Washington Administrative Code › Title 284 - Insurance Commissioner, Office of the › Chapter 284-55 - Medicare supplement insurance regulation › Section 284-55-165 - Form of annual adjustment notice - Policy changes effective January 1, 1989

Current through Register Vol. 24-14, July 15, 2024
(COMPANY NAME)
NOTICE OF CHANGES IN MEDICARE AND YOUR MEDICARE SUPPLEMENT
				INSURANCE -- 1989
Your health care benefits provided by the
							 federal medicare program will change beginning January 1, 1989. Additional
							 change will occur on medical benefits in following years. The major changes are
							 summarized below. These changes will affect hospital, medical and other
							 services and supplies provided under medicare. Because of these changes your
							 medicare supplement coverage provided by (company name) will change, also. The
							 following outline briefly describes the modifications in medicare and in your
							 medicare supplement coverage. Please read carefully!
(A brief description of the revisions to medicare
							 Parts A & B with a parallel description of supplemental benefits with
							 subsequent changes, including dollar amounts, provided by the medicare
							 supplement coverage in substantially the following format.)
MEDICARE BENEFITS
YOUR MEDICARE SUPPLEMENT
							 COVERAGE
Medicare Now Pays
Per Benefit
							 Period
Effective January 1, 1989 medicare Will Pay
Per
							 Calendar Year
Your 1988 Coverage
Per Benefit
							 Period
Effective Jan. 1, 1989 Your Coverage Will Pay
Per Calendar Year
MEDICARE PART A: SERVICES AND
							 SUPPLIES
First 60 days - all but $540
Unlimited number of hospital days after $564
deductible
61st to 90th day - all but $135/day
91st to 150th day - all but $270/day (if individual
							 chooses to use 60 nonrenewable lifetime days)
Beyond 150th day --
nothing
SKILLED NURSING FACILITY
							 CARE
Requires a 3-day prior stay and enter the facility
							 generally within 30 days after hospital discharge
There is no prior confinement requirement for this
							 benefit
First 20 days - 100% of costs
First 8 days - All but $(_22.00_) a day
21st through 100th day - all but $67.50 a day
9th through 150th 100% of costs
Beyond 100 days - Nothing
Beyond 150 days - Nothing
MEDICARE PART B: SERVICES AND
							 SUPPLIES
80% of allowable charges (after $75.00
							 deductible)
In 1989 medicare Part B pays the same as in
							 1989
NOTE: Medicare benefits changes on January 1, 1990 as
							 follows:
80% of allowable charges (after $75.00 deductible)
							 until an annual medicare catastrophic limit is met. 100% of allowable charges
							 for the remainder of the calendar year. The limit in 1990 is $1370* and will be
							 adjusted on an annual basis.
* Expenses that count toward the Part B medicare
							 catastrophic limit include: The Part B deductible and copayment charges and the
							 Part B blood deductible charges.
PRESCRIPTION DRUGS
Inpatient prescription drugs only
In 1989 medicare covers inpatient prescription drugs
							 only
NOTE: Effective January 1, 1990, per calendar year --
							 80% of allowable charges for home intravenous (IV) therapy drugs and 50% of
							 allowable charges for immunosuppressive drugs after calendar year deductible is
							 met ($550 in 1990).
Effective January 1, 1991,
per calendar
							 year
-- Inpatient prescription drugs: 50% of allowable charges
							 for all other outpatient prescription drugs after a $600 calendar year
							 deductible is met. (The deductible will change.) Coverage will increase to 60%
							 of allowable charges in 1992 and to 80% of allowable charges from 1993
							 on.
(ANY ADDITIONAL
							 BENEFITS)
(Describe any coverage provisions changing due to
							 medicare modifications.)
(Include information about premium adjustments that
							 may be necessary due to changes in medicare benefits or when premium
							 information will be sent.)
This chart summarizing the changes in your
							 medicare benefits and in your medicare supplement insurance provided by
							 (company), only briefly describes such benefits. For information on your
							 medicare benefits contact your Social Security office or the Health Care
							 Financing Administration. For information on your medicare supplement (policy)
							 contact: (company name -- or name of agent) (address) (phone
							 number).
Statutory Authority:
				  RCW
				  48.02.060(3)(a) and
				  48.30.010(2).
				  88-22-061 (Order R 88-9), §
										284-55-165, filed
				  11/1/88.