IMPORTANT NOTICE TO PERSONS ON MEDICARE
THIS POLICY OR CERTIFICATE DUPLICATES SOME MEDICARE BENEFITS

This is not a Medicare Supplement Insurance Policy

This insurance pays a fixed amount, regardless of your expenses, if you meet the policy conditions, for one of the specific diseases or health conditions named in the policy. It does not pay your Medicare deductibles or coinsurance and is not a substitute for a Medicare Supplement insurance policy.

This insurance duplicates Medicare benefits because Medicare generally pays for most of the expenses for the diagnosis and treatment of the specific condition or diagnoses named in the policy.

Medicare pays extensive benefits for medically necessary services regardless of the reason you need them. These include:

  • Hospitalization
  • Physician services
  • Hospice
  • Outpatient prescription drugs if you are enrolled in Medicare Part D
  • Other approved items and services

Before You Buy This Insurance

  • Check the coverage in all health insurance policies you already have.
  • For more information about Medicare and Medicare Supplement insurance, review the Guide to Health Insurance for People with Medicare, available from the insurance company.
  • For help in understanding your insurance, contact your state insurance department or state health insurance assistance program (SHIP).

© NAIC 2008 Form J

AT #1199505