Ohio

Medicare Select
Product Forms: MSEL-ABOH 06, MSEL-ACOH 06, MSEL-ADOH 06 and MSEL-AFOH 06

Benefits and Features
Coverage Plans
B C D F
Part A deductible
Part A hospital co-payment (61-90 days)
Part A hospital co-payment (91-150 days)
Extended hospital coverage, up to an additional 365 days during your lifetime
Part A blood deductible (3 pints)
Skilled nursing facility co-payment (21-100 days)  
Part B deductible    
Part B 20% of eligible expenses
Part B excess charges      
Foreign travel  
At-home recovery      
Preventive medical care benefit - Not covered by Medicare        

VIEW NETWORK HOSPITAL LIST

Exceptions and Limitations

We will NOT pay benefits for any expenses incurred for which a charge normally is not made when there is no insurance or any expense incurred before the policy date. We will not duplicate any benefit paid by Medicare.

Pre-existing Conditions

Our policies do NOT include a pre-existing conditions limitation.
Renewability Provision - Guaranteed Renewable - Premiums Subject to Change

We guarantee to renew your policy each time you send us the premium. It must be paid on or before the date it is due or during the 31 days that follow. Your policy stays in force during this time. We can change your premium only if we do the same to all policies of this form issued to persons of your class in your state.


MSEL3 OH 11-06