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Comparing Medicare Alternatives
FEE-FOR-SERVICE
BENEFIT HMO ''GAP'' PLAN
(NYLCARE65) (AARP--PLAN F)
MONTHLY PREMIUM $0 $94.25
DOCTOR VISIT $5 $0
INPATIENT $0 if preauthorized $0 with prior author-
HOSPITALIZATION ization by Medicare
MENTAL HEALTH $35 copay for outpa- $0 copay for outpatient
TREATMENT tient care; 45 addi- care; $0 copay for up to
tional days over 190 days of inpatient
the 190-day lifetime care
Medicare limit for
inpatient care
EMERGENCY CARE $50 $0
PRESCRIPTION $3 copay for a generic You pay full cost
COST drug; $10 copay if a
brand name. Plan pays
up to $375 per quarter
of prescription costs
above copay
DENTAL BENEFITS $20 for prophylaxis; You pay full cost
$30 for X-rays
EYEGLASSES AND $20 to $85 copay for You pay full cost
CONTACT LENSES lenses; $19.50 to
$29.50 for frames;
$90 to $200 for contact
lenses
DATA: SUE ANDERSEN, GEORGE WASHINGTON LAW SCHOOL
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Updated June 14, 1997 by bwwebmaster
Copyright 1996, by The McGraw-Hill Companies Inc. All rights reserved.
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