Page 11 - Cover Letter and Evaluation for Judy Thomas
P. 11

Comparison of PERA & Medigap plans (cont'd)


                                                                              PERA Anthem        PERA Anthem
                          Plan name    Medigap Plan G     Medigap Plan N        Medicare      Medicare Advantage
                                                                            Advantage Plan #1       Plan #2

                         Estimated annual premiums for medical coverage
          lity ratings from Medicare web site (best rating = 5 stars)
              2019 standard Part B
             premium of $135.50 a          $1,626             $1,626             $1,626             $1,626
                            month*

                 Health plan annual
                 premiums  (Medigap        $1,700             $1,450             $3,120             $1,920
               premiums are estimates)

                              Total        $3,326             $3,076             $4,746             $3,546

                            Minimum costs for Medicare-covered services

            Total medical premiums         $3,326             $3,076             $4,746             $3,546
                         (from above)

               Minus PERA monthly
                      $115  subsidy          $0                 $0              ($1,380)           ($1,380)

             Plan health deductible
           (includes Part B deductible if   $185               $185                $0                 $0
                 not covered by plan**)

              Annual Rx costs, mail
                 order  (premiums not      $1,339             $1,339              $720               $720
               included for PERA plans)

              Total Minimum Costs
           (includes cost-sharing for the   $4,850            $4,600             $4,086             $2,886
                 Rx drugs you now take)
                                  Cost-sharing for doctors' office visits
                                                                     =
            In-Network Primary
                Care Co-Pays            No co-pays for     You pay 5% of           $0                $20

           In-Network Specialist      Medicare-covered  Medicare approved
                   Co-Pays           services after Part B  amount after Part B    $0                $30
                                      deductible is paid
              Out-of-Network                             deductible is paid
                   Co-Pays                                                         $0         same as in-network
          *This is 2019 standard Part B premium for new enrollees who are not yet receiving Social Security benefits.
          Higher income individuals may pay more                **The Part B deductible in 2019 is $185.


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