Page 12 - APPENDICES for Vic Bosiger
P. 12
An official website of the United States government
Here's how you know
This is a list of the Medicare Advantage plans in
Campbell County that have the lowest est. annual Menu
costs for your Rx drugs. The plans are ranked by
these costs, which include premiums and co-
payments.
Showing 10 of 20 Medicare Advantage Plans
AARP Medicare Advantage Plan 1 (HMO-POS)
UnitedHealthcare | Plan ID: H5253-111-1
Star rating: Coming Soon Medicare
subsequently rated
MONTHLY PREMIUM this plan as 5 stars. This plan is
compared in your
evaluation.
$0.00 Includes: Health & drug coverage
Doesn't include: $148.50 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$2,948.38 Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
OTHER COSTS
$0 Health deductible
$0.00 Drug deductible
$5,900 In-network Maximum you pay for health services
AARP Medicare Advantage Choice (PPO)
UnitedHealthcare | Plan ID: H2577-027-0
Star rating: Coming Soon
MONTHLY PREMIUM
$0.00 Includes: Health & drug coverage
Doesn't include: $148.50 Standard Part B premium
YEARLY DRUG & PREMIUM COST

