Page 19 - APPENDICES for Janet Tuma
P. 19

$0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium



      YEARLY DRUG & PREMIUM COST

      Calculating... Retail pharmacy: Estimated total drug + premium cost

                               Doesn't include: Health costs
                                                                              Dr. Marcheschi is not
                                                                              listed in this plan's
      OTHER COSTS                                                             network.

      $0    Health deductible



      $0.00 Drug deductible


      $3,400 In-network Maximum you pay for health services









      Aetna Medicare Prime (HMO)

      Aetna Medicare | Plan ID: H3192-001-0
                                                                               Dr. Marcheschi is not
      Star rating:                                                             listed in this plan's

      Plan too new to be measured                                              network.


      MONTHLY PREMIUM


      $0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium



      YEARLY DRUG & PREMIUM COST


      Calculating... Retail pharmacy: Estimated total drug + premium cost
                               Doesn't include: Health costs



      OTHER COSTS

      $0    Health deductible



      $0.00 Drug deductible


      $3,950 In-network Maximum you pay for health services
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