HEALTH

Medicare Supplement Insurance — Pennsylvania

Pennsylvania Medicare Supplement Insurance is currently available through State Farm® Mutual Automobile Insurance Company. Details about coverage, policies, and benefits are listed below. State Farm has different plans available. Please read a brief description of the Medicare Supplement Insurance in Pennsylvania to help you choose the plan to best fit your needs.

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State Farm Medicare Supplement Insurance is designed to cover the gaps in Medicare, helping to pay deductibles, coinsurance and copayment amounts not covered by Medicare. Once you have a Medicare Supplement Plan, both your plan and the Original Medicare Plan will help pay your covered medical expenses, lowering your out-of-pocket costs and giving you the confidence that your health insurance needs are met. And at State Farm we give you the flexibility to choose between different plans to meet your individual needs and budget.

A brief description of the Plans available in your state and the coverage provided by the Plans follows.

Plan A

  • Part A coinsurance, plus coverage for 365 additional days after Medicare benefits end
  • Part B coinsurance
  • Hospice coinsurance
  • First three pints of blood each year

Plan B

  • Part A coinsurance, plus coverage for 365 additional days after Medicare hospital benefits end
  • Part B coinsurance
  • Hospice coinsurance
  • First three pints of blood each year

Plan C

  • Part A inpatient hospital deductible
  • Part A coinsurance, plus coverage for 365 additional days after Medicare benefits end
  • Skilled nursing facility coinsurance
  • Part B deductible
  • Part B coinsurance
  • Hospice coinsurance
  • First three pints of blood each year
  • Emergency Care in a Foreign Country — 80% of the cost of emergency care beginning during the first 60 days of each trip, after you pay a $250 deductible, subject to a $50,000 lifetime maximum, if such care would have been covered by Medicare if provided in the U.S.

Plan F

  • Part A inpatient hospital deductible
  • Part A coinsurance, plus coverage for 365 additional days after Medicare benefits end
  • Skilled nursing facility coinsurance
  • Part B deductible
  • Part B coinsurance
  • Hospice coinsurance
  • Emergency Care in a Foreign Country — 80% of the cost of emergency care beginning during the first 60 days of each trip, after you pay a $250 deductible, subject to a $50,000 lifetime maximum, if such care would have been covered by Medicare if provided in the U.S.
  • Part B excess charges — One hundred percent (100%) of the Medicare Part B Excess Charges: Coverage for all of the difference between the actual Medicare Part B charges as billed, not to exceed any charge limitation established by the Medicare program or state law, and the Medicare approved Part B charge.

This policy is not connected with or endorsed by the U.S. Government or the Federal Medicare program. This information is only a general description of coverage. It is not a contract and certain exclusions and limitations apply. A complete statement of the coverages, exclusions and limitations is found only in the policy itself. Contact a State Farm agent/insurance producer for additional details.

Note:

This is a marketing tool intended for use in the sale of insurance. Completion of an application for a State Farm insurance policy will require contact with a State Farm agent/insurance producer.

In some states coverage is available if you are under age 65 and are Medicare eligible due to disability and/or End Stage Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant). Policy coverage's, exclusions and limitations may vary in some states. For exact terms and conditions see: Medicare Supplement Insurance Policy series 97037HPA, 97038HPA, 97039HPA, and 97041HPA.

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