Page 11 - Cover Letter and Evaluation for Barbara Lesswing
P. 11
Plans that appear to meet your criteria (cont'd)
Independent Health Independent Health
Plan name Medigap Plan G
Your current plan Encompass 65 Basic HMO Encompass 65 HMO
Toll-Free Number (800) 665-1502 (800) 665-1502 NA
Estimated annual premiums for medical coverage
lity ratings from Medicare web site (best rating = 5 stars)
2018 standard Part B
premium of $134 a $1,608 $1,608 $1,608
month*
Health plan annual
premiums (Medigap premiums $380 $0 $2,400
are estimates)
Total $1,988 $1,608 $4,008
Minimum costs for Medicare-covered services
Total medical premiums $1,988 $1,608 $4,008
(from above)
Plan health deductible
(includes Part B deductible if $0 $0 $183
not covered by plan**)
Annual Rx costs, mail-
order refills (premiums, $2,164 $1,800 $1,800
deductibles, co-pays)
Total Minimum Costs
(includes cost-sharing for the $4,152 $3,408 $5,991
Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary Care
Co-Pays $0 $0
In-Network Specialist $25 $25 No charge after the Part B
Co-Pays deductible has been paid
Out-of-Network Not covered except in Not covered except in
Co-Pays emergencies emergencies
*This is 2017 Part B premium for new enrollees who are not yet receiving Social Security benefits. People who
have already started their Social Security benefits will pay $109 a month ($1,308 a year). Higher income people
may pay more. **Part B deductible in 2017 is $183.
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