Page 13 - Cover Letter and Evaluation for Steve Decker

Your estimated costs in each plan

AARP Medicare UnitedHealthcare
Plan name Medigap Plan G Medigap Plan N Advantage Choice Medicare
Regional PPO Advantage Plan 3
Toll-Free Number NA NA (800) 555-5757 (800) 555-5757

Health plan premiums + medical deductible + Rx drug costs
lity ratings from
Medicare web site
2020 Part B premium
for 6 months ($144.60 a $868 $868 $868 $868

month)*
Health plan premiums

for 6 months (Medigap $2,200 $3,000 $137 $0
premiums are estimates)
Part B or plan health
deductible** $198 $198 $0 $0

Rx drug costs for last 6
months of 2020 (mail- $919 $919 $948 $508
order)

Total $4,185 $4,985 $1,953 $1,375
Part A and Part B out-of-pocket costs

Part A: The amount you $395 a day for days $450 a day for days
will pay if you are No cost No cost 1-4 in network 1-4 in network
hospital; $0
hospital; $0
hospitalized thereafter thereafter

Part B: Amounts owed Below are cost- Varies. 30% of cost
for most outpatient No cost after Part B sharing amounts for many out-of- Varies
deductible is paid
after Part B
services deductible is paid network services
Cost-sharing for doctors' office visits
=
In-Network Primary
Care Co-Pays $20 for doctors' $15 $15

In-Network Specialist No cost office visits and $50
Co-Pays for visit to $45 $45
Out-of-Network emergency room $25 primary care; No coverage unless
Co-Pays $50 specialist emergency

*This is 2020 Part B premium for new enrollees. Higher income people may pay more.
**Part B deductible in 2020 is $198.

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