Everence Association Inc. offers 3 different Medigap Plans in Arizona.
We have outlined the basic benefits of each plan for you below. You can learn more about Everence Association on their website at http://www.everence.com.
Use the following links to explore the Everence Association Inc. plan that interests you:
Medigap Plan A
Plan A is the most basic of all Medigap plans and offers the least benefits. However, it does cover some of the more risky gaps in Original Medicare. It covers:
- Medicare Part A coinsurance payments up to an additional 365 days after Original Medicare benefits are exhausted
- Medicare Part B co-payment or coinsurance expenses, including preventative care coinsurance expenses
- The first three pints of blood used in a medical procedure
- Part A hospice care coinsurance expense or co-payment
IMPORTANT: Beneficiaries of this plan are responsible for covering their Part A deductible in full, which includes hospitalization costs, Skilled Nursing Facility (SNF) care, hospice care, and some home health care services. This plan might be suitable if you have no desire to pay costly premiums for benefits you are not likely to use.
CRITICAL: Most Medigap plans pay some or all of the Part A deductible. In general, Plan A is the least expensive, but other plans offer more coverage. It's important to realize that this plan has the potential for high out-of-pocket costs should you require inpatient hospital care. Make this a serious consideration before choosing Plan A.
Medigap Plan F
Out of the 10 standardized plans available in Arizona, Plan F is the most comprehensive. The expansive coverage makes it very popular, but it's also the most expensive. Everence Association leaves its beneficiary with zero out-of-pocket costs with this plan. That's because it pays all remaining doctor, specialist, lab, hospital, skilled nursing and home care costs after Medicare pays its share.
With Medigap Plan F, Everence Association covers:
- Part A deductible
- Part B deductible
- Part B excess charges
- Preventative care Part B coinsurance
- Part A hospital and coinsurance costs up to an additional 356 days after Medicare benefits are exhausted
- Part B co-insurance or co-payment
- First three pints of blood used in an approved medical procedure (annually)
- Part A hospice care co-payment or coinsurance
- Skilled Nursing Facility (SNF) coinsurance
- Foreign travel emergency
IMPORTANT: Other Everence Association Inc. plans are available at a lower premium, but Plan F helps you eliminate high out-of-pocket costs.
CRITICAL: Plan F offers expansive coverage, but it does not cover everything. Beneficiaries continue to pay their monthly Medicare Part B premium, and you may have a Part A premium if you did not pay the necessary Social Security taxes. Also, this policy covers the gaps in your major medical, but it does not pay for prescriptions, hearing, vision or dental.
Medigap Plan L
Due to its higher degree of cost-sharing, Plan L premiums are generally less than Plan F. It might be a good alternative if you can afford the up-front deductibles ($2,470 out-of-pocket limit plus your Part B deductible).
Medigap Plan L covers the basic benefits required of all Medicare Supplements, but it may not cover 100% of all costs. Here's what it does cover:
- Medicare Part A coinsurance and hospital costs up to 365 days after Original Medicare benefits are exhausted
- Medicare Part B preventive care co-insurance
Plus, Plan L covers 75% of the costs of:
- Medicare Part A hospice care coinsurance or co-payment
- Medicare Part A deductible
- Medicare Part B coinsurance or co-payment
- First three pints of blood used in a medical procedure
- Skilled Nursing Facility (SNF) care coinsurance
NOTE: Costs with this plan may include premiums, deductibles, coinsurance, and co-payments. Because Plan L has a higher level of cost-sharing than other Medicare Supplement plans, beneficiaries are responsible for more than a monthly plan premium. The trade-off is that premiums are generally lower.
IMPORTANT: Unlike most supplements, Plan L protects you with a $2,470 annual out-of-pocket limit. The trade-off is that it has more cost-sharing. However, once you hit the out-of-pocket limit, and pay your Part B deductible, Everence Association Inc. policy pays 100% of all costs for the remainder of the year.
Everence Association Medigap plans are available to all Arizona Medicare beneficiaries, ages 65 and older, who are enrolled in Medicare Part B. If you are just turning age 65, you have guaranteed issue rights and cannot be turned down by Everence Association Inc.. Plus, your policy cannot be canceled and it will continue to be renewed as long as you pay the premiums on time and make no material misrepresentations.
Everence Association Medigap plans are available in Scottsdale, Phoenix, Peoria, Surprise, Mesa, Tucson, Tempe, Yuma, Avondale, Buckeye, Chandler, Goodyear, Gilbert, Lake Havasu City, Flagstaff, Bullhead City, and most other Arizona cities.
Tips and Disclaimers
The Medicare Supplement plan data on MedicareWire.com comes directly from Medicare.gov and private sources and is subject to change. The Centers for Medicare and Medicaid Services, the Arizona State Insurance Commission, and Everence Association Inc. has neither reviewed nor endorsed the information on this site.
The benefit information provided on this page is a brief summary only, not a complete description. Limitations and restrictions may apply. For more information contact the insurance carrier directly at http://www.everence.com.
The MedicareWire.com website is available for educational purposes. Our goal is to present information accurately and without bias, based on our interpretation of factual information. This site is not intended as a substitute for legal, health, or financial advice from a licensed professional. On this page we help comsumers:
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Medicare Supplement insurance, also known as Medigap insurance, must follow federal and state laws and does not work with any other type of health insurance, including Medicare Advantage Plans, employer/union group health coverage, Medicaid, Veterans Administration (VA) benefits, or TRICARE. Insurance companies, including Everence Association Inc., can only sell you a standardized Medigap policy identified by letters A through M. Each standardized policy must offer the same benefits, no matter which insurance company sells it. Cost is the only difference between Medigap policies sold by different insurance companies.
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This Medicare Supplement insurance information is maintained by David Bynon and was last updated on .
The Everence Association Inc. logo and name are legal U.S. trademarks of Everence Association Inc.. We make no claim to the marks whatsoever, nor do we claim to represent the Everence Association Inc. brand, products or services. We use brand names and logos on this page for editorial purposes only, as permitted by U.S. Trademark Fair Use Law and the laws of the Great State of Arizona.