Plan G

         Standard Medicare Supplement Benefits                                 PLAN G

  Medicare Part A co-insurance and hospital costs   100%  
  Medicare Part B co-insurance or co-payment   100%  
  First 3 pints of blood   100%  
  Part A hospice care co-insurance or co-payment   100%  
  Co-insurance for skilled nursing facility   100%  
  Medicare Part A deductible   100%  
  Medicare Part B deductible      
  Medicare Part B excess charges   100%  
  Foreign travel emergency     80%