Page 11 - Cover Letter and Evaluation for Paul Dorroh
P. 11
Plans that appear to meet your criteria (cont'd)
Aetna Medicare
Aetna Medicare
Plan name Medigap Plan G Medigap Plan N Essential Plan Select Plan (HMO)
(Local PPO)
Toll-Free Number NA NA (855) 338-7027 (855) 338-7027
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
2018 standard Part B
premium of $134 a $1,608 $1,608 $1,608 $1,608
month*
Health plan annual
premiums (Medigap $1,800 $1,450 $0 $0
premiums are estimates)
Total $3,408 $3,058 $1,608 $1,608
Minimum costs for Medicare-covered services
Total medical premiums $3,408 $3,058 $1,608 $1,608
(from above)
Plan health deductible
(includes Part B deductible if $0 $183 $0 $0
not covered by plan**)
Annual Rx drug premiums $151 $151 $0 $0
Total Minimum Costs
(includes cost-sharing for the $3,559 $3,392 $1,608 $1,608
Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary
Care Co-Pays up to $20 for $9 $5
No co-pays for Medicare-approved
In-Network Specialist Medicare-covered doctor's visit; $50
Co-Pays services for emergency $40 $35
Out-of-Network room visit
Co-Pays $50 NA
*This is 2018 standard Part B premium for new enrollees who are not yet receiving Social Security benefits.
**Part B deductible in 2018 is $183.
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