Page 21 - APPENDICES for Janet Tuma
P. 21

OTHER COSTS
      $0    Health deductible



      $0.00 Drug deductible


      $8,250 In and Out-of-network

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










      Cigna Preferred Medicare (HMO)                                                  This plan is

      Cigna | Plan ID: H1415-024-0                                                    compared in your
                                                                                      evaluation.
      Star rating:





      MONTHLY PREMIUM


      $0.00 Includes: Health & drug coverage

                 Doesn't include: $148.50 Standard Part B premium



      YEARLY DRUG & PREMIUM COST


      $40.00 Retail pharmacy: Estimated total drug + premium cost

                    Doesn't include: Health costs


      OTHER COSTS

      $0    Health deductible



      $0.00 Drug deductible


      $3,450 In-network Maximum you pay for health services









      Cigna Premier Medicare (HMO-POS)

      Cigna | Plan ID: H1415-021-0

      Star rating:
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