Page 62 - APPENDICES for Vic Bosiger
P. 62
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HUMANA
HumanaChoice H5216-248 (PPO)
Plan type: Medicare Advantage with drug coverage
Call this number to
Plan ID: H5216-248-2 enroll
Plan website Non-members: 1-800-833-2364 Members: 1-800-457-4708
Open Enrollment starts October 15
What you'll pay
Total monthly Health Primary 2022 estimated total drug costs (lowest cost
premium deductible doctor pharmacy)
$0.00 $0.00 $0 $3,114.92
copay Covers 14 of 14 drugs
Overview
PREMIUMS
Total monthly premium $0.00
Health premium $0.00
Drug premium $0.00
Standard Part B premium $148.50
Part B premium reduction No
