Page 58 - APPENDICES for Fred Falten
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Doesn't include: $148.50 Standard Part B premium


      YEARLY DRUG & PREMIUM COST


      $360.00 Retail pharmacy: Estimated total drug + premium cost

                      Doesn't include: Health costs


      OTHER COSTS


      $0    Health deductible


      $160.00 Drug deductible


      $7,550 In-network Maximum you pay for health services
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