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Low monthly premiums, some as low as $0 and others as high
as $60
All rates are the same per service area (normally county) regardless
of age or sex
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Monthly premiums that typically range from $85-$150+
Rates are frequently attained age meaning rates increase as the
client grows older; sex distinct rates are common
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Co-pays when receiving treatment and maximum out-of-pocket expenses
typically ranging from $2,500 to $5,000
Benefit structure varies by plan
Annual plans that must be approved by CMS
Open enrollment periods
and lock-in periods
Can have networks such as HMO and PPO plans or no networks such as
Private Fee-for-Service plans
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Covers remainder of provider bill after Medicare pays on most popular
Plan F, with variations depending on the plan
Standardized benefit plans
Guaranteed renewable plans that fall under state insurance department
oversight
Typically can go to any
doctor or hospital; select
plans provide lower rates
for hospitals under contract
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