Page 17 - Cover Letter and Medicare Evaluation for Vic Bosiger
P. 17
Plans that appear to meet your criteria (cont'd)
AARP Medicare Optima Medicare Humana Choice
Plan name Advantage Plan 1 Value Advantage Advantage PPO Medigap Plan N
(HMO-POS) HMO Plan Plan
Toll-Free Number (800) 555-5757 (844) 563-4201 (800) 833-2364 NA
Estimated medical premiums
lity ratings from Medicare web site (best rating = 5 stars)
(2022 Part B premiums & Part B deductible not available yet)
2021 Standard Part B
$1,782 $1,782 $1,782 $1,782
premium *
Health plan premiums
(Medigap premiums are $0 $0 $0 $1,100
estimates)
Total $1,782 $1,782 $1,782 $2,882
Minimum costs for Medicare-covered services
Total medical premiums $1,782 $1,782 $1,782 $2,882
(from above)
Plan health deductible
(includes Part B deductible $0 $0 $0 $203
if not covered by plan**)
Est. annual Rx costs at
CVS (premiums, $2,948 $2,973 $3,115 $3,199
deductibles, co-pays)
Total Minimum Costs
(includes cost-sharing for $4,730 $4,755 $4,897 $6,284
the Rx drugs you now take)
Cost-sharing for doctors office visits
=
In-Network Primary After Part B
Care Co-Pays $0 $0 $0 deductible is paid,
up to $20 co-pays
In-Network Specialist for doctors office
Co-Pays $40 $20 $35 visits and $50 for
Out-of-Network visit to emergency
Co-Pays Not covered Not covered 40% of cost room
*The standard Part B premium for new enrollees in 2021 is $148.50 a month; higher
income people may pay more. **Part B deductible in 2021 is $203.
3
