Page 11 - Cover Letter and Evaluation for Bob Workman
P. 11
Plans that appear to meet your criteria (cont'd)
Humana Choice
Medigap Plan N
Plan name Medigap Plan F Medigap Plan K Advantage PPO
(Your Current Plan)
(H5216-046)
Toll-Free Number NA NA NA (800) 833-2364
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
2017 standard Part B
premium of $134 a $1,608 $1,608 $1,608 $1,608
month*
Health plan annual
premiums (Medigap premiums $2,600 $1,680 $850 $0
are estimates)
Total $4,208 $3,288 $2,458 $1,608
Minimum costs for Medicare-covered services
Total medical premiums $4,208 $3,288 $2,458 $1,608
(from above)
Health plan deductible $0 $183 $183 $0
Annual Rx costs (premiums, $321 $321 $321 $321
deductibles, co-pays)
Total Minimum Costs
(includes cost-sharing for the Rx $4,529 $3,792 $2,962 $1,929
drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary 10% of cost for
Care Co-Pays up to $20 for most Medicare- $10
No co-pays for Medicare-approved
In-Network Specialist Medicare-covered doctor's visit; $50 covered services
Co-Pays services for emergency (recommended $25
Out-of-Network room visit preventive tests are
free)
Co-Pays 50% of cost
*This is 2017 Part B premium for new enrollees who are not yet receiving Social Security benefits. People who
have already started their Social Security benefits will pay $109 a month ($1,308 a year). Higher income people
may pay more. **Part B deductible in 2017 is $183.
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