Page 13 - Cover letter and evaluation for Carol Smith
P. 13
Plans that appear to meet your criteria (cont'd)
AARP Medicare
Humana Gold Plus Senior Dimensions Aetna Medicare
Plan name Complete Plan 1
(HMO) So. Nevada (HMO) Choice Plan (PPO)
(HMO)
Toll-Free Number (800) 833-2364 (800) 555-5757 (800) 555-5757 (855) 338-7027
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
2018 standard Part B
premium of $134 a $1,608 $1,608 $1,608 $1,608
month*
Health plan annual
premiums (Medigap $0 $0 $0 $0
premiums are estimates)
Total $1,608 $1,608 $1,608 $1,608
Minimum costs for Medicare-covered services
Total medical premiums
(from above) $1,608 $1,608 $1,608 $1,608
Plan health deductible
(includes Part B deductible if $0 $0 $0 $750
not covered by plan**)
Annual Rx premiums
(client does not take any $0 $0 $0 $552
Rx drugs)
Total Minimum Costs
(includes cost-sharing for the $1,608 $1,608 $1,608 $2,910
Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary
Care Co-Pays $0 $0 $0 $5
In-Network Specialist
Co-Pays $10 $0 $0 $45
Out-of-Network
Co-Pays Not covered Not covered Not covered 40% of cost
*This is 2018 Part B premium for new enrollees. Higher income people may pay more.
**Part B deductible in 2018 is $183.
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