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"DO I NEED IT?" CHECKLIST

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The following checklist is designed to help you determine if a Medicare Supplement Insurance policy is right for you. You may find it helpful to print this checklist and then refer to the Compare Medicare Supplement Plans chart found on the Medicare Supplement Insurance Options page to find the Plan that covers the benefits that are important to you.

1. Are you age 65 or older?

2. Are you currently enrolled in Medicare Part A and Medicare Part B offered by the federal government?

3. Is military or other extended medical coverage from an employer unavailable to you?

If you answer "Yes" to ANY of these questions, you should take a closer look at Medicare Supplement Insurance.

Coverage Options (check all that apply)

1. Do you want to have coverage for:

__Prescription medications
__Hospital stays
__Doctor visits
__Preventative care
__Medical care outside the U.S.

2. Do you want your Medicare Supplement Insurance policy to cover:

__Deductible for Medicare Part A - hospital coverage
__Coinsurance for Medicare Part A
__Deductible for Medicare Part B – medical coverage
__Coinsurance for Medicare Part B
__First three pints of blood for each year
__Skilled nursing coinsurance
__Medicare Part B excess
__Foreign travel emergency care
__At-home recovery
__Basic prescription drugs
__Preventive care

Based on your responses to the Medicare Supplement Insurance Assessment Quiz, you can determine which Medicare Supplement Insurance Plans best fit your needs. View the Compare Medicare Supplement Plans chart to find the Plan that covers the benefits that are important to you.