Page 13 - Cover Letter and Medicare Evaluation for Rod Morgan
P. 13
Plans that appear to meet your criteria (cont'd)
Anthem MediBlue Aetna Medicare
Plan name Medigap Plan G Medigap Plan N Access Advantage Prime 1 Advantage
PPO Plan PPO Plan
Toll-Free Number NA NA (855) 679-0546 (833) 859-6031
Estimated medical premiums for 2022
lity ratings from Medicare web site (best rating = 5 stars)
2021 Standard Part B
$1,782 $1,782 $1,782 $1,782
premium *
Health plan premiums
(Medigap premiums are $1,600 $1,200 $0 $0
estimates)
Total $3,382 $2,982 $1,782 $1,782
Minimum costs for Medicare-covered services
Total medical premiums $3,382 $2,982 $1,782 $1,782
(from above)
Plan health deductible
(includes Part B deductible $203 $203 $0 $0
if not covered by plan**)
Est. annual Rx costs at
Safeway (premiums and co- $1,008 $1,008 $444 $564
pays)
Total Minimum Costs
(includes cost-sharing for $4,593 $4,193 $2,226 $2,346
the Rx drugs you now take)
Cost-sharing for doctors' office visits
=
In-Network Primary After Part B annual
Care Co-Pays No co-pays after deductible is paid, $0 $0
In-Network Specialist the annual Part B up to $20 co-pays
Co-Pays deductible ($203) for doctors' office $35 $35
Out-of-Network is paid visits and $50 for $35 primary care;
ER visit
Co-Pays $70 specialist 40% co-insurance
*The 2021 standard Part B premium for new enrollees is $148.50 a month; higher
income people may pay more. **Part B deductible in 2021 is $203.
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