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Priority Health Medigap Plan A

Medigap (Medicare Supplement insurance) Plan A helps pay some of the health care costs of your basic Original Medicare benefits, like the $275 a day for hospital stays. When you choose Plan A from Priority Health, you also get our excellent customer service.

  • Virtually no paperwork for you
  • Local customer service representatives answer 96% of all questions on the first phone call*

This chart shows 2010 Original Medicare dollar amounts.

Predicted monthly premium
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Medicare Part A
Hospitalization: Coverage per benefit period for semi-private room and board, general nursing and miscellaneous services and supplies.
 Original Medicare pays Plan A pays You pay
First 60 days All but $1,100 Nothing $1,100 (Part A deductible)
Days 61-90 All but $275 a day $275 a day Nothing
Day 91 and after (while using 60 lifetime reserve days)
 All but $550 a day $550 a day Nothing
Once lifetime reserve days are used, additional 365 days Nothing 100% of Medicare-eligible expenses Nothing**
Beyond the additional 365 days Nothing Nothing All costs
Skilled nursing facility care: Coverage per benefit period. You must meet Medicare's requirements, including having been in a hospital for at least 3 days and entered a Medicare-approved facility within 30 days after leaving the hospital.
 Original Medicare pays Plan A pays You pay
First 20 days All approved amounts Nothing Nothing
Days 21-100 All but $137.50 a day Nothing Up to $137.50 a day
Day 101 and after Nothing Nothing All costs
Blood Original Medicare pays Plan A pays You pay
First 3 pints Nothing 100% Nothing
Additional blood after first 3 pints
 100% Nothing Nothing
Hospice care: Available as long as your doctor certifies you are terminally ill and you elect to receive these services Original Medicare pays Plan A pays You pay
Hospice care 100% Nothing Nothing
Outpatient prescription drugs All but $5 per prescription $5 per prescription Nothing
Inpatient respite care 95% 5% of Medicare-eligible expenses Nothing
Medicare Part B
Physician and outpatient services: You must meet your Part B deductible once each calendar year (Jan. 1 - Dec. 31). Once you have been billed $155 in Medicare-approved amounts for covered services, you have met your Part B deductible for the calendar year.
Medical expenses: In or out of the hospital and outpatient hospital treatment, such as physician's services, inpatient and outpatient medical and surgical services and supplies, physical and speech therapy, diagnostic tests, durable medical equipment.		 Original Medicare pays Plan A pays You pay
First $155 of Medicare-approved amounts
Nothing Nothing $155 (Part B deductible)
Remainder of Medicare-approved amounts after first $155 80% 20% Nothing
Part B excess charges: Charges above Medicare-approved amounts Nothing Nothing All costs
Blood Original Medicare pays Plan A pays You pay
First 3 pints
Nothing 100% Nothing
Next $155 of Medicare-approved amounts (Part B deductible)
 Nothing Nothing $155 (Part B deductible)
Remainder of Medicare-approved amounts 80% 20% Nothing
Clinical laboratory services Original Medicare pays Plan A pays You pay
Tests for diagnostic services 100% Nothing Nothing
Medicare Parts A & B
Home health care: Medicare-approved services Original Medicare pays Plan A pays You pay
Medically necessary skilled care services and medical supplies 100% Nothing Nothing
First $155 of Medicare-approved amounts for durable medical equipment (Part B deductible)
 Nothing Nothing $155 (Part B deductible)
Remainder of Medicare-approved amounts for durable medical equipment 80% 20% Nothing
Other benefits: Services not covered by Medicare
Foreign travel: Emergency care services beginning during the first 60 days of each trip outside the U.S. Original Medicare pays Plan A pays You pay
Emergency care received outside the U.S. Nothing Nothing All costs


**When you exhaust your Medicare Part A benefits, Priority Health then pays whatever amount Medicare would have paid for, for an additional 365 days. During this time the hospital can't bill you for any difference between its billed charges and the amount Medicare would have paid.

Before you apply

The application form will ask you if you have received a copy of two documents. You can view or print them here:
Apply now

Add prescription drug coverage

Original Medicare and Medigap plans don't cover prescription drug costs. You may want to add PriorityMedicare Rx, which would give you Medicare Part D prescription drug benefits.

Go to plan details for the PriorityMedicare Rx plan.

*Based on Priority Health’s internal tracking of 2007-2009 average first call resolution.


Updated: May 26, 2010

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