who want to supplement their Medicare hospital and medical coverage may
apply for Medicare supplement insurance because:
does not cover all health care bills
has deductibles and co-payments for some services
full amount for services not covered by Medicare must be paid...and
Medicare Supplement coverage can help pay some of the costs Medicare
do most Medicare Supplement plans offer?
than paying these bills out of your own pocket, which not everyone can
afford, you may select a Medicare supplement insurance policy to:
reduce out-of-pocket costs for hospital, doctor and other medical
expenses that Medicare does not cover
protect your retirement savings from escalating medical costs
on the coverage you select and where you live, a Medicare supplement
insurance policy may help pay some of the expenses not paid by Medicare
A deductible and
nursing facility care
services, hospital outpatient services and supplies, ambulance
service, physical and speech therapy
care received outside the U.S.
more, most Medicare Supplement policies should include coverage's such
as Medicare changes
a no-risk 30-day free look – return the policy for a refund if the
coverage does not meet your satisfaction
Date Of Birth:
Tobacco User Within Past 12 Months:
Have you been diagnosed with: Cirrhosis; Hemophilia; Multiple
Sclerosis; Leukemia: Amputations Due to Diabetes?
Have you been diagnosed with: Renal Dialysis; Kidney Dialysis; X-Ray
Therapy; Radium or Chemotherapy; Degenerative (Crippling) Arthritis; Internal Cancer;
Have you been diagnosed with: Emphysema (under treatment);
Hodgkin's Disease; Disease or Disorder of Lungs or Respiratory Systems which requires the outside
assistance of a Mechanical Breathing Device?
Have you been diagnosed with: Heart Attack; Angina; Transient
Attach (TIA); Heart Failure; Heart Surgery; Angioplasty or Coronary by-pass Surgery?
Have you been diagnosed with: Parkinson's Disease; Alzheimer's Disease;
Senile Dementia; Organic Brain Disease or other Senility Disorders?
Have you been confined to a nursing home or a wheelchair within the
past 2 years or has such care been medically advised?
Are you currently hospitalized, or receiving Medicare approved home
health care; or have you been hospitalized or received Medicare approved home health care
three or more times in the past 2 years?
Within the past year have you been advised to have surgery but not had
Within the past 5 years, have you been diagnosed by a member of the
medical profession as having any disease or disorder of the immune system, AIDS Related
Complex (ARC), or have you tested positive for the HIV infection?