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
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