Page 20 - APPENDICES for Janet Tuma
P. 20
Bright Advantage Choice (PPO) This is a new plan that does
Bright Health | Plan ID: H3725-004-0 not yet have a quality rating
from Medicare and thus may
Star rating: be somewhat riskier than the
Plan too new to be measured established plans that do
have quality ratings.
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
$400.00 Drug deductible
$10,000 In and Out-of-network
$4,000 In-network Maximum you pay for health services
Aetna Medicare Value (PPO)
Aetna Medicare | Plan ID: H5521-086-0 This plan is
compared in your
Star rating: evaluation
MONTHLY PREMIUM
$0.00 Includes: Health & drug coverage
Doesn't include: $148.50 Standard Part B premium
YEARLY DRUG & PREMIUM COST
$36.70 Retail pharmacy: Estimated total drug + premium cost
Doesn't include: Health costs
