状态 Farm 补充医疗pp王者电子官网 pp王者电子官网 is designed to help cover the deductibles, copp王者电子官网 and copayment amounts not covered by Medicare. 一旦你有了医疗pp王者电子官网补充计划, both your plan and Medicare will help pay your covered medical expenses, lowering your out-of-pocket costs and giving you the confidence that your health pp王者电子官网 needs are met. And at 状态 Farm we give you the flexibility to choose between different plans to meet your individual needs and budget.
| 好处 | 计划一个 | D计划 | N计划 | 计划G | C计划 | 计划F |
|---|---|---|---|---|---|---|
| Medicare Part A copp王者电子官网 and hospital cover年龄 (up to an additional 365 days after Medicare benefits are used up) | ||||||
| 医疗pp王者电子官网B部分共同pp王者电子官网或共同支付 | ||||||
| 血液(前3品脱) | ||||||
| Part A hospice care copp王者电子官网 or copayment | ||||||
| 医疗pp王者电子官网A部分免赔额 | ||||||
| Skilled nursing facility care copp王者电子官网 (for days 21-100) | ||||||
| Foreign travel emergency (up to plan limits) | ||||||
| 医疗pp王者电子官网B部分超额费用 | ||||||
| 医疗pp王者电子官网B部分免赔额 |
1 N计划 pays 100% of the Part B copp王者电子官网, except for a copayment of up to $20 for some office visits and up to a $50 copayment for emergency room visits that don’t result in an inpatient admission.
If you require assistance in any langu年龄 listed below, you have the right to free langu年龄 assistance services. Please call the 健康 Response Center at 1-866-855-1212 for assistance.
The purpose of this notice is to inform you of the availability of langu年龄 assistance services and how to file a complaint with 状态 Farm®, 加州pp王者电子官网部门, 和美国.S. 卫生署 and 人类服务 Office of Civil Rights.
状态 Farm offers langu年龄 assistance services in the top fifteen langu年龄s spoken in the state of 加州 for certain transactions. 状态 Farm also offers free Braille and large print for the visually impaired. 听力或语言问题, the free nationwide telecommunications relay service (TRS) is available. 要使用这项服务，请拨打7-1-1.
状态 Farm does not discriminate on the basis of race, color, 国家的起源, 祖先, 宗教, 性, 婚姻状况, 性别, 性别认同, 性取向, 年龄或残疾.
向州立农业pp王者电子官网公司投诉, please contact your 状态 Farm 代理 or use one of the following methods:
- 电子:访问 5y32.eskisehircicekgonderme.com/customer-care/contact-us 并提交一般查询意见
- 邮件:
州立农场pp王者电子官网
收信人:迈克尔·提普索德
一个州立农场广场
布卢明顿，伊利诺伊州61710 - 电话:800-STATE-FARM (800-782-8332)
Your complaint will be handled by a 状态 Farm Specialist.
To file a complaint with 加州pp王者电子官网部门, use one of the following methods:
- 电子方式:转至 www.pp王者电子官网.ca.政府 and submit a complaint electronically by clicking on File a Complaint
- 邮件:
加州pp王者电子官网局
消费者服务部
春街300号南塔
洛杉矶，CA 90013 - 电话:1-800-927-4357
If t在这里 is concern of discrimination based on race, color, 国家的起源, 年龄, 残疾, 你可以向美国移民局投诉.S. 卫生署 and 人类服务 Office of Civil Rights. To file a complaint, use one of the following methods:
- 电子方式:转至 http://ocrportal.hhs.gov/ocr/cp/complaint_frontpage.jsf 以电子方式提交投诉
- 电话:1-800-368-1019
If you need any assistance or have any questions, please contact your 状态 Farm 年龄nt or the 健康 Response Center at 1-866-855-1212. Thank you for choosing 状态 Farm for your health pp王者电子官网 needs.
披露的信息
AN OUTLINE OF COVERAGE IS AVAILABLE UPON REQUEST.
This is a marketing tool intended for use in the sale of pp王者电子官网. Completion of an application for a 状态 Farm pp王者电子官网 policy will require contact with a 状态 Farm 年龄nt/licensed pp王者电子官网 producer.
In some states cover年龄 is available if you are under 年龄 65 and are Medicare eligible due to 残疾 and/or End St年龄 Renal Disease (permanent kidney failure requiring dialysis or a kidney transplant). These policies are not connected with or endorsed by the U.S. Government or the Federal Medicare program. This information is only a general description of cover年龄. A complete statement of cover年龄 is found only in the policy. Renewal premiums may increase periodically depending on your 年龄 at the time the policy was issued. Policy cover年龄's, exclusions and limitations may vary in some states. For exact terms and conditions see: 补充医疗pp王者电子官网 pp王者电子官网 Policy series Policy series 97037HCA, 97038 hca, 97039 hca, 97067CA, 97068CA, 和97069 ca. For additional details on cover年龄 and cost, contact a 状态 Farm 年龄nt/licensed pp王者电子官网 producer.
状态 Farm Mutual 汽车mobile pp王者电子官网 Company
布卢明顿,
MSI-CA.7