Page 38 - APPENDICES for Stephen Spero
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Doesn't include: $144.60 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$1,198.94
Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
OTHER COSTS
$0
Health deductible
$435.00
Drug deductible
$6,700 In-network Maximum you pay for health services
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Anthem MediBlue Extra (HMO)
Anthem Blue Cross | Plan ID: H0544-081-0
Star rating:
MONTHLY PREMIUM
$14.40
Includes: Health & drug coverage
Doesn't include: $144.60 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$1,241.94
Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
OTHER COSTS
