Doctor and Hospital Choice-“You can go to any doctor, supplier, hospital, or other facility that is enrolled in Medicare and is accepting new Medicare patients.”
Medical Expenses-Covers 100% of Part B coinsurance after you meet your yearly Part B deductible ($147.00 for 2014). You have to pay an additional copayment of up to $20 for some office visits and up to $50 for ER visits.
Part B Excess
All of the Above
None of the Above-Benefits are not required to be read on any Medigap plans
15, 18 and 20
15, 16, 18 and 20
15, 16, 17, 18 and 20
None of the above
None, the benefits are not required for the Plan F.
#14-Doctor and Hospital Choice
#15-Deductible for Medical Only
#18-Doctor Office Visit
This is accurate, so the form should not be marked