80%  
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    Foreign Travel Emergency (Up to Plan Limits)**
       
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    At Home Recovery (Up to Plan Limits)
         
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    Preventive Care Coinsurance (Included in the Part B Coinsurance)
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  • Preventive Care not Covered by Medicare        
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    *Out-of-Pocket Maximum (2009)
                        $4,440 $2,220
    Plans A-L are standardized by the federal government. Not all plans may be available in your area. Consider the benefits offered by each plan and look for one that best meets your individual needs.
    *Medigap Plans F and J also offer a high-deductible option. You must pay the high-deductible in Medigap-covered costs before the Medigap policy pays anything.
    **You must also pay a separate deductible for foreign travel emergency ($250 per year).
    ***After you meet your out-of-pocket yearly limit and your yearly Part B deductible, the plan pays 100% of covered services for the rest of the calendar year.

    VES Health
    Insurance Agency

    19935 Ventura Blvd. 3rd Floor
    Woodland Hills, CA 91364

    Telephone: 877-700-8415
    Fax: 800-775-0224
    Email: info@ves.4mybenefits.biz