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2023 Other Benefits - Not Covered by Medicare
| Foreign Travel | Medicare Pays | Plan Pays | You Pay |
|---|---|---|---|
| NOT COVERED BY MEDICARE Medically necessary emergency care services beginning during first 60 days of each trip outside US | |||
| First $250 each calendar year | $0 | $0 | $250 |
| Remainder of Charges | $0 | 80% to a lifetime maximum benefit of $50,000 | 20% and amounts over $50,000 lifetime maximum |