Page 11 - Cover Letter and Evaluation for Gary Caskey
P. 11
Comparison of two Medigap plans and employer plan (cont'd)
Plan name Medigap Plan F Medigap Plan G Your employer plan
Toll-Free Number NA NA NA
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
Part B premiums* $3,216 $3,216 $0
Health plan annual
premiums (Medigap $2,200 $2,000 $1,728
premiums are estimates)
Total $5,416 $5,216 $1,728
Fixed costs for Medicare-covered services
Total medical premiums $5,416 $5,216 $1,728
(from above)
Plan health deductible
(includes Part B deductible if $0 $183 $2,700
not covered by plan**)
Annual Rx costs, retail
refills (premiums, $5,309 $5,309 Cannot be determined from plan info
deductibles, co-pays)
Total Minimum Costs
(includes cost-sharing for the $10,725 $10,708 Unknown
Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary Not subject to deductible: routine
Care Co-Pays preventive care, which has no cost in
No co-pays for No co-pays for
In-Network Specialist Medicare-covered Medicare-covered network and 45% of cost out of network;
Co-Pays services services Subject to deductible: most other
Out-of-Network services cost 25%-35% in network and
45% out of network.
Co-Pays
*This is 2018 Part B premium for new enrollees. Higher income people may pay more.
**Part B deductible in 2018 is $183.
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