Medex Sapphire | 2023 Medicare Options

Understand Plan Features

$192.63

Per Month ¹

Medex® Sapphire covers your and Part A deductible. After you pay your annual Medicare Part B deductible, you are covered for :

Medex Sapphire also provides full coverage for care received outside the United States.

For detailed Medex Sapphire benefit information, see:

Hospital Services	Original Medicare	Medex Sapphire
1-60 Days	Coverage for 60 days, after the $1,600 deductible²	Full coverage of Medicare deductible and co-insurance
61-90 Days	Coverage for 61-90 days, after $400 daily co-insurance²	Full coverage of Medicare deductible and co-insurance
Lifetime Reserve	Coverage for an additional 60 lifetime reserve days, after $800 daily co-insurance	Full coverage for lifetime reserve co-insurance, then an additional 365 days per lifetime when Medicare benefits end

Skilled Nursing Facility	Original Medicare	Medex Sapphire
1-20 Days	Full coverage for 20 days in a Medicare-participating facility	Covered by Medicare
21-100 Days	Coverage for days 21-100, after $200 daily co-insurance	Full coverage for Medicare daily co-insurance for days 21-100
101+ Days	No coverage after 100 days	$10 a day for days 101-365

Doctor and Other Provider Services	Original Medicare	Medex Sapphire
Care in the Hospital	80% coverage of approved services, after the $226 annual Part B deductible	Coverage of 20% co-insurance, after $226 annual Part B deductible
Outpatient Department Visits, Office Visits, and Patient Home Visits	80% coverage of approved services, after the $226 annual Part B deductible	Coverage of 20% co-insurance, after $226 annual Part B deductible

Other Part B Services	Original Medicare	Medex Sapphire
Ambulance Trips, Durable Medical Equipment, etc.	80% coverage of approved services, after the $226 annual Part B deductible	Coverage of 20% co-insurance, after $226 annual Part B deductible

Foreign Travel Coverage	Original Medicare	Medex Sapphire
Travel Outside the U.S.	No coverage	Full Coverage for Medicare covered services (same as in U.S.)

Wellness Benefits	Original Medicare	Medex Sapphire
Fitness Benefit	No coverage	Get up to $150 per calendar year toward your fitness club membership fees or exercise class fees, including participating Council on Aging sites and pool-only facilities
Weight Loss Benefit	No coverage	Medex members may receive up to $150 per calendar year when enrolled in a qualified weight-loss program

Although the $226 calendar-year Medicare medical insurance (Part B) deductible appears more than once in this benefit chart, only one $226 deductible is applicable in a calendar year.
The Medex policy defines the terms and conditions of all the Medex plans in greater detail.
Should any questions arise concerning benefits, the Medex policy will govern.

You must continue to pay your Medicare Part B premium.
A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 consecutive days.
Sapphire coverage also includes $8 a day for days 1-365 at a non-Medicare-participating facility.

The Medicare costs and dollar values represented in this table are the 2023 rates.

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