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Massachusetts Standardized Medicare Supplement Plans

Basic Benefits- Included in all plans:

Inpatient Hospital Care: Covers the Part A coinsurance and the cost of 365 extra days of hospital care during your lifetime after Medicare coverage ends.

For medicare supplement plans, Medical Costs: Covers the Part B coinsurance (generally 20% of Medicare-approved payment amount) or copayment amount which may vary according to the service. For hospital outpatient services, the copayment amount will be paid under a prospective payment system. If this system is not used, then 20% of eligible expenses will be paid.

Blood: Covers the first 3 pints of blood each year.

Medicare Supplement Benefits Core Supplement 1 Supplement 2
Basic Benefits
Part A: Inpatient Hospital Deductible   
Part A: Skilled-Nursing FacilityCoinsurance   
Part B: Deductible   
Foreign Travel Emergency   
Inpatient Days in Mental Health Hospitals 60 days per calendar year 120 days per benefit year 120 days per benefit year
Prescription Drugs ($35 deductible each calendar quarter, then 100% coverage for generic drugs and 80% coverage for brand name drugs)      
State-Mandated Benefits: (Annual Pap Smear tests and mammograms. Check your plan for other state-mandated benefits.)

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