Page 66 - Appendices for Eric Hartman

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Alignment Health Plan
Alignment Health PPO powered by Hoag (PPO)

Plan type: Medicare Advantage with drug coverage

Plan ID: H4961-008-0

Plan website Non-members: 1-888-979-2247 Members: 1-866-634-2247

Call this number to
What you'll pay enroll

Total monthly Health Primary 2023 estimated total drug costs (lowest cost retail
premium deductible doctor pharmacy)
$0.00 $0.00 $5 $45.60

copay per visit Covers 4 of 4 drugs

Overview

PREMIUMS

Total monthly premium $0.00

Health premium $0.00

Drug premium $0.00

Standard Part B premium $164.90

Part B premium reduction No