Page 15 - Cover Letter and Evaluation for Margaret Rockey

Your estimated costs in each plan

AARP Medicare
Plan name Medigap Plan G Medigap Plan N Advantage AARP Medicare
Walgreens (PPO) Advantage (HMO)
Toll-Free Number NA NA (800) 555-5757 (800) 555-5757
Health plan premiums + medical deductible + Rx drug costs
lity ratings from
Medicare web site
2020 Part B premium

for 7 months ($144.60 a $1,012 $1,012 $1,012 $1,012
month)*
Health plan premiums

for 7 months (Medigap $805 $595 $0 $188
premiums are estimates)
Health plan or Part B

deductible** $198 $198 $0 $0

Rx drug costs for 7
months (mail-order) $2,726 $2,726 $3,736 $3,666

Total $4,741 $4,531 $4,748 $4,866

Part A and Part B out-of-pocket costs

Part A: The amount you $300 a day for days $295 a day for days

will pay if you are No cost No cost 1-6; nothing 1-5; nothing
hospitalized thereafter thereafter

Part B: Amounts owed Below are cost- Varies; 40% of cost
for most outpatient No cost after Part B sharing amounts for many out-of- Varies. 20% of cost
for some services
after Part B
deductible is paid
services deductible is paid network services
Cost-sharing for doctors' office visits
=
In-Network Primary

Care Co-Pays $20 for doctors' $0 $10
In-Network Specialist No cost office visits and $50 $40 $40
Co-Pays for visit to
Out-of-Network emergency room $35 primary care;
Co-Pays $70 specialist Not covered

*This is 2020 Part B premium for new enrollees. Higher income people may pay more.
**Part B deductible in 2020 is $198.

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