Page 8 - Cover Letter and Evaluation for Janet Tuma
P. 8
Plans that appear to meet your criteria
These three plans are compared on this page and the following page.
Aetna Medicare Value PPO Cigna Preferred Medicare Humana Gold Plus HMO
Plan Name
Plan HMO Plan Plan
Toll-Free Number (833) 859-6031 (888) 886-1993 (800) 833-2364
QuaSection Heading How do these plans compare?
lity ratings from
Can you continue to see
your physician(s)? Yes, but verify Yes, but verify Yes, but verify
Do you need referrals to
see specialists? No Yes, in most cases Yes, in most cases
What is Medicare's
quality rating for this 4 out of 5 stars 3 out of 5 stars 4 out of 5 stars
plan?
How good is the plan's Average for PPO; $3,950 in Good. $3,450 out-of- Very good. $2,650 out-of-
catastrophic coverage for network; $8,250 in and pocket limit for network pocket limit for network
medical costs? out-of-network services services
What does an emergency
room visit cost? $90 co-payment per visit $120 co-payment per visit $120 co-payment per visit
Extra benefits for services not covered by Medicare
Hearing exam for $35 co- Hearing exam for $20 co- $25 co-pay for hearing
pay in network ($50 out of pay or less. Zero co-pays
Hearing coverage exam; hearing aids may
network). Some coverage for hearing aids (limits costs from $199 to $499.
for hearing aids. apply).
No cost for oral exam,
No cost for oral exam,
No cost for oral exam,
Dental care teeth cleaning, and x-rays teeth cleaning, and x-rays. teeth cleaning and x-rays.
in network
No co-pays in network for No co-pays for annual eye No co-pays for annual eye
annual eye exam and
Routine vision coverage* exam and eyeglasses or exam and eyeglasses or
eyeglasses or contact contact lenses. contact lenses.
lenses.
*Medicare does not cover routine eye care and eyeglasses, but it does cover diseases of the eye
such as cataracts, glaucoma, and macular degeneration.
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