Page 47 - Appendices for Barbara Pender
P. 47

SCAN Venture (HMO)

      SCAN Health Plan | Plan ID: H5425-084-0

      Star rating:





      MONTHLY PREMIUM


      $0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium



      YEARLY DRUG & PREMIUM COST


      $0.00 Only includes premiums for the whole year when you don't enter any drugs


      OTHER COSTS


      $0    Health deductible


      $0.00 Drug deductible


      $1,000 In-network Maximum you pay for health services










      Platinum (HMO)
      Alignment Health Plan | Plan ID: H3815-008-0

      Star rating:





      MONTHLY PREMIUM


      $0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium



      YEARLY DRUG & PREMIUM COST


      $0.00 Only includes premiums for the whole year when you don't enter any drugs


      OTHER COSTS


      $0    Health deductible
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