Page 74 - APPENDICES for Diane Falten
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MARTIN'S POINT GENERATIONS ADVANTAGE
Martin's Point Generations Advantage Flex (Regional PPO)
Plan type: Regional PPO enrollment phone
number
Plan ID: R0802-001-0
Plan website Non-members: 1-888-640-4423 Members: 1-866-544-7504
What you'll pay
Total monthly Health Primary 2022 estimated total drug costs (lowest cost
premium deductible doctor pharmacy)
$53.00 $0.00 $0 $257.88
copay Covers 7 of 7 drugs
Overview
PREMIUMS
Total monthly premium $53.00
Health premium $35.10
Drug premium $17.90
Standard Part B premium $148.50
Part B premium reduction No
