Page 26 - APPENDICES for Diane Falten
P. 26
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Here's how you know
This is the list of the Advantage plans in Strafford
County that have the lowest costs for the Rx drugs
you take. The list is sorted by their drug costs,
which include premiums and co-payments. Menu
This plan is
Showing 10 of 33 Medicare Advantage Plans compared in your
evaluation.
Martin's Point Generations Advantage Prime (HMO-POS)
Martin's Point Generations Advantage | Plan ID: H5591-005-0
Star rating:
This plan got Medicare's highest rating (5 stars)
MONTHLY PREMIUM
$0.00 Includes: Health & drug coverage
Doesn't include: $148.50 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$120.00 Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
OTHER COSTS
$0 Health deductible
$0.00 Drug deductible
$7,050 In and Out-of-network Maximum you pay for health services
$7,050 In-network
Martin's Point Generations Advantage Value Plus (HMO)
Martin's Point Generations Advantage | Plan ID: H5591-013-0
Star rating:
This plan got Medicare's highest rating (5 stars)
MONTHLY PREMIUM
$0.00 Includes: Health & drug coverage