Page 7 - Cover Letter and Medicare Evaluation for Vic Bosiger
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Victoza
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Campbell, VA
Optima AARP Medicare HumanaChoice
Medicare Value Advantage H5216-248
(HMO) Plan 1 (HMO- (PPO)
$0.00 POS) $0.00
Medicare Advantage and $0.00 Medicare Advantage and
drug monthly premium Medicare Advantage and drug monthly premium
drug monthly premium
Overview
Star rating This plan got
Medicare's highest
rating (5 stars)
Health deductible $0 $0 $0
Drug plan deductible $150.00 $0.00 $0.00
Maximum you pay for $4,000 In-network $5,900 In-network $10,000 In and Out-of-
health services network
$5,900 In-network
Health premium $0.00 $0.00 $0.00
Drug premium $0.00 $0.00 $0.00
Part B premium $148.50 $148.50 $148.50
