Part A coinsurance & hospital costs | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
Part B coinsurance | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
First 3 pints of blood | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
Part A hospice care coinsurance | 100% | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
Skilled Nursing Facility care coinsurance | X | X | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
Part A deductible ($1,364 per benefit period) | X | 100% | 100% | 100% | 100% | 100% | 50% | 75% | 50% | 100% |
Part B deductible ($185 per year in 2019) | X | X | 100% | X | 100% | X | X | X | X | X |
Part B excess charges | X | X | X | X | 100% | 100% | X | X | X | X |
Foreign travel emergency coverage | X | X | 80% | 80% | 80% | 80% | X | X | 80% | 80% |
Out of Pocket Limit | X | X | X | X | X | X | $5,880 | $2,940 | X | X |