Page 104 - APPENDICES for Bob Woods
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Blue Cross and Blue Shield of Texas
Blue Cross Medicare Advantage Choice
Premier (PPO)
Plan ID: H1666-001-0
Star rating:
$90.00
Medicare Advantage with drug coverage monthly premium
Doesn't include:
$135.50 Standard Part B premium
$0
Health plan deductible
The amount you must pay each year before your plan starts to pay for covered services.
$435.00
Drug deductible
The amount you must pay each year before your plan starts to pay for covered drugs.
$10,000 In and Out-of-network
$5,900 In-network
$10,000 Out-of-network
Out-of-pocket max
https://www.medicare.gov/...pare/#/search-results?plan_type=PLAN_TYPE_MAPD&fips=48453&zip=78758&year=2020&lang=en&page=1[11/02/19 1:29:59 PM]
