Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey...
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![Page 1: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/1.jpg)
Exhibit 1
SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010.
Nearly one in four Medicare beneficiaries had a Medigap policy as a supplemental source of coverage in 2010
Other Public/Private Coverage only
1%
15% Medigap only
4% Medigap + Employer
2% Medigap + Medicare Advantage
2%Other coverage combinations (including Medigap)
Total Medicare Beneficiaries, 2010 = 48.4 Million
Medicare Advantage
only13%
Medicaid only14%
Employer-Sponsored only
26%
No Supple-mental Cover-
age14%
Medigap23%
Multiple Sources of Coverage
(without Medigap)
9%
![Page 2: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/2.jpg)
Exhibit 2
NOTE: Analysis excludes California, as the majority of health insurers do not report their data to the NAIC. Analysis includes standardized plans A-N, policies existing prior to federal standardization, plans in Massachusetts, Minnesota, and Wisconsin that are not part of the federal standardization program, and plans that identified as Medicare Select; excludes plans where number of covered lives was less than 20. Number of Medigap policyholders as of December 31, 2010, as reported in the NAIC data.SOURCE: K. Desmond, T. Rice, and Kaiser Family Foundation analysis of 2010 National Association of Insurance Commissioners (NAIC) Medicare Supplement data. Kaiser Family foundation and Mathematica Policy Research analysis of CMS State/County Market Penetration Files.
Percent of Medicare Beneficiaries with Medigap by State, All Plans, 2010
National Average = 23%
25%12%
19% 29%
N/A17%
27%
22%
DC 9%
19%
20%
2%
24%
33% 29%
49%
46% 22%
17%
28%
21%
20%22%
21%
25%
27%
30%
47%13%
30%
26%
13%
12%
25%
51%
19%
24%
16%
27%19%
22%
50%
16%
19%
15%
35%
24%
21%
17%
26%38%
0%-15% 16%-20% 21%-25% 26%-30% 31%-40% More than 40%(6 states, DC) (12 states) (13 states) (10 states) (3 states) (5 states)
![Page 3: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/3.jpg)
Exhibit 3
All Medicare Beneficiaries
Medigap Policyholders
Employer Medicare Advantage
Medicaid No supp Cov
17%7% 5%
17%
53%
12%
37%39%
27%
42%
41%
44%
32% 39%
43%
31%
5%
30%
15% 14%25%
11%1%
14%
$40,000 or more$20,000-$40,000$10,000-$20,000Less than $10,000
NOTE: Numbers do not sum due to rounding.SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010.
Distribution of Income of Medicare Beneficiaries, by Source of Supplemental Coverage, 2010
![Page 4: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/4.jpg)
Exhibit 4
SOURCE: K. Desmond, T. Rice, and Kaiser Family Foundation analysis of 2010 National Association of Insurance Commissioners (NAIC) Medicare Supplement data.
Share of Medicare Beneficiaries withMedigap Plans C and F, 2010
National Average = 12%
EXHIBIT 4
5%DC
3%8%
14% 6%
N/A 12%
12%
8%
8%
13%
1%
18%
19% 18%37%
39% 10%
10%
20%
13%
<1%<1%
18%
18%
21%
34%9%
8%
13%
8%
6%
11%
46%
11%
15%
12%
15%17%
13%
36%
10%
11%
9%
13%
15%
12%
10%
29%
<1%16%
0%-5% 6%-10% 11%-15% 16%-20% 21%-30% More than 30%(5 states, DC) (13 states) (16 states) (8 states) (2 states) (5 states)
![Page 5: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/5.jpg)
Exhibit 5
Plan A2% Plan B
3%
Plan C13%
Plan D3%
Plan E1%
Plan F40%
Plan G3%
Plan J8%
Plan N2%
Plans H, I, K, L, MEach 1% or less
PreStandardization8%
MA, MN, and WI4%
SELECT9%
Share of Medigap Policyholders by All Plan Types, 2010
Total Number of Medigap Policyholders, 2010= 9.3 million
NOTE: Analysis excludes California, as the majority of health insurers do not report their data to the NAIC. Analysis includes standardized plans A-N, policies existing prior to federal standardization (PreStandardization), and plans in Massachusetts, Minnesota, and Wisconsin that are not part of the federal standardization program; includes plans that identified as Medicare Select; excludes plans where number of covered lives was less than 20. Number of Medigap policyholders as of December 31, 2010, as reported in the NAIC data.SOURCE: K. Desmond, T. Rice, and Kaiser Family Foundation analysis of 2010 National Association of Insurance Commissioners (NAIC) Medicare Supplement data.
![Page 6: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/6.jpg)
Exhibit 6
A B C D E F G H I J
$140
$169 $177 $187
$175 $181 $169
$186 $196 $195
NOTE: Analysis excludes California, as the majority of health insurers do not report their data to the NAIC. Analysis includes standardized plans A-J; excludes plans K-L because of the small number of policyholders enrolled in these plans; excludes policies existing prior to federal standardization; excludes plans in Massachusetts, Minnesota, and Wisconsin; excludes plans that identified as Medicare Select; excludes plans where number of covered lives was less than 20.SOURCE: K. Desmond, T. Rice, and Kaiser Family Foundation analysis of 2008-2009 National Association of Insurance Commissioners (NAIC) Medicare Supplement data.
Distribution of Monthly Medigap Premiums, Plans A – J, 2010
90th percentile
National average premium
10th percentile
10th percentile $89 $130 $161 $149 $145 $155 $140 $149 $151 $157
90th percentile $168 $198 $213 $205 $206 $197 $195 $208 $215 $211
![Page 7: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/7.jpg)
Exhibit 7
National Average = $181
NOTE: Analysis excludes California, as the majority of health insurers do not report their data to the NAIC. Analysis includes standardized plan F; excludes plans that identified as Medicare Select; excludes plans where number of covered lives was less than 20.SOURCE: K. Desmond, T. Rice, and Kaiser Family Foundation analysis of 2008-2009 National Association of Insurance Commissioners (NAIC) Medicare Supplement data.
Average Monthly Medigap Premiums for Plan F, by State, 2010
$174$158
$166 $163
N/A$181
$183
$184
DC $180
$209
$173
$139
$176
$193 $186
$176
$174 $177
$189
$156
$209
$201$175
$155
$177
$178
$172
$189$181
$183
$220
$165
$226
$162
$154
$178
$171
$154
$163$171
$173
$178
$168
$190
$178
$129
$158
$172
$171
$174
$162
Less than $150 $151-$160 $161-$170 $171-$180 $181-$190 More than $190(2 states) (6 states) (7 states) (19 states, DC) (9 states) (6 states)
![Page 8: Exhibit 1 SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Cost and Use File, 2010. Nearly one in four Medicare.](https://reader036.fdocuments.us/reader036/viewer/2022080915/56649dba5503460f94aab8e7/html5/thumbnails/8.jpg)
Exhibit 8
BENEFITSMEDIGAP POLICY
A B C D E1 F G2 H1 I1 J1 K3 L3 M4 N4
Medicare Part A Coinsurance and all costs after hospital benefits are exhausted
Medicare Part B Coinsurance or Copayment for other than preventive services 50% 75% *
Blood (first 3 pints) 50% 75%
Hospice Care Coinsurance or Copayment(added to Plans A, B, C, D, F, and G in June 2010) 50% 75%
Skilled Nursing Facility Care Coinsurance 50% 75%
Medicare Part A Deductible 50% 75% 50%
Medicare Part B Deductible
Medicare Part B Excess Charges
Foreign Travel Emergency (Up to Plan Limits)*
Out-of-Pocket Limit $4,800 $2,400
NOTES: Check marks indicate 100 percent benefit coverage. Amount in table is the plan’s coinsurance amount for each covered benefit after beneficiary pays deductibles or cost-sharing amounts, where applicable. The Affordable Care Act eliminated cost-sharing for preventive benefits rated A or B by the U.S. Preventive Services Task Force, effective 2011. 1After June 1, 2010, Medigap Plans E, H, I, and J are no longer available for purchase by new policyholders; existing policyholders may remain in these plans. 2Benefits for Plan G reflect the standard benefit after June 1, 2010 (Part B excess charges changed from 80% to 100%). 3Medigap Plans K and L available for purchase in 2005. 4Medigap Plans M and N available for purchase after June 1, 2010. *Plan N pays 100% of the Part B coinsurance except up to $20 copayment for office visits and up to $50 for emergency department visits. SOURCE: Centers for Medicare & Medicaid Services, 2013 Guide to Health Insurance, February 2013.
Standard Medigap Plan Benefits, 2013Table A2