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Sentinel Life Medicare Supplement Plan Information
Plan Description | Application | Medicare and You | Choose Medigap
Sentinel Life Medicare Supplement Rates Rates effective 10/1/2011 Plan A Plan B Plan C Plan D Plan F Plan N Male/65yr - Non-Tobacco $93.12 $103.24 $126.50 $106.59 $129.55 $86.57 Male/65yr - Tobacco $107.09 $118.72 $145.47 $122.58 $148.98 $99.55 Female/65yr - Non-Tobacco $80.97 $89.77 $110.00 $92.69 $112.65 $75.28 Female/65yr - Tobacco $93.12 $103.24 $126.50 $106.59 $129.55 $86.57 Benefits Plan A Plan B Plan C Plan D Plan F Plan N Medicare Part A Coinsurance and Hospital Benefits Medicare Part A Deductible   Medicare Part B Coinsurance or Co-payment 3 Medicare Part B Deductible         Medicare Part B Excess Charges           Blood (First Three Pints) Hospice Care Coinsurance or Co-payment Skilled Nursing Coinsurance     Foreign Travel Emergency (Up to Plan Limits)3     Medicare Preventive Care Part B Coinsurance

1. Medigap Plan F offers a high deductible option. You must pay for Medicare-covered costs up to the high-deductible amount ($2,070 in 2012) before your Medigap policy pays anything
2. 100% part B coinsurance except up to $20 copayment for office visits and up to $50 copayment for ER.
3. You must also pay a separate deductible for foreign travel emergency ($250 per year).
4. After you meet your out-of-pocket yearly limit and your yearly Part B deductible ($140 in 2012) the plan pays 100% of covered services for the rest of the calendar year (This applies only to plans K & L)
5. Modified Plan F offers an individual assistance program, as well as coverage for preventive dental care (available in some states)

• 2012 Out of Pocket Limit for Plan K is $4,660.
• 2012 Out of Pocket Limit for Plan L is $2,330.