Page 13 - Cover Letter & Evaluation for Michael Novotny
P. 13
Plans that appear to meet your criteria (cont'd)
AARP Medicare
Alignment Health
Plan name Medigap Plan G Medigap Plan N Plan My Choice (an Complete Secure
HMO) Horizons Plan 1 (an
HMO)
Toll-Free Number NA NA (888) 979-2247 (800) 555-5757
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 $1,608
month*
Health plan annual
premiums (Medigap $2,400 $1,100 $0 $0
premiums are estimates)
Total $4,008 $2,708 $1,608 $1,608
Minimum costs for Medicare-covered services
Total medical premiums $4,008 $2,708 $1,608 $1,608
(from above)
Plan health deductible
(includes Part B deductible if $183 $183 $0 $0
not covered by plan**)
Annual Rx drug coverage
premiums $236 $236 $0 $0
Total Minimum Costs
(includes cost-sharing for the $4,427 $3,127 $1,608 $1,608
Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary
Care Co-Pays No co-pays for $0 $5
Medicare-covered You pay 10% of
In-Network Specialist services after $183 Medicare approved
Co-Pays Part B deductible is amount $0 $10
Out-of-Network paid
Co-Pays Not covered Not covered
*This is 2018 standard Part B premium for new enrollees who are not yet receiving Social Security benefits.
**Part B deductible in 2018 is $183.
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