Page 8 - Cover Letter and Medicare Evaluation for Vic Bosiger
P. 8
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
Plan features Vision Vision Vision
Dental Dental Dental
Hearing Hearing Hearing
Transportation Transportation Transportation
Fitness bene ts Fitness bene ts Fitness bene ts
Worldwide Worldwide Worldwide
emergency emergency emergency
Over the counter Over the counter Over the counter
drug bene ts drug bene ts drug bene ts
In-home support In-home support In-home support
services services services
Home and Home and Home and
bathroom safety bathroom safety bathroom safety
devices devices devices
Meals for short Meals for short Meals for short
duration duration duration
Annual physical Annual physical Annual physical
exams exams exams
Telehealth Telehealth Telehealth
Endodontics Endodontics Endodontics
Periodontics Periodontics Periodontics
Extractions Extractions Extractions
Bene ts & Costs
Primary doctor visit $0 copay In-network: $0 copay In-network: $0 copay
Out-of-network: 40%
coinsurance per visit
Specialist visit $20 copay per visit In-network: $40 copay In-network: $35 copay
per visit per visit
Out-of-network: 40%
coinsurance per visit
